Urine a lot: Ever since my ectopic... - Atrial Fibrillati...

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Urine a lot

Asdfvv profile image
24 Replies

Ever since my ectopic beats have become more persistent, I have to pee a lot at night. I will sometimes pee enough to fill a 2 liter bottle. It keeps me from being able to sleep, and makes me feel weak. Is this normal?

I fear losing important electrolytes or becoming dehydrated.

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24 Replies
BobD profile image
BobDVolunteer

The distressed heart releases an enzyme which tells the body to get rid of salt so you pee a lot. I haven't known this to be a real problem with ectopics but it is with atrial fibrillation. Maybe you need to get an ecg done to see what is happening.

azriverrat profile image
azriverrat in reply toBobD

" The distressed heart releases an enzyme which tells the body to get rid of salt so you pee a lot. I haven't known this to be a real problem with ectopics but it is with atrial fibrillation. "

This. I was able to know ahead of time when I might go into afib as woken up needing to use the restroom more.

ncerna profile image
ncerna in reply toazriverrat

That's probably what it is. I had an episode of Afib a few months ago. Right now it is being managed by Flecenaide, which I began taking when the ectopic beats returned. But it has become more persistent now. That's probably why I am peeing a lot.

DERLIN profile image
DERLIN in reply toBobD

Hi Bob,

I read your article regarding the good news for your prostate situation a few weeks ago. I have had the PSA test in the past few years. 2013: 0.80, 2015: 0.69, 2017:0.98. I understand that a reading under 4.0 is usually classed as normal. But the last reading has shown an increase from 0.69 to 0.98, a 42% increase. Should I be concerned? (I typically go to the toilet twice in the night, usually at circa 3 hour intervals)

BobD profile image
BobDVolunteer in reply toDERLIN

It is still very low. Mine went up to 36 before they eventually found my cancer by trans- perenial biopsy. ( Three rectal biopsies had failed to find it. as it was hiding round the front. ) Since radical surgery, hormone treatment for three years and 33 sessions of radiotherapy my PSA has been less than 0.01% i e undetectable. the last seven years. I think there is an HUL forum for prostate matters so best ask there but it sounds fairly normal.

Ive had the same problem thought it was my age then prostate trouble was getting up 5 or 6 times a night Docs put me on Oxybutynin Hydrochloride and these seem to work they relax the nerves around the bladder so now only getting up once at night

ncerna profile image
ncerna in reply to

I take Atavan. It seems to help too.

EngMac profile image
EngMac

BobD has given the common answer for this. I have noticed that this can happen at night even when I am not having ectopic beats or AF. I suspect it is because of a negative impact on the nerve in the back that impacts the kidneys. Only when my back has discomfort and I cannot lay down, since I will get AF, and I must sit up to sleep, does this happen. The cause may be something other than the heart since my heart is beating fine at this time. This has only happened, when my heart is beating fine, since I have been having chiropractic adjustments. I think the nerve that impacts the kidneys is near T5, the one that also impacts the heart.

secondtry profile image
secondtry in reply toEngMac

Thanks Engmac that's interesting as I battle most nights with a couple of pees and haven't had AF for ages but I do have a raised bed head.

jeanjeannie50 profile image
jeanjeannie50

I told my GP about having to go to the toilet a lot every night and he said that unfortunately as you get older the kidneys work better at night. He offered some pills to help, but I declined thinking I take enough as it is.

When in AF no matter what time, I need to go lots.

Jean

ncerna profile image
ncerna in reply tojeanjeannie50

Even though I don't like taking pills, I have found that taking Atavan helps. Maybe because it calms the nerves.

doodle68 profile image
doodle68

Hi Jeanjeannie :-) Likewise here, I usually need to spend a penny every 2 + hours during the night but I quickly go back to sleep. I don't drink anything after 7pm.

There is drug which is given to bed wetting children and one called Desmopressin , it reduces the amount of urine produced at night by the kidneys .

Even if there were no contraindications with my other meds I wouldn't want to do anything that could cause any problems with my kidneys particularly as I take Apixaban which is excreted through the kidneys .

ncerna profile image
ncerna in reply todoodle68

Try Atavan

doodle68 profile image
doodle68 in reply toncerna

No thanks, I don't wish to take any additional medication for a condition I can live with.

cassie46 profile image
cassie46

I have to get up 3 or 4 times a night to go to the loo, I am not aware that I am in AF, I have permanent AF. During the day I can go very long periods of not going to he loo. If my heart rate is very high its every 15-20 mins and have to get there pretty sharpish!

Cassie

opal11uk profile image
opal11uk

Same here, couple that with persistent UTI's and it is really a nuisance

Mazza23 profile image
Mazza23

I know AF makes you pee a lot but have you had a sleep test I rarely get up since I have been using cpap

ncerna profile image
ncerna in reply toMazza23

What is CPAP?

secondtry profile image
secondtry in reply toncerna

Before CPAP (oxygen mask kit I think) you might want to try nasal strips, may not cure t but may help.

Mazza23 profile image
Mazza23 in reply tosecondtry

Cpap does not give you oxygen it's just air flow pressure to keep airways open

ncerna profile image
ncerna in reply toMazza23

I don't think it is sleep apnea. I feel my bladder going crazy the moment I lie down at night. Sometimes even in the evening. Perhaps it's a side effect of the flecenaide.

Rubymurray25 profile image
Rubymurray25

Last week in my desperation and concern I posted a question asking for advice on peeing a lot during the night and high blood pressure. To summarize , I was waking up needing a pee and after many months decided to check my blood pressure at the same time and it was 179/93 and that pattern continued for a few nights ( so in all probability. I have been having increased blood pressure for some time) Someone suggested I might have a case of sleep apnea and to try sleeping on my side. I often struggle to lay on my side as I have hip issues but did and within 48 hours my trips to the toilet were down to 2 a night and my blood pressure is around the 120/75 and that has been checked every time I got up. I know we are all so very different but I am so very happy at this moment in time and no sign of any AF episodes! I have since recommended this website to a couple of close friends as without sharing how can we ever know!

ncernaa profile image
ncernaa in reply toRubymurray25

When I sleep on my back or stomach the symptoms lessen.

ncerna profile image
ncerna

I don't think it is sleep apnea. Because it begins as soon as I lie down in bed. I begin to feel like fluid building up in the bladder.

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