Nocturia is recognized at the disruption of sleep more than once a night to urinate. Due to sleep interruption, nocturia can cause daytime depressive symptoms, cognitive dysfunction, and a decreased sense of wellbeing and quality of life.
The condition is not as common among younger adults, but by 80 years of age, the risk for noctura rises to 80% to 90% in both genders.
There are several reasons why nocturia increases with age. These factors include:
- Age related changes that occur in your urinary system and renal function
- Sleep's impact on renal function
- A change in sleeping patterns.
Causes of Nocturia in the Elderly
The following are common causes of nocturia in older adults:
- Bladder dysfunction
- Bladder outlet obstruction
- Severe detrusor dysfunction
- Detrusor overactivity
- Urinary tract infections
- Bladder tumors or stones
- Pelvic floor weakness
- Excessive nocturnal urine production
- Neurodegenerative conditions (e.g., Parkinson’s disease, Alzheimer’s disease)
- Diabetes mellitus and diabetes insipidus
- Hypokalemia and hypercalcemia
- Certain medications
- Chronic kidney disease
- Autonomic neuropathy and venous stasis
- Excessive fluid intake
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