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Why do I pee so much at night?

Is your bladder getting you up in the night? If you experience more than one trip to the toilet in the wee small hours, you might have nocturia.

This could be because you're making too much urine, sometimes a bladder can't hold enough, or it could be a combination of problems.

There are plenty of possible causes. Some you can do something about yourself, some may need medical advice.

Is it what I'm drinking?

It could be. If you drink too close to bedtime, you may need to get up in the night. Try drinking less several hours before you go to sleep. Limit alcohol or caffeine later in the day, and make sure you visit the toilet last thing at night.

Is it an Infection?

A symptom of urinary tract infections (UTIs) is needing to pee at night. Other possible symptoms include painful urination, needing to pee more often during the day, stomachache, and fever. Seek medical advice about UTIs for relief from the discomfort.

Is it my age?

Possibly. The older you are, the more likely you are to need to go more at night. This may be due to lower levels of the hormone that tells your kidneys to work less while you are asleep. Older bladders aren't as stretchy as younger ones, so hold less. Other changes with age can affect your bladder at night, including menopause for women and enlarged prostate in men.

Is it my medication?

Some drugs do make you pee more, either as a side effect or because they work by affecting the kidneys. Ask your doctor or pharmacist if any of your medications could be behind night-time toilet trouble. You may be able to change to a different medication or adjust the dose or timing to earlier in the day.

Is it a sleep problem?

It could be. If your sleep is disturbed, you may think about needing to go when you wouldn't have needed to if you'd slept through the night. Sleep conditions, including restless legs syndrome, can interrupt sleep, as can long-term pain or mental health worries. Treating the sleep disorder or other condition may solve the night-time peeing problem too.

Is it my heart?

If the heart isn't pumping effectively, fluid can build up, especially in your ankles. When you lie down, your body flushes out the extra fluid. That fills your bladder and can wake you up. Seek medical advice about managing the swelling. Putting your feet up during the day or wearing compression socks during the day, may help.

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