Night vs Day urination frequency

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Why is it that I have little to no problem urinating during the day time but the extreem opposite at night after retireing. I take tamsulosin 1/2 hour after my evening meal. Have been avoiding any major surgical intervention. Had the TUMT last January and that was short lived. Have added high quality Saw Palmeto to my meds in hopes of improvment.

Hoping for some input here.

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  • Posted

    I take Tamsulosin, and it works for me to take it in the morning, but I think it's intended to last through 24 hours whatever time it's taken, as long as it's the same time each day. The times I start fearing retention, (usually when I have an infection and the anti-biotics haven't yet taken effect) I've found intermittent self-catheterisation works fine. Very easy to do once you practice a few times.

     

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    • Posted

      I too have the ability to self cath and agree that it takes some of the fear you get when retention hits and you're on the way to th ER at four a:m. I have made four such trips. Have you ever skippid a dose for better sexual responce and if so was it any better?
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    • Posted

      After 30 days on Cialis.5  I developed a very bad case of GERD and had to quit using it.
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    • Posted

      I also developed GERD on daily Cialis 5 but solved the problem very quickly by taking Prilosec OTC, 30-60 minutes before breakfast. There are stronger formulations your doctor can prescribe but I found Prilosec was all I needed. In addition, you  could also experiment with an OTC H-2 Blocker at bed time like Pepsid or Zantac. Pepsid Complete is an OTC H-2 Blocker combined with a simple antacid, and I use it from time to time. 

      Jim

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  • Posted

    I just had the Urolift surgery and it was very successful I now have a great urine flow and stop getting up at night to urinate I will recommended strongly for people who needed and are able to have it its way better than any other procedure
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    • Posted

      I am considering this. My Urologist does not do this procedure byt said he would suggest a Doc. but also said that it has not been out long enough to know how time will affect the implants. Still many unknowns on this procedure.
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  • Posted

    I know, it's weird that it makes a difference between night and day.  I have a similar experience.  The guys are right about Flomax lasting around 24 hours, but it varies for everyone.  I take it before bed and still have the problem sometimes.  You may want to wait an hour after you eat as an experiment just in case your digestion is a bit slower.    If you don't have any blockage of the flow from your prostate, then it would have to be the valves (or medically, the sphincter muscles) that open to let urine flow out that aren't opening enough.  The only way to know for sure is to have a cystoscopy and run a camera up the urethra and see if the tube is being blocked by anything.  It the path is clear all the way to the bladder, then it has to be the valves.  I am at this exact point now myself.  I had my second PAE procedure and will have a cystoscopy in a few months to see if my prosate is finally out of the way.  One more thing to mention, is that the colon is right up against the prostate.  If you haven't had a bowel movement and the colon is full it may be pressing against the prostate and squeezing the urethra off from the pressure.  It's easy to test, just back off eating for a day, a liquid diet for example, and see if you have a better night. 
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    • Posted

      Some good thoughts and I thank you for your input. I think I will ask for the cysyoscopy during my next visit which will be in February. That is a great idea.

       

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  • Posted

    I've had urination problems for many years. My guess is that many of us have more issues at night in terms of flow, start and stopping, dripping and just plaln difficulty getting a stream going. For me there were nights when I peed 5 or 6 times and other nights when I had to get up only once. Go figure. Lots of bodily systems, organs, whatever interplay as well as diet and maybe even the moon has a small effect??? 

    Two plus yours ago I had a TURP that was medieval torture and it didn't work.

    June 2nd 2015 I had a PAE (Prostate Arterial Embolization) which was so easy with no pain, no catherization, no blood, no peeing razor blades for 2 months and has worked wonderfully. I can now pee normally and I have my life back.

    There are now over 2000 of us lucky ones around the globe who have had this procedure. It will become the norm and will make most if not all other procedures obsolete within several years, I believe.

    The above is all just my humble anecdotal opinion. Hopefully others will reply to you as well. My last advice is to not trust urologist. They can't do the PAE and many have probably not even heard of it as yet. They want to do the medieval tortures on you. Trust me on that! Mine would not even tell me that other options were out there and I found out afterward that he was well informed on the PAE procedure. And that is a very famous urologist at Brighams and Womens Hospital in Boston. He just wanted to do the TURP a second time on me!

    Good luck 

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  • Posted

    I agree with Bill. At least check out the PAE in this blog, and on the Web. You have to become your own expert. Remember, a urologist will NEVER recommend a PAE because they make no money on it! It is done by another specialist called an interventional radiologist.

    Neal

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    • Posted

      Couldn't urinate after dinner.  Had sever bladder retention and serious trouble sleeping.  Urologist gave me Rapaflo samples and told him to book a TURP operation with his receptionist.  I didn't take the Rapaflo or book the TURP.  Desperate for relief, I booked a PAE procedure at UNC.  Meanwhile, I tried every over the counter BPH pill that anyone recommended.  The results of this were not good.

      Finally, I tried mint leaves (known to be an anti-androgen), both peppermint and spearment.  I cold brew the leaves over night to make tea.  I am now urinating two or three times before going to bed.  My flow is getting better all the time.  I do not wake up at night anymore with a sense of urgency.  Most of the time, I'm still not peeing like a race horse, but my symptoms have improved at least 80%.  I cancelled the PAE.

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    • Posted

      Interesting, I have also heard that Pumpkin seeds are helpful. I suspect some degree of psycho somatic action here though. Glad it is working for you.
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    • Posted

      Also  BPH symptoms can come and go unpredictably even with all you do and wham, your off to the ER at 4 a:m.
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    • Posted

      Still waiting FDA approval so not covered by Medicare. When that happens I will be in line for it.
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    • Posted

      "I suspect some degree of psycho somatic action here though."

      Not sure why you'd suspect that.  I tried saw palmetto and pygeum.  After 2 months it did nothing.  I tried zinc, and it got my head spinning.  Beta sitosterol gave me hives that were so severe,  I thought I had shingles.  Stinging nettle did nothing for me.  Sitz baths gave me marginal relief, but nothing to write home about.  Mega vitimins were worthless.  Cranberry juice was zero help.  Consequently, when I started using mint, my expections were that it would be no better than anything else I had tried.  I was surprisingly wrong.

      Mint is super cheap.  $15 worth should last at least 6 month. It's delicious and refreshing.  And, unless someone has an acid reflux problem (like I believe you do), mint is high in antioxidants, has been known to lessen the effects of allergies, has anti-inflammatory properties, contains menthol and can work as a decongestant, has been used for centuries for upset stomach relief, helps with IBS problems, and, as I stated before, it has anti-androgen properties.  

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    • Posted

      While an antiandrogen may help your urination, it may well have other bad long term side effects. Rebook the PAE, and be done with it.

      Neal

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    • Posted

      Just saying that the mind is a powerful influence over your response to just about anything. That's why all meds are tested against a placebo. 
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    • Posted

      Our bodies are different and I share the same expereince with you rich90688. Pygeum , saw palmetto were offering some relief when I used them up to a point when there was no relief and I had to go for TURP. I think trying the natuaral compounds before going for invesive procedures helps and one would not regret in case the procedures come out with undesirable side effects. Currently I am using pumpkin seed and some multivitamins because after my TURP the symptoms did not stop. I will also add mint to my arsenal and see for how long I can go before going for a PAE which I hear is the latest technology. I hope James 87669 sees my post as well.
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    • Posted

      Thanks for keeping me in mind. I too have included pumpkin seeds in my daily regimen and in second week of a quality Saw Palmeto supplement from Theralogix (I am using Prostate SR).
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