Fatigue - too many bathroom breaks in the n... - PBC Foundation

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Fatigue - too many bathroom breaks in the night?

drewh profile image
7 Replies

Does PBC promote nocturia? This just dropped into my email inbox: health.harvard.edu/staying-...

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drewh profile image
drewh
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7 Replies
jane1964 profile image
jane1964

Hello, well it does for me!!!A normal night I would be up 6 or so times and occasionally I have nights I am up pretty much constantly having to go to and fro, this started when I first got ill with pbc and no other illness explains it.I find it annoying but much less than many other problems.Although I expect it doesn't help with the terrible fatigue.

butterflyEi profile image
butterflyEi

Hi drewh

Great article thank you. No hope for me then as ageing process and drinking to much water during the day and into the evening has me up 3 or 4 times a night. Not drinking 2 hours before bedtime has no effect on me :-)

Happy days!!!!

teddybear7 profile image
teddybear7

Every 2 hours day & night no matter how' much I drink

IdasMum profile image
IdasMum

I am pleased to let you know that I was diagnosed recently with Sleep Apnoea and have been using a CPAP machine for just one week.

I have gone from peeing upto 5 times per night to sleeping all night and not needing the urgent loo visit upon waking. I was intrigued and found this.

sleepapnea.org/resources/pu...

"Nocturia, or nocturnal urination, is sometimes a symptom of sleep apnea. In fact, nocturia among younger individuals--who are less likely to have other medical causes of nocturia--is a strong indicator of sleep apnea. While the precise relationship has not been thoroughly studied, it appears that the most likely reason patients with untreated sleep apnea have more frequent urination at night is related to the increased pressure in the right side of the heart. This increased pressure is usually the result of low oxygen levels in the bloodstream caused by the apnea events: when oxygen levels fall, the heart works harder to get oxygen to the brain.

An increased pressure in the heart is a sign that there is too much liquid in the body: when the heart receives the stimulus of the increased pressure, higher levels of a hormone called atrial natriuretic peptide (ANP) are secreted. ANP is a diuretic that is associated with the increased need to urinate.

When sleep apnea is effectively treated, nighttime urination is also reduced. Studies have shown that ANP levels in patients with untreated sleep apnea are increased and levels reduced in patients using CPAP effectively. Remember, not all causes of frequent urination are related to untreated sleep apnea; prostrate problems, for example, may cause increased need for urination. Discuss any concerns you may have with your doctor. "

I hope that helps. I am so happy to be having around 7 hours, unbroken solid sleep now.

in reply toIdasMum

That's really very helpful, thank you IdasMum! I hope you are still getting your beauty sleep. My dog wakes me in the night, I was marvelling how did she know I urgently need bathroom and now it seems likely that my snoring or not-breathing wakes her!

Thank you! This was a very helpful article! I hope you are sleeping better now?

IdasMum profile image
IdasMum

I continue (a year + on) to sleep through 90% of my nights. I still really appreciate this as I had been getting up for the loo for many, many years,

If i could wear my mask during the mornings I would......my bladder thinks I am on diuretics in the mornings :D

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