Traditional Chinese Medicine Treatment - Nocturia
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After one month of Chinese medicine and acupuncture treatment, the patient's nocturnal urination frequency decreased from three to just one.
Causes of Nocturnal Urination:
1. Prostatic Hyperplasia: Prostatic hyperplasia can cause urinary tract obstruction, difficulty urinating, or bladder sensitivity, leading to nocturnal urination.
2. Overactive Bladder: An overly sensitive bladder easily contracts, resulting in a strong urge to urinate even with a small amount of urine.
3. Nocturnal Polyuria: Nocturnal urine output accounts for more than one-third of total daily urine output. This is often caused by aging, which alters the circadian rhythm and increases the kidneys' nocturnal urine output.
4. Urinary Tract Infection: This can also cause bladder irritation and frequent urination.
5. Insufficient antidiuretic hormone secretion: Normal people secrete a hormone during sleep that concentrates urine. If this hormone is insufficient, nighttime urine output increases.
6. Heart failure, cirrhosis, and kidney disease: These conditions can cause edema, causing water to flow back into the bloodstream during sleep, increasing kidney urine production.
7. Diabetes: When blood sugar levels are too high, the kidneys are unable to recycle sugar, and the excess sugar is excreted along with water, leading to polyuria.
8. Sleep apnea: Hypoxia during sleep stimulates the body's secretion of atrial fibrillation, increasing urine output and causing nocturia.
9. Insomnia or anxiety: Interrupted sleep, anxiety, and stress can lead to sleep disturbances, with frequent waking to urinate being common causes.
Side Effects of Western Medicine:
1. For nocturnal urination caused by an enlarged prostate and an overly sensitive bladder, alpha-blockers such as tamsulosin can be used to relax the prostate, dilate the urethra, facilitate urination, and reduce bladder sensitivity. A common side effect of these medications is postural hypotension, so special care should be taken when changing body positions or moving.
2. Bladder relaxants are used to treat overactive bladder, including β-3 agonists such as mirabegron or anti-acetylcholine receptor drugs.
Common side effects of anti-acetylcholine receptor drugs include dry mouth, dry eyes, and slowed gastrointestinal motility leading to flatulence. Be aware that they may increase intraocular pressure, worsen glaucoma, or affect patients with dementia.
3. Nocturnal polyuria is treated with antidiuretic hormone (vasopressin). Antidiuretic hormone should be used with extreme caution, as it reduces water excretion, which can exacerbate edema and potentially lead to low blood sodium levels, potentially causing neurological symptoms such as confusion or mental disorder, which is extremely dangerous. When using antidiuretic hormone, the physician will first determine the patient's sodium level or ask the patient to supplement with salt. It should not be used in patients with heart failure. /
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