Why Does My Bladder Hurt So Much At Night
#1 To treat the pain effectively, we have to know what is generating the pain. Is it the bladder wall or is it the pelvic floor?? Pain BEFORE urination is strongly associated with the bladder wall where as pain AFTER urination is more associated with pelvic floor dysfunction. So, what kind of pain are you having? One? both?? endometriosis? Anything else going on down there?
#2 Is there any chance that you have untreated Hunners lesions which account for the most severe pain levels in IC patients?? Hunners lesions are very interesting beasts because they arent actually like an ulcer. they are more of a nerve running on overdrive. As a result, it takes very specific treatments to disable that nerve usually fulguration , an injection of a steroid into the area or the new LiRIS medical device which has actually healed some ulcers in just two weeks. The good news is that pain usually resolves when the lesion is treated properly.
#6 Do you know what is driving the incontinence? Is your pelvic floor weak?? Do you have a prolapse??
The AUA Guidelines are also reinforce three important topics/concepts:
Remember that treating IC isnt about taking the perfect medication or that a single therapy will treat all of the trouble. There can be multiple factors driving that bladder and pelvic pain and youll need to work through all possible causes.
Jill
Possible Causes Of Nocturia
If the results of this study reflect the general population, many women with nocturia dont have any underlying urinary tract problems. But its still important to consider if there is an underlying reason for the nocturia, especially if it started recently.
Medical reasons for nocturia include:
- a high blood sugar level cause sugar to spill into urine, dragging lots of water with it.
- high blood calcium level. Calcium from the blood can get into urine, pulling water along with it
- kidney disease. Some kidney conditions cause the kidneys to make excessive amounts of urine.
- too little antidiuretic hormone. Without this hormone, the body cant hold on to water. This condition is called diabetes insipidus.
- urinary tract infection. Bacteria in the urine can inflame the bladder, causing frequent urination.
- diuretics and some other medications cause the body to make extra urine.
- sleep apnea and restless legs syndrome. Both of these sleep-related disorders awaken people from sleep. Such awakenings may prompt them to make a trip to the bathroom.
- water retention in the legs . Fluid that accumulates in the legs during the daytime may move to the kidneys, and then out into urine at night.
Other than water retention in the legs, the other medical problems almost always cause frequent urination during the day as well as at night.
Symptoms Of Interstitial Cystitis
The main symptoms of interstitial cystitis are:
- intense pelvic pain
- sudden strong urges to pee
- needing to pee more often than normal
- waking up several times during the night to go to the toilet
The pain may be worse when your bladder is full and may be temporarily relieved when you go to the toilet.
You might also find the pain is worse during periods or after having certain foods or drinks.
The symptoms will often come and go in phases. You may have episodes lasting days, weeks or months where your symptoms improve, followed by times when they’re worse.
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Treatments For Interstitial Cystitis
Unfortunately, there’s currently no cure for interstitial cystitis and it can be difficult to treat, although a number of treatments can be tried.
But no single treatment works for everyone, and there’s disagreement about how effective some of them are.
You may need to try several treatments to find one that works for you.
Medicines and other therapies may be used if lifestyle changes not help, and surgery may be necessary as a last resort.
How Oab Can Affect Your Life Your Browser Does Not Support Html5 Audio Playback You May Download The Audio File Directly Here
Without treatment, OAB symptoms are uncomfortable. It can be hard to get through the day without many visits to the bathroom. OAB can impact relationships. You may not want to do things you enjoy because you worry about finding a bathroom in time. It can disrupt your sleep and sex life. It can leave you tired and short-tempered, or leaks can lead to a rash or infections. The whole experience can make anyone feel hopeless and very unhappy.
The good news is that OAB can be controlled. There are treatments available to help.
I stopped running, I stopped taking walks. Basically, I stopped doing things that didn’t allow me immediate access to a bathroom. I was so embarrassed that I didn’t talk to anyone about it for a long time. That was a mistake.
Your browser does not support HTML5 audio playback. You may download the audio file directly here Who gets OAB?
- Both men and women can get OAB.
- Older women who have gone through menopause and men who have had prostate problems are more likely to get OAB.
- Growing older is a factor, but not all people get OAB as they age. It’s not a normal part of aging.
- People with diseases that affect the brain or spinal cord such as stroke and multiple sclerosis are more likely to get OAB.
Once your doctor understands the problem, he or she can tell you about treatment options. There’s no single treatment that’s right for everyone.You may try one treatment, or a few at the same time.
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When To See A Gp
You should see a GP if you have persistent pelvic pain or you notice a change in your usual peeing pattern.
These symptoms can have a number of causes, so it’s a good idea to get a proper diagnosis.
The GP can refer you to a hospital specialist like a urologist, a specialist in conditions affecting the urinary system, for further tests, such as a cystoscopy. A cystoscopy is a procedure to examine the inside of the bladder.
Why Does Nocturia Affect Older People More Than Others
There are several reasons for this. One simple reason is that as you get older your bladder looses its elasticity. Another is that later in life you are more likely to suffer from other medical conditions which can affect the bladder. The following are some of the reasons which can cause nocturia and which are more common in older people:
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Bladder Issues At Night Only
ssleah
Hi. I’m 46 and in peri-menopause or perhaps menopause. I haven’t had my period in about 5 months and have hot flashes. My hot flashes subside when I abstain from sugar. But my question is, do any of you ladies get a tingling sensation at night while sleeping. The sensation radiates from my bladder and it feels like an electric current. It’s only present at night when I have a full bladder. I get up, relieve myself, then the sensation goes away. the doctors look at me like I’m crazy when I try to describe the symptoms. It’s not painful, just uncomfortable. I’m so tired sometimes that I try to fall back asleep instead of heading to the bathroom, but the sensation is so strange and uncomfortable it pushes me to get up and relieve myself. It never happens in the daytime. I can hold my urine for long periods without this sensation. So strange. I would love some feedback around this issue.
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Other Signs And Symptoms
An abnormal bladder fullness sensation is a symptom of a disease and not a disease on its own. Other symptoms that may also be present includes :
- Painful urination
- Blood in the urine
- Cloudy urine
- Abnormally offensive odor of the urine
- Urinary frequency
The most common causes of an abnormal bladder fullness sensation are :
- Cystitis is inflammation of the urinary bladder. An infection of the bladder as a consequences of an ascending urinary tract infection is the most common cause.
- Urethritis is inflammation of the urethra which is mainly due to an infection. It also occurs frequently with sexually transmitted infections and trauma.
- Sexually transmitted infections such as gonorrhea or chlamydia which are contracted through sexual contact.
Other causes that are due to problems with urinary tract may include :
- Bladder cancer malignant tumor of the bladder.
- Bladder stones stones within the bladder that either forms here or passes down from the kidney .
- Urethral strictures narrowing of the urethra.
- Overactive bladder syndrome involuntary contraction of the bladder muscles.
- Neurogenic bladder damage of the bladder nerves affecting sensation or control.
- Trauma injury to the bladder or urethra especially following catheter insertion.
A bladder fullness sensation may also arise in an otherwise healthy bladder with certain diseases affecting the surrounding organs or related structures :
- Rectal tumors
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Simple Steps For Avoiding Nocturia
If you are a woman with nocturia, dont hesitate to talk about it with your doctor, especially if this is something new. You probably dont have some medical condition causing it, but its wise to check it out.
If there is a medical condition, treating it could help you sleep better. If not, lifestyle changes can help womenor menwith nocturia:
- During the day, drink enough to quench your thirst and maintain good hydration. But ease off the fluids beginning four to five hours before bedtime.
- Take a look at your caffeine intake. In some people, caffeinated beverages can affect urine production hours after they were consumed.
- If you drink alcohol, keep it moderate . And think twice or three times about having a “nightcap.”
Things You Can Do To Help Interstitial Cystitis
Lifestyle changes will usually be recommended first.
Things that may help improve your symptoms include:
- reducing stress anything that helps you relax, such as exercise or regular warm baths, may help reduce your symptoms, and recent evidence suggests that mindfulness-based techniques, such as meditation, can help
- avoiding certain foods or drinks if you notice they make your symptoms worse but do not make significant changes to your diet without seeking medical advice first
- stopping smoking the chemicals you breathe in while smoking may irritate your bladder
- controlling how much you drink try to reduce the amount you drink before going to bed
- planned toilet breaks taking regular planned toilet breaks may help stop your bladder becoming too full
You may also find it useful to contact a support group, such as the Interstitial Cystitis Association or Bladder Health UK for information and advice about living with interstitial cystitis.
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What Is Bladder Fullness
Bladder fullness is a sensation that the bladder is filled to capacity and there is a need to urinate. This is also known as urinary or bladder urging. It is normal sensation that every person experiences as the bladder fills close to its maximum capacity. It serves as a signal that a person needs to find the appropriate facility to urinate. Although the sensation can be ignored for a period of time if the situation is not suitable, the sensation gradually intensifies until a person can no longer bear it or a person may end up urinating involuntarily.
However, sometimes the bladder fullness sensation occurs even after passing urine or with there being only small amounts of urine contained within the bladder compared to its normal capacity. In these cases the sensation is abnormal and most likely a symptom of some underlying disease of the bladder. It is more correctly known as urinary or vesical tenesmus. Although the causes of this bladder fullness sensation is largely the same for both males and females, there are some conditions which are specific to each gender that results in this abnormal feeling.
Get A Diagnosis Not A Self
Its also important to consider whether the uterus and other organs of the gynecological system could be causing bladder pain, Siddiqui says, as they are close to the bladder. Pelvic floor dysfunction, such as tightness or spasms of the pelvic muscles, commonly occurs with bladder pain and may make bladder pain worse, she explains. Pelvic pain can also be caused by endometriosis, pelvic inflammatory disease, or ovarian cysts. Additionally, gastrointestinal problems such as inflammatory bowel diseases can sometimes be the source of pelvic pain, notes Mayo Clinic.
If none of these conditions are present and women have ongoing bladder pain, they are typically treated for bladder pain syndrome, which refers to painful conditions of the bladder where other causes such as UTI and cancer have been excluded,” says Siddiqui.
The bottom line for women to keep in mind: Dont self-diagnose your bladder pain. Addressing and treating the issue can offer relief for body and mind.
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What Is Interstitial Cystitis/bladder Pain Syndrome
Interstitial cystitis /bladder pain syndrome is a chronic bladder health issue. It is a feeling of pain and pressure in the bladder area. Along with this pain are lower urinary tract symptoms which have lasted for more than 6 weeks, without having an infection or other clear causes.
Symptoms range from mild to severe. For some patients the symptoms may come and go, and for others they don’t go away. IC/BPS is not an infection, but it may feel like a bladder infection. Women with IC/BPS may feel pain when having sex. The more severe cases of IC/BPS can affect your life and your loved ones. Some people with IC/BPS have other health issues such as irritable bowel syndrome, fibromyalgia, and other pain syndromes.
The bladder and kidneys are part of the urinary system, the organs in our bodies that make, store, and pass urine. You have 2 kidneys that make urine. Then urine is stored in the bladder. The muscles in the lower part of your abdomen hold your bladder in place.
How the Urinary System Works
Some Of It Is Part Of Aging
Its true that as we age, our bodies make less of the hormone that allows us to retain fluids. Because of this, our bladders fill more rapidly. Also, our bladders are unable to hold a lot of urine as we get older.
Between these two factors, adults beyond age 60 should expect to wake to use the bathroom at least once each night. But even so, these tips can help minimize the nightly excursions for people of any age.
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Why You May Have Bladder Leaks At Night
Often times, bladder leakage at night is a form of overflow incontinence. If you experience overflow incontinence, the involuntary release of urine from an overly full bladder, you likely experience urine leaks â a lot! Even at night. You naturally have to use the bathroom less while youâre sleeping than when youâre awake. This is because your body produces a hormone called ADH â anti diuretic hormone â that signals to your kidneys to produce less urine. However, some people donât produce the appropriate amount of ADH at night, leading to too much urine production.
Alternatively, even if your body produces enough ADH, your kidneys may not respond to the hormone. This means that your body will still produce too much urine, leading to maximum bladder capacity and leakage at night.
Often times, bedwetting in adults is genetic. If one of your parents wets the bed, you have a 40 percent chance of wetting the bed at some point in your adult life as well.
Preventing Pressure On Bladder
The best way to treat bladder pressure is to avoid experiencing it in the first place. Below are some tips to help prevent infections, and in turn, pressure on the bladder.
Underwear: Wearing loose, comfortable, cotton underwear prevents bacteria from being trapped near the urethra and causing an infection.
Shower: Showering rather than bathing reduces your risk of getting an infection, as the warm water of the tub is great for bacteria and the soap can wash away any protective mucous membranes.
Dont hold it: If you have the urge to urinate, do so as soon as you can. Holding urine in your bladder can create a breeding ground for bacteria, which leads to infection.
Water: Drinking plenty of water helps to flush your system and can reduce the risk of getting a bacterial infection.
While pressure on the bladder has a variety of causes that can vary by sex, most are not very serious and can be treated easily. However, it is important to seek the advice of a healthcare professional if you are experiencing bladder pressure so that its cause can be accurately diagnosed and appropriately treated before your condition worsens.
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Normal Filling Of The Bladder
The bladder is constantly filling with urine throughout the day and night. The rate at which it fills depends on the filtration rate of the kidney, total water volume, levels of electrolytes and various hormone levels. Urine produced in the kidneys passes down the ureters and into the bladder where it is stored for a period of time. As the bladder fills its muscular walls are stretched. Special receptors in the walls of can detect the degree of stretching and this is perceived as the sensation of bladder filling.
The adult human bladder has a maximum capacity of about 500 ml but the average full bladder sensation peeks when the urine levels reach about 350 mL . The bladder fullness sensation becomes intense as the bladder fills to capacity. It subsequently relieves after the bladder is emptied during urination. Normally the bladder is emptied out to a sufficient degree to ease the stretching of the bladder walls. However, if the bladder is not completely emptied then the sensation may persist albeit milder than it was initially.
The bladder control mechanism ensures that the bladder fills gradually thereby expanding as it fills, is emptied almost fully during urination and that the sensation arises and subsides in response to filling and emptying.