Complaints & connections · borters.ch
Pollakisurie · Nykturie
First question: a lot of urine or only a little? From there blood sugar, bladder and prostate part ways.
Also known as: frequent urination · urgency · getting up at night · nocturia · overactive bladder
Open in the tool — with search and all the links →This compilation is for information and replaces neither medical diagnosis nor treatment. If you have symptoms, see a doctor.
Four to seven trips to the toilet a day count as usual, ideally none or one at night. The distinction that matters often gets lost: does a lot of urine come, or only a little? A lot each time, together with thirst, points to high blood sugar, to water tablets, or simply to drinking a lot. Only a little with a strong urge points more to an irritated bladder, an infection or — in men — an enlarged prostate that obstructs the flow and leaves a residue. Getting up at night has its own reasons: water that stood in the legs during the day and returns when lying down, a weak heart, sleep apnoea, or simply the late tea. Burning, blood in the urine, fever or flank pain should be assessed quickly. And one point that often surprises: drinking less as a precaution usually makes it worse — concentrated urine irritates the bladder further.
Urgency and frequent passing are storage signs, a weak stream and dribbling are emptying signs. The distinction decides what is done — and a two-day bladder diary settles it fastest.
Time, amount drunk, amount passed. No test sorts things out as fast as this sheet.
Concentrated urine irritates more. Better: spread the amount over the day.
Drink little in the last two hours before bed — especially with nocturia.
If ankles swell in the evening, this shifts output from the night into the day.
As unsweetened juice or a preparation daily over months — not as treatment of an acute infection.
In young people from Africa blood at the end of passing water is so common that it was long taken there for normal. It is treatable, and treatment prevents the late consequences.
Normal is four to eight toilet visits a day and at most one at night. The bladder holds about four hundred to six hundred millilitres; the first urge comes at about a hundred and fifty to two hundred and fifty. A drinking and voiding diary over three days shows more than any examination: volumes, times and what was drunk. Caffeine and alcohol drive the volume; the second half of the night is typically affected in heart failure, because the fluid from the legs comes back.
Anticholinergics and mirabegron lower the urge by one to two visits a day and need four to eight weeks. With an enlarged prostate, alpha blockers widen the outlet within days; finasteride shrinks the gland itself and needs six months. For night-time passing of urine, desmopressin works, but in older people carries the risk of lowering sodium. What often achieves more: taking the water tablet in the morning rather than the evening.
Check blood sugar — this is the single most important split.
Irritated bladder or infection; with burning and cloudy urine, more likely infection.
Water from the legs, heart, sleep apnoea or late drinks — daytime is normal.
In men the pattern of an enlarged prostate — the bladder does not fully empty.
A lot of urine plus thirst is the classic combination with high blood sugar.
Belongs here when urine volume or night-time pattern changes clearly.
In men with a weak stream, dribbling and a feeling of residue — to be placed in discussion.
A sufficient amount of urine across the day dilutes what would otherwise crystallise or irritate. Spread evenly it works better than in two large portions.
With reduced kidney function it rises and becomes dangerous for the heart rhythm; under water tablets it falls. In both directions it belongs measured and not guessed.
Cutting out calcium is the wrong route with stones: it binds oxalate already in the bowel. Calcium with the meal instead of between meals is the lever, not avoidance.
Much salt drives calcium into the urine and so raises stone formation; it also lifts the blood pressure that strains the kidneys. Most of it sits in bread, cheese and ready meals.
Traditionally used with a benignly enlarged prostate and with an irritable bladder; the studies show small shifts in symptom score over 12 months. It does not act on the size of the prostate.
The best-selling prostate remedy. The large, well-made studies found no difference against placebo — the smaller earlier ones did. Anyone trying it gives it 6 months and measures PSA beforehand.
Counts in here rather than helping: caffeine and alcohol drive the bladder, and the last cup in the afternoon has a say in the night.
At night more of it is normally made — which is why one sleeps through. In older age this lessens and the kidney carries on at night. That explains a good share of getting up in the dark.
After the menopause the lining of urethra and bladder becomes thinner and more sensitive. That explains urgency and recurring infections — and a local treatment often helps markedly here.
Large amounts of urine with thirst point to the sugar. That separates the amount from pure urgency, where little comes.
Against getting up at night the spread works: keep the total, but little in the last two hours before sleep. Drinking less concentrates the urine and strengthens the urge.
Both drive the kidneys and irritate the bladder. Alcohol also acts on the hormone that holds back urination at night — hence the full bladder at three.
What is studied is preventing infections, not the urge itself. In an overactive bladder without infection leaving out caffeine works considerably more.