The medical history will be obtained, and a physical examination performed.
Medical history questions documenting the excessive nighttime urination in detail may include:
- Time pattern
- How long has this been noticed?
- How many times does this occur each night?
- Quality
- Has there been a change in the volume of urine produced?
- Are there ever "accidents" or bed wetting?
- How much urine is voided each time?
- Aggravating factors
- What makes the problem worse?
- What makes the problem better?
- How much fluid is consumed in the evening before bedtime?
- Relieving factors
- Is there anything that helps relieve the problem?
- Have you tried fluid restrictions before bedtime?
- Other
- What other symptoms are also present? Is there
- What medications are being taken?
- How much caffeine is consumed each day?
- Have there been any bladder infections in the past?
- Is there a family history of diabetes?
- Does nocturia interfere with adequate sleep and rest?
- Do you drink alcoholic beverages and, if so, how much each day?
- Have there been any changes in the diet?
A physical examination will be performed. Electrolytes and fluids will be monitored over a period of time.
Diagnostic tests that may be performed include:
Intervention: Treatment options vary depending on the cause of frequent nighttime urination. If excessive nighttime urination occurs as a result of diuretic medications, you may be advised to take your medication earlier in the day.
After seeing your health care provider: If a diagnosis was made by your health care provider related to nocturia, you may want to note that diagnosis in your personal medical record.
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