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first of all let me make clear I have a doctor's appointment coming up regarding this issue, but I am quite desperate so I am looking for advice up to the appointment.
I am 21 years old.
My problem is that I wake up around 4 to 6 times aduring sleep, with the feeling I need to urinate. However, all I manage is a very brief stream or a couple of dribbles. After this I feel emptied and return to sleep, only to find myself awake an hour later with the same slight urge to urinate.
Interestingly, I do not have urination problems during the day. I can easily go 3-4 hours without urinating when I am busy (university, excercise, etc.) and I have a normal, "powerful" stream when urinating. But maybe I am just distracted during the day, giving the illusion that all is well.
The problem starts to arise when I get into bed at night. I always go to the toilet last thing before I head to sleep, but it almost seems like as soon as I am laying in my bed, my bladder becomes much more sensitive/overactive and I get the urge to urinate quicker. I don't know if this may be a psychological thing, since it has come to the point where I get slightly anxious before sleep, because I know I will likely have a couple of bathroom trips during the night. I try not to drink anything 3-4 hours before bed (unless thirsty), but this does not seem to have much of an impact.
I don't know if the problem is:
- urine retention/incomplete emptying of the bladder
- overactive/oversensitive bladder
- some kind of disruption regarding nocturnal secretion of ADH (antidiuretic hormone)?
- BPH (enlarged prostate), although unlikely at the age of 21?-
- or maybe even sleep apnea (although I have never gotten any comments regarding breathing/snoring from anyone sleeping in my bed). But sleep apnea is also linked to nocturia.
- pretty sure I don't have a UTI (no burning/pain)
Ultimately, I don't know if I am waking up at night and then finding out I need to pee, or if I am waking up at night, strictly because I need to urinate. I would assume the latter.
In the meantime I am trying kegels, bladder retraining (waiting longer between voids), and tracking my fluid intake and bathroom trips. My diet is very healthy and I don't drink alcohol often and have started eliminating tea.
Any advice would be highly appreciated, thanks!
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