Why I Urinate Frequently At Night
Chronic renal failure patients will have increased urine output and the frequency of urination will also increase especially frequent urination at nights. This will severely affect patients sleep quality and it has bothered a lot of patients especially the elderly patients.
Here I will tell you why renal failure patients will urinate frequently at night.
Usually when GFR reduces to 10%-25% and creatinine is elevated to 450-707, there will be obvious increased night urination and at the same time there will be anemia, water and electrolyte disorder, blood in urine and bubbles in urine.
Under normal circumstances, urine output at night is less than that during the daytime because of low metabolism and slow blood flow at nights.
However if there is frequent urination at night and much increased night urine output and this condition lasts for a long time, it usually indicates kidney problems.
In case of many kidney diseases—glomerular diseases, chronic tubular interstitial diseases, the first symptom and sign will be frequent night urination due to declined renal function of concentration. High blood pressure and diabetes are common factors that can damage renal concentration function and cause frequent night urination and increased night urine output.
Of cause frequent urination at night is not definitely related to kidney problems. The following are some conditions that need to be first ruled out.
Relieving Symptoms And Problems Caused By Ckd
If CKD becomes severe you may need treatment to combat various problems caused by the poor kidney function. For example:
- Anaemia may develop which may need treatment with iron or erythropoietin – a hormone normally made by the kidneys.
- Abnormal levels of calcium or phosphate in the blood may need treatment.
- You may be advised about how much fluid to drink, and how much salt to take.
- Other dietary advice may be given which can help to control factors such as the level of calcium and potassium in your body.
If end-stage kidney failure develops, you are likely to need kidney dialysis or a kidney transplant to survive.
People with stage 3 CKD or worse should be immunised against influenza each year, and have a one-off immunisation against pneumococcus. People with stage 4 CKD should be immunised against hepatitis B.
Upset Stomach Nausea Vomiting
Why this happens:
A severe build-up of wastes in the blood can also cause nausea and vomiting. Loss of appetite can lead to weight loss.
What patients said:
I had a lot of itching, and I was nauseated, throwing up all the time. I couldn’t keep anything down in my stomach.
When I got the nausea, I couldn’t eat and I had a hard time taking my blood pressure pills.
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Treating Any Underlying Kidney Condition
There are various conditions that can cause CKD. For some of these there may be specific treatments for that particular condition – for example:
- Good blood sugar control for people with diabetes.
- Blood pressure control for people with high blood pressure.
- Antibiotic medication for people with recurring kidney infections.
- Surgery for people with a blockage to urine flow.
Urinate Frequently When Patients Have End Stage Renal Failure
As we know, kidneys have the function of generating urine, and people with healthy kidneys usually have 4-6 urination in the daytime and 0-2 times at night. If people have frequently urination, especially at night, there maybe something wrong with peoples health. Usually kidney damage is a common cause of urinary frequency, and urinary frequency is very common when patients have end stage renal failure.
Frequent urination will affect the patients daily life which will also company with some other urine symptoms, such as bubbly urine, blood urine, urinary urgency, burning feeling during urination.
What can cause frequent urination when patients are in end stage renal failure?
There are some common causes of frequent urination for patients with end stage renal failure.
– Kidney infections
– Pregnancy
– Infections
Above are the common factors which may cause frequent urination. Whatever the causes are, the root cause for kidney failure patients is the gradual loss of kidney functions. Therefore, for end stage kidney failure patients, they need to have effective treatment for their kidney failure if they want to control their frequent urination.
Micro-Chinese Medicine Osmotherapy can control the frequent urination for end stage kidney failure patients.
Through the treatment of Micro-Chinese Medicine Osmotherapy, end stage renal failure patients can control their frequent urination fundamentally because of the improved kidney function.
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Imaging Tests For Kidney Disease
Tests that create various pictures or images may include:
- x-rays to check the size of the kidneys and look for kidney stones
- cystogram a bladder x-ray
- voiding cystourethrogram where the bladder is x-rayed before and after urination
- ultrasound sound waves are bounced off the kidneys to create a picture. Ultrasound may be used to check the size of the kidneys. Kidney stones and blood vessel blockages may be visible on ultrasound
- computed tomography x-rays and digital computer technology are used to create an image of the urinary tract, including the kidneys
- magnetic resonance imaging a strong magnetic field and radio waves are used to create a three-dimensional image of the urinary tract, including the kidneys.
- radionuclide scan.
What Is The Progonsis For Chronic Kidney Disease Can It Be Cured
There is no cure for chronic kidney disease. The natural course of the disease is to progress until dialysis or transplant is required.
- Patients with chronic kidney disease are at a much higher risk than the general population to develop strokes and heart attacks.
- The elderly and those who have diabetes have worse outcomes.
- People undergoing dialysis have an overall 5-year survival of 40%. Those who undergo peritoneal dialysis have a 5-year survival of 50%.
- Transplant patients who receive a live donor kidney have a 5-year survival of 87% and those who receive a kidney from a deceased donor have a 5-year survival of almost 75%.
- Survival continue to increase for patients with chronic renal disease. Mortality has decreased by 28% for dialysis patients and 40% for transplant patients since 1996.
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What Are The Stages Of Chronic Kidney Disease
CKD is diagnosed by the eGFR and other factors, and is divided into five stages:
| Stage of Chronic Kidney Disease | eGFR ml/min/1.73 m |
| Stage 1: the eGFR shows normal kidney function but you are already known to have some kidney damage or disease. For example, you may have some protein or blood in your urine, an abnormality of your kidney, kidney inflammation, etc. | 90 or more |
| Stage 2: mildly reduced kidney function AND you are already known to have some kidney damage or disease. People with an eGFR of 60-89 without any known kidney damage or disease are not considered to have chronic kidney disease . | 60 to 89 |
| Stage 3: moderately reduced kidney function. | 45 to 59 |
| Stage 4: severely reduced kidney function. | 15 to 29 |
| Stage 5: very severely reduced kidney function. This is sometimes called end-stage kidney failure or established renal failure. | Less than 15 |
Note: it is normal for your eGFR to change slightly from one measurement to the next. In some cases these changes may actually be large enough to move you from one stage of CKD to another and then back again. However, as long as your eGFR is not getting progressively worse, it is the average value that is most important.
What Is Kidney Disease
Your kidneys are two bean-shaped organs that act as your bodys waste filtration system. They filter your blood 12 times per hour. Excess water and unwanted chemicals or waste in the blood are disposed of as urine .
Kidney disease is when your kidneys are damaged in some way and are not filtering your blood effectively.
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What Are The Kidneys And What Do They Do
Healthy kidneys filter about a half cup of blood every minute, removing wastes and extra water to make urine. The urine flows from each kidney to the bladder through a pair of thin tubes called ureters, one on each side of your bladder. Your bladder stores urine. Your kidneys, ureters, and bladder are part of your urinary tract system.
How Can I Prevent Or Slow The Progression Of Kidney Disease From High Blood Pressure
The best way to slow or prevent kidney disease from high blood pressure is to take steps to lower your blood pressure. These steps include a combination of medicines and lifestyle changes, such as
- being physically active
- managing stress
- following a healthy diet, including less sodium intake
No matter what the cause of your kidney disease, high blood pressure can make your kidneys worse. If you have kidney disease, you should talk with your health care professional about your individual blood pressure goals and how often you should have your blood pressure checked.
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When To Get Medical Advice
See your GP if you have persistent or worrying symptoms that you think could be caused by kidney disease.
The symptoms of kidney disease can be caused by many less serious conditions, so it’s important to get a proper diagnosis.
If you do have CKD, it’s best to get it diagnosed as soon as possible. Kidney disease can be diagnosed by having blood and urine tests.
Find out more about how CKD is diagnosed.
Page last reviewed: 29 August 2019 Next review due: 29 August 2022
Reducing The Risk Of Developing Cardiovascular Diseases
People with CKD have an increased risk of developing CVDs, such as heart disease, stroke, and peripheral arterial disease. People with CKD are actually twenty times more likely to die from cardiovascular-related problems than from kidney failure. This is why reducing any other cardiovascular risk factors is so important. See the separate leaflet called Cardiovascular Disease .
This typically includes:
If you have high levels of protein in your urine then you may be advised to take medication even if your blood pressure is normal. A type of medication called an angiotensin-converting enzyme inhibitor has been shown to be beneficial for some people with CKD, as it reduces the risk of CVD and can prevent further worsening of the function of your kidneys.
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Should I Be Worried If I Have These Conditions And Frequent Urination
If you ever have a symptom that is outside of whats normal for your body, reach out to your healthcare provider. In some cases, pregnancy, for example, frequent urination is completely normal and nothing to worry about. However, in some conditions, your caregiver may want to know if you are urinating much more than you typically do. Theres a very wide range of conditionswith varying levels of seriousnessthat could cause frequent urination. It is always safe to discuss your symptoms with your healthcare provider.
Preventing Or Slowing Down The Progression Of Ckd
There are ways to stop CKD becoming any worse or to slow down any progression. You should have checks every now and then by your GP or practice nurse to monitor your kidney function – the eGFR test. They will also give you treatment and advice on how to prevent or slow down the progression of CKD. This usually includes:
- Blood pressure control. The most important treatment to prevent or delay the progression of CKD, whatever the underlying cause, is to keep your blood pressure well controlled. Most people with CKD will require medication to control their blood pressure. Your doctor will give you a target blood pressure level to aim for. This is usually below 130/80 mm Hg, and even lower in some circumstances.
- Review of your medication. Certain medicines can affect the kidneys as a side-effect which can make CKD worse. For example, if you have CKD you should not take anti-inflammatory medicines unless advised to by a doctor. You may also need to adjust the dose of certain medicines that you may take if your CKD gets worse.
- Diet. if you have more advanced CKD then you will need to follow a special diet. See the separate leaflet called Diet in Chronic Kidney Disease.
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Kidney Disease And Cardiovascular Risks
Cardiovascular disease is the most common cause of death in people with chronic kidney disease. Compared to the general population, people with chronic kidney disease are two to three times more likely to have cardiovascular problems such as:
This increased risk is partly caused by factors common to both chronic kidney disease and cardiovascular disease, such as high blood pressure. However, researchers are discovering that chronic kidney disease is, in itself, an important risk factor for the development of cardiovascular disease, and a history of cardiovascular disease is a risk factor for the development of chronic kidney disease.
The kidneys regulate water and salts, remove certain wastes and make various hormones. Kidney disease increases the risk of cardiovascular disease in many ways, including:
Food Tastes Like Metal
Why this happens:
A build-up of wastes in the blood can make food taste different and cause bad breath. You may also notice that you stop liking to eat meat, or that you are losing weight because you just don’t feel like eating.
What patients said:
Foul taste in your mouth. Almost like you’re drinking iron.
I don’t have the appetite I had before I started dialysis, I must have lost about 10 pounds.
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Signs Of Kidney Problems During Pregnancy
Preeclampsia
Preeclampsia affects only pregnant women after the 20th week of pregnancy and resolves shortly after the baby is delivered. Although it is by origin not a primary kidney problem, it does involve the kidneys. It is characterised by:
- Hypertension
- Proteinuria, or protein in the urine
Other symptoms which may appear as part of preeclampsia or as preeclampsia progresses include:
- Headache that cannot be alleviated with painkillers
- Edema of hands, arms, face and/or feet
- Blurred vision, other visual disturbances or blind spots
- Confusion or disorientation
- Oliguria of 500ml or less over 24 hours
- Being unable to feel the baby move as much as previously
- Shortness of breath, possibly due to pulmonary edema
- Stroke. This is very rare
Good to know: If a pregnant person suddenly discovers that their watch, bracelets or rings no longer fit their arm or hand, or that their sleeves are suddenly tight, they should seek medical help immediately. Preeclampsia can lead to eclampsia and HELLP Syndrome and is considered a medical emergency.
For more information on, see this resource on preeclampsia, eclampsia and HELLP Syndrome.
If you are concerned that you or a loved one may have preeclampsia, eclampsia or HELLP Syndrome, download the Ada app for a free symptom assessment.
What Is Good Kidney Disease Care
According to a national review, kidney disease services should:
- identify people at risk of kidney disease, especially people with high blood pressure or diabetes, and treat them as early as possible to maintain their kidney function
- give people access to investigative treatment and follow them up to reduce the risk of the disease getting worse
- give people good-quality information about managing their condition
- provide information about the development of the disease and treatment options
- provide access to a specialist renal team
- give people access to transplant or dialysis services if required
- provide supportive care
Your treatment for kidney disease will need to be reviewed regularly.
It may be helpful for you to make a care plan because this can help you manage your day-to-day health. Your kidney disease specialist nurse may be able to help with this.
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Can Frequent Urination Be Controlled Or Stopped
Frequent urination can be controlled, and often, stopped over time and with treatment. Your healthcare provider will usually start by determining the cause of your symptom. If the condition can be treated, you should see a decrease in how often you need to urinate. Treatment depends completely on the condition. In cases like a UTI, you may need an antibiotic medication. This may be prescribed by your healthcare provider and you should feel better once you have finished the medication. Other conditions like diabetes or prostate problems will require a trip to see a specialist. The specialist will work with you to manage your symptoms and improve your daily routine. If your healthcare provider has diagnosed you with overactive bladder syndrome, pelvic floor physical therapy may help and there are actually several medications that can be used to calm your bladder. Talk to your healthcare provider about whether or not these might be good options for you.
Urinate Frequently When You Have End Stage Renal Failure
We normally have 4-6 urination during daytime and 0-2 times during the nights, if the frequency of urination is significantly increased, it is called urinary frequency, especially at nights. There are many causes of urinary frequency and one major cause is kidney disease since the urine is produced in the kidneys and it is very common among end stage renal failure patients. Frequent urination will affect the patients daily life and general well-being.
Besides urinating frequently, end stage renal failure patients will have a series of other chances in their urine such as bubbles in urine, blood in urine, urinary urgency, burning feeling during urination, etc.
Since renal functions are severely damaged in end stage renal failure, the total amount of urine volume is much less than the normal output thought patients have frequent need to urinate.
There are some conditions in end stage renal failure that can cause urinary frequency, therefore we need first find out the specific cause so as to relieve the symptom.
Kidney infections, interstitial cystitis, diabetes, urinary tract infections, over use of diuretics in renal failure are the common factors that can cause frequent urge to urinate. Therefore if you have the above mentioned conditions, you need to seek timely and proper measures to treat infections and inflammations in the kidneys, urinary tract, control blood sugar level and adjust dosage or type of improper drugs and medicines.
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