9 Reasons You Might Need To Wee In The Night

I feel like it goes in phases for me, sometimes I can sleep through the night for days on end and sometimes I find myself waking up one or two times throughout the night to pee consistently. And it is not something I am too happy about, especially because of that cold, half naked, dash to the bathroom in the dark because the moment you turn a light on it makes it that much harder to fall back asleep. Not only can it disrupt your sleep and your morning mood it can also disrupt your circadian rhythm.

If waking up in the middle of the night to pee becomes so frequent for you, you seek out the need for medical advice the Doctor will always ask you this question first;

“Did the need to urinate wake you up, or did you wake up and notice you had to urinate?"

And you might not have known this but the way you answer actually makes a difference. Randy Wexler, MD, an associate professor of family medicine and vice chair of clinical affairs at the Ohio State University Medical Centre, 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 bathroom.

BUT if the reason why you are waking up is because the need is too strong to sleep through then that is not something to ignore. Here, Dr Wexler 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 BEFORE BED.

 
 

This might be the most obvious cause but do you even realise just how much water you are consuming before bed? and did you know how much that fluid can effect your sleep? Most professional would recommend to stop drinking water two hours before bed and make sure to hit the toilet before you snuggle up for the night. 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 coffee 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 (based on your bedtime being 10pm). 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 doc.

YOU'RE LOW ON THIS HORMONE.

"With ageing 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.

I am sure we have all experienced this one and if you have eliminated the above causes then it is most likely the culprit - the dreaded urinary tract infection. The most common signs to look out for are burning sensation while you pee and major discomfort that persists during the day.


YOUR LEGS ARE SWOLLEN.

A condition known as edema can cause you to have swollen feet or legs from fluid retention in your lower body - this can also 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 PREDIABETES.

 
 

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, he adds.


YOU HAVE AN STI.

"Some sexually transmitted infection 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 STI —though for middle-aged or older adults, a UTI is a lot more likely, he adds.

 
 

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.