Why You Pee At Night — The Most Overlooked Reason

are you waking up once or more at night to urinate in this video i'll reveal one very common medical condition that almost no one talks about as a cause of bacteria or nighttime urination hi i'm dr steven park ent surgeon and sleep doctor helping you to breathe better and sleep better so that you can wake up refreshed and have energy to enjoy life again i'm going to cover what causes bacteria why it's potentially dangerous to your health what one condition that causes nectar is often ignored by most experts on youtube and how you can get rid of it in seven easy steps stick to the end and i'll show you how you can sleep through the night for the first time in years nighttime urination or bacteria is a very common problem even happening in children and young adults it's not just a minor nuisance but can be strongly linked to various medical complications and even higher death rates i was wondering what the most common explanations are for nectar on youtube so i recently spent many hours watching the top 25 videos about bacteria all the explanations from bacteria i saw online overlapped a lot between all the different videos the most common reasons mentioned were drinking too much water close to bedtime pre-diabetes or diabetes congestive heart failure liver problems sleep problems or circadian rhythm problems prostate enlargement overactive bladder kidney stones and cancer only a few mentioned sleep apnea and very briefly when it did come up it was mentioned alongside many other possible conditions as a somewhat rare condition it's important to note here that with the exception of drinking too much water all of the above conditions can be caused by untrusted apnea also about half the videos were promoting various medications telling you to see your doctor or even be sponsored by a drug company or hospital honestly you want to avoid medications since all have side effects and ultimately they don't really treat the root cause of the problem i can't emphasize enough here if you do suffer from bacteria sleep apnea should be your first condition you should be thinking about since sleep apnea is extremely common in our country in fact about 20 percent of the us population has sleep apnea of which 80 to 90 are not diagnosed being obese or having various other medical conditions dramatically raise your risk of sleep apnea in fact eighty-six percent of obese diabetics were found to have sleep apnea we know that untraced amnio can lead to any or most of the following high blood pressure diabetes headache heart disease arthritis skin problems digestive problems memory problems heart attack and stroke seizures weight gain kidney stones sexual dysfunction including erectile dysfunction anxiety and depression believe it or not this is a very abbreviated list we also know that sleep apnea can be seen in even young thin women that don't snore you don't even need to have sleep apnea to suffer from poor sleep in fact many young thin healthy looking men and women will have what's called uars or upper airway resistance syndrome who don't quite meet the criteria for sleep apnea but still stop breathing a lot which causes multiple brain microarousals and c fragmentation in my other videos i describe why this is happening it's mainly due to our jaws and upper airways slowly getting smaller look for titles that include upper airway resistance syndrome or uars what happens during apneas whether for sleep apnea or ui rs is the following what you see here is tracings of normal breathing here's air flow from the nose the mouth and effort leads on the chest and abdomen this is the tracing of a normal breath in and breath out up is in and out is down and the x-axis is seconds with this interval being 10 seconds this is an apnea where you have no flow at all in the nose and mouth channels but you still have movement or respiratory effort in the chest and abdomen leads since the total time there's no breathing is more than 10 seconds it's called an apnea you can also have partial obstruction to breathing with more than 30 blocked airflow in the nose for more than 10 seconds if you also have a drop in your oxygen level of more than four percent then that's scored as a hypopnea you need at least five total apneas or hypotenuse per hour to say that you have obstructive sleep apnea as long as you have other symptoms or medical complications such as high blood pressure diabetes or heart disease however if you stop breathing 20 times every hour but only for eight to nine seconds each then your score on the sleep side is zero so you're told you don't have sleep apnea and there's nothing wrong with you this condition is what's called upper airway resistance syndrome here's a tracing of breathing patterns from dr christian gimlino's original 1993 article describing uirs here you take a deep breath in against a closed throat this creates a very negative or vacuum pressures in your chest cavity and this is measured by a pressure catheter in the chest cavity when you take a deep breath in against a closed throat the heart gets stretched out too much due to the negative pressure forces the heart gets fooled into thinking there's too much blood coming in and it stretches the right atrial chamber this leads to creation of a hormone called atrial natural peptide which goes to the kidneys to create urine and pee out liquids when you shouldn't be since you're sleeping this hormone is made in patients with both upper airway resistant syndrome and objective sleep apnea now i'm willing to bet that a lot of you watching this have to urinate at night if so how many times every night do you go to the bathroom and if you wake up only once at what time usually does that happen please enter your answer below it's okay to wake up once in a while to pee as long as it doesn't bother you but if it happens three four or five times every night it's going to wreak havoc on your sleep as well as your health in general and here's why you most likely wake up around 3 a.m plus or minus 15 to 30 minutes depending on your regular sleep time during the night you cycle through four to five sleep cycles with each cycle lasting about 90 to 120 minutes in the beginning you'll have longer periods of deep sleep but with each sleep cycle it gets shorter and shorter your first rem sleep period which is when you're dreaming happens at the end of the first cycle but it's very short but with each cycle it gets longer and longer with the periods starting around 3am being the longest now rem sleep is when you're dreaming but it's also when all your muscles are completely paralyzed except for your eye muscles and diaphragm muscles to keep you breathing if you have any apneas throughout the night you'll create more urine than normal due to the steps i described above however once you reach 3am you're more likely to stop breathing during rem sleep and when you wake up your bladder is partially or completely filled and you think you have to go to relieve yourself if you have more severe apneas throughout the night you'll create more atrial natural peptides throughout the night making more urine waking up at 90 minute intervals of rem sleep another reason why you wake up at 3 a.m is due to a lack of what's caught the sleep drive before you go to sleep you'll feel very sleepy due to the building neurotransmitter or dancing but sleeping naturally lowers your sleep drive and adenosine so you're more arousable in the second half of the night for most people it's been shown that what causes you to wake up is not from a full bladder but as a result of an apnea this is confirmed by paper showing that in people with bacteria the physiologic event that wakes them up isn't a full bladder but obstructed breathing but they've been making a bit more urine throughout the night so why is your risk of dying much higher overall if you wake the pee at night this study of over 15 000 men and women linked the number of times they went to the bathroom at night and all caused mortality meaning death for any reason overall they found that going to the bathroom two or more times per night raised your risk of dying from any reason by over fifty percent of men and thirty percent in women for women between fifty and sixty-four it was over ninety for men between 20 and 46 it was 250 percent higher for two times per night and almost 400 percent higher for three times or more this study didn't come out to say that these increases were from sleep apnea but i'm going to argue that a significant percentage if not the vast majority are due to untrusted apnea so what can you do to stop waking up at night to urinate some of these suggestions are on other people's lists but if you have undiagnosed sleep apnea it can make many of the other conditions much worse here are the seven things to start with no eating late don't drink alcohol late close to bedtime watch your sleep position especially staying off your back address any nasal congestion sleep seven to eight hours get lots of sun exposure in daytime and no lights at night lose weight as much as possible if you don't see any progress go see a sleep doctor to get tested for sleep apnea before you see a urologist or an ob gyn if you see a sleep doctor and are found not to have sleep apnea then go down the list of other conditions what i saw happening all the time is that once patients are treated for sleep apnea not only does the nighttime urination get much better or goes away completely many of their other problems get better as well such as their kidney stones high blood pressure pre-diabetes arthritis headaches and heart rhythm problems ultimately vivian gained about 15 pounds over the past two years on top of her being a bit overweight and the husband had mentioned that she's been starting to snore more of note she started a new job 12 months earlier and was getting home later so she was eating closer to bedtime she made some adjustments to her dinner time eating much earlier and cutting down on carbohydrates and eating much healthier fats she also took early morning walks and went outside to have lunch in the sun in five months she lost 25 pounds and now feels and sleeps like she's 30 years old again if you found this video helpful please subscribe and press the thumbs up button if you want to know what the sleep hormone melatonin's surprising health secret is click on this video link to find out now

Channel: Doctor Steven Park

Views: 978,218

Keywords: nocturia, nighttime urination, obstructive sleep apnea, UARS, treating nocturia, nocturia treatment, what causes nocturia, enlarged prostate, why do i wake up at 3am

Id: TpgBRB0hAh8

Length: 10min 0sec (600 seconds)

Published: Wed Jun 01 2022