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Help urinating at night.

Posted , 14 users are following.

richard11472
richard11472

From time to time when I get up to pee at night even though I have alot of pressure it is difficult to begin the stream. It oftens takes a couple of minutes to be rewarded with a weak stream...Daytime urination has not been an issue.

The last few days this has become a nightly occurrence, and seems to be more difficult to pee each time.This is just before I am leaving for 2 weks in France.

Any suggestions on anything that can be done to help urinating- worried about the 8 hour flight especially. If I have issues in France I can always consult a doctor, bur would rather not.

0 likes, 26 replies

26 Replies

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  • Guest
    Guest richard11472

    Posted

    Hi Richard, so it appears you have an overactive bladder. Best to see a doctor about that. Should be possible to get control of that. Is it as bad as that during the day?  I have had some problems in the past but have been on Finisteride which is a drug that reduces the prostate and releases pressure on the bladder. I only get up once in the night, and have no problem with flow, I am nearly 79years. You must be in USA if it takes 8 hours to fly to France.
    • hank1953
      hank1953 Guest

      Posted

      Hi David, how long have you been on finasteride ? Any side effects ? Are you taking any thing else with it ? I have been on Doxazosin and just started finasteride 4 months ago. Hank
  • uncklefester
    uncklefester richard11472

    Posted

    What and how much are you drinking at night? Alcohol, caffeine products, spicy food can all aggravate the prostate.
  • richp21
    richp21 richard11472

    Posted

    Hi Richard,

        I'm not sure why David thinks it is due to an overactive bladder. Sounds more like a typical symptom of BPH to me, very similar to my initial symptoms. If it continues to be difficult, you should be concerned about the possibility of AUR, acute urinary retention. Not something that you would want! I would definitely suggest seeing a urologist, as much as I have had mixed results with them over the years. My initial treatment was tamsulosin (Flomax), which definitely helped, but had difficult side effects for me. I opted for a PAE, which only helped me marginally. I then switched from tamsulosin to daily Cialis, which has worked fine, with reduced side effects compared to tamsulosin. It's considerably more expensive, though.

    Rich

       

  • ed70868
    ed70868 richard11472

    Posted

    I agree with Rich...  Ever time I take a cialis 5mg before bedtime  I do not have to get up a night at all.. The flow is better. I too had PAE and it was almost two years ago. Still do not have to take any pills and still pee, some days better than others   I drink a lot of coffee in the morning which creates a bunch of bathroom trips every morning. But everything works fine in the afternoon. When not taking cialis I have a few seconds delay before I starting in the morning or when I have to get up at night. A friend of mine has your problem and seem to reduce it by taking motrin just before bedtime and he says it solved his problem ... probably worth a try.

     

    • richp21
      richp21 ed70868

      Posted

      Ed, curious as to how old you are. I've noticed that there are times when I have had low fluid intake for several hours prior to bed time that I still wake up 2 or 3 times, just don't need to pee the second or third time. I've heard that not sleeping well comes along with aging even if it's not a urinary issue. I'm 70.

    • ed70868
      ed70868 richp21

      Posted

      I am 75 years old.  been dealing with peeing issues since I was forty. Usually an infection in my early years. I do not control my evening intake of water etc. So I that does not help with the night ventures to the bathroom. Unless I have an infection I usually get up only once and with Cialis I get up zero which I do not take everyday.. To damn expensive. Two years ago I was taking two flomax a day ... none since PAE  sleep pretty good usually
    • richp21
      richp21 ed70868

      Posted

      Thanks.

      FYI: I buy the 5mg Cialis tablets, and use a pill cutter to cut in half or in quarters which has allowed me to experiment with different dosages. The 5mg and 2.5 mg tablets cost me the same (insurance kicks in some, but still pretty pricey... there is some talk of it going generic or even OTC in the near future).

    • ed70868
      ed70868 richp21

      Posted

      I use to cut the 5 mg into and take one a day. I now take 5mg ever few days. Seem to help the sex part better. I was in Vancouver and visited a doctor there for 77 dollars US and then bought a years supply from Costco.  Total cost about 900 dollars.. my insurance will not pay for Cialis 
  • bernard68450
    bernard68450 richard11472

    Posted

    You can do a simple test.  Measure the volume (ml) of urine that you pass at a time and time (seconds) taken to complete the job.  Then calculate approximately the rate (ml per second).  Depending on your age there is an acceptable rate you should pass. If the rate is very low.. then there is an obstruction. Also, if you suffer from BPH your flow is divided into two or more very often and there is urgency to pass.  Best thing is to see a urologist and get scanned your lower abdomen and urinary track.
    • hank1953
      hank1953 bernard68450

      Posted

      "If the rate is very low.. then there is an obstruction. "

      You don't think a bad bladder can cause a very low flow ?

      Hank

  • dalebf
    dalebf richard11472

    Posted

    Don't rely on opinions you read here. If you are facing an eight hours flight to France you need to see a doctor and find out what your true problem is.

  • Waffalobill
    Waffalobill richard11472

    Posted

    Could be bladder. Might need some flomax. Urologist app and some testing only way to find out
  • jjjj57989
    jjjj57989 richard11472

    Posted

    I always travel with a bottle to urinate in and always wear absorbent underwear on flights. 

    Here's how I manage my intake of liquids:  I stop taking liquids 5 hours before bedtime, my body keeps sending fluid to my bladder, only less.  The next morning, 12 hours from my last drink, my urine is not darker than usual therefore I am not yet dehydrated. 

    I agree, see a doctor before flying. 

    Another idea, can you change for 2 four hour flights?

    Good luck.

    • richard11472
      richard11472 jjjj57989

      Posted

      Saw the nurse practitioner at the urologists office. My residual volume was about 3 ounces which she said is pretty good. My prostate is pretty large and she recommedned that I research prostate reduction options. The office does Green Light ablation and one doctor just began offering Urolift.

      For now she recommended to not wait for the urge to pee nut to go every 2 hours during the day to keep things moving.

      Thanks to everyone for the good advice.

      Rich

    • jimjames
      jimjames richard11472

      Posted

      I agree, your PVR is not bad. Given your symptons, most urologists I've seen would recommend a watch n' wait strategy, and not going invasive with something like Green Light which is a serious surgery that has a good chance of compromising your ejaculatory function. Personally, I'd also probably wait on Urolift, as better procedures should be coming down the pike, if you can afford to wait, which arguably you can. It's unfortunate, but uro's in almost all cases funnel you toward whatever procedure they happen to do, which in this case is green light and urolift. That doesn't mean you have to choose one or the other. The best choice may be something else.

      Jim

    • richard11472
      richard11472 jimjames

      Posted

      Thanks, Jim.    I totally agree with not rushing into anything.  There is no way I was going to do a turp, which was the first recommendation by the urologist.  He then mentioned the Green Light procedure when I balked at the Turp and reluctantly said Urolift was possible just because the senior partner started doing this back i June.

      Rick

    • jimjames
      jimjames richard11472

      Posted

      Hi Rich,

      I don't see all that much difference in green light versus turp, at least the more

      modern button turp. Urolift is a different animal altogether and we have a number

      of threads going on it highlighting the pros and cons. 

      Jim

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