The first question a doctor will ask you if you
complain about having to pee in the middle of
the night is, “Did the need to urinate wake
you up, or did you wake up and notice you had
“How you answer makes a difference,” says
Randy Wexler, MD, an associate professor of
family medicine and vice chair of clinical
affairs at the Ohio State University Medical
Wexler explains that, when you sleep,
increased blood flow to your kidneys can
accelerate urine production. So if you wake up
because of a snoring bedmate or insomnia or
some other reason that has nothing to do with
your bladder, you’ll still have no problem
producing urine if you decide to head to the
But if having to pee is the reason you’re
waking up, that’s not something to ignore, he
says. Here, he and other experts explain some
of the most common causes of having to pee
at night—and what to do about them.
YOU’RE DRINKING TOO MUCH WATER
Yes, this is super obvious. But Wexler says
some people don’t realize just how much H2O
they’re swallowing in the hours before bed—
and how that fluid can disrupt their sleep. “I
tell patients to stop drinking water two hours
before bed,” he says. Also, hit the bathroom
before you hop in the sack. If you follow
these instructions and you’re still waking up
to pee, it’s time to see a doctor
YOU’RE DRINKING ALCOHOL OR CAFFEINE
TOO CLOSE TO BEDTIME.
Both alcohol and caffeine can increase your
urine output, Wexler says. If you’re the type
who enjoys a cup of joe after dinner, or if you
drink booze before bedtime, you’re asking for
trouble. Wexler recommends cutting off all
caffeine—that includes tea—at 6 PM. He also
suggests you stop drinking alcohol at least
three hours before bed. Again, if you try these
changes and your problem persists, see your
YOU’RE LOW ON THIS HORMONE.
“With aging comes a natural loss of
antidiuretic hormone,” says Tobias Köhler, MD,
chair of urology at Illinois’s Memorial
Hospital. This hormone helps your kidneys
control their fluid levels. The less of the
hormone you have, the more you pee. Köhler
says this natural hormone loss usually starts
around age 40, but often becomes noticeable
much later—during your 60s or 70s. “There
are some drug therapies, but a lot of people
just deal with it,” he says.
YOU HAVE AN INFECTION.
If you’re a woman and you’ve eliminated the
“self-inflicted” pee triggers mentioned above,
the most-likely culprit is a urinary tract
infection, Wexler says. “If it’s a urinary tract
infection, urination may be accompanied by
burning or dribbling or discomfort,” he
explains. Also, these sensations are going to
persist during the day. While far less common
in men, a urinary tract infection can also
cause guys to feel like they have to pee all
the time, including at night, Wexler adds.
Again, a burning sensation while peeing is
something to watch for.
YOUR LEGS ARE SWOLLEN.
If you have swollen feet or legs—a condition
known as edema—that fluid retention in your
lower body can cause you to pee a lot when
you lie down. “All that fluid in your legs has to
go somewhere, and that increases your urine
production,” Köhler explains. The solution:
Elevate your legs a couple hours before bed.
That will help the fluid in your lower half flow
upward, and so will allow you to get your
peeing done before climbing in bed, he says.
YOU’RE DEALING WITH DIABETES OR
If you’re suffering from diabetes or
prediabetes, your body may ramp up your
urine production in order to clear away excess
blood sugar. That could explain why you’re
waking up to pee at night, Wexler says. As
with a UTI, frequent peeing caused by
diabetes or prediabetes will persist during the
day. Especially if you tend to feel thirsty all
the time—even when you drink a lot of water—
that’s a sign blood-sugar issues are to blame,
YOU HAVE AN STD.
“Some $exually transmitted diseases can
cause frequent urination, such as gonorrhea
and chlamydia,” Wexler says. A burning
sensation while you pee is also a sign your
problem could be an STD—though for middle-
aged or older adults, a UTI is a lot more likely,
YOUR UTERUS OR OVARIES ARE ENLARGED.
A wide range of conditions—including uterine
polyps, ovarian cysts, or uterine and ovarian
cancers—can cause an enlargement of these
organs. If they’re oversized, they can press on
your bladder and make you feel like you have
to pee all the time, Wexler says. “There’s
really no way to know if one of these is the
cause unless you see a doctor,” he adds.
YOUR BLADDER IS SLIPPING.
The muscle, ligaments, and connective tissue
that help make up a woman’s pelvic floor also
support her bladder and other organs. As a
result of age or, more commonly, vaginal child
birth, that pelvic floor can weaken and a
woman’s bladder can slide or “prolapse” into
a position that puts pressure on it, Wexler
says. If that happens, you may feel like you
need to pee all the time. “Women can do
Kegel exercises for bladder prolapse, but
they’d need to be diagnosed first,” he says.
Credit : Women’sHealth
》 9 Reasons You Always Have To Pee In The Middle Of The Night
The first question a doctor will ask you if you