Nocturia: Symptoms and Treatment
Nocturia - a disease of the genitourinary system, the main symptom of which is an increased urge to urination at night. People with the disease often go to the toilet at night, because of what the dream is broken, and a person feels fatigue and decreased performance. It should be noted that the question of nocturia can go only in the case when a person goes to the toilet during the night at least 2 times, and for this there is no predisposing factors, such as excessive amount of fluid drunk before bedtime.
This disease can occur in humans as a consequence of serious pathologies, but not always, palpitations release of urine during the night due to illness - sometimes the reasons can be quite natural. In particular, people often go to the toilet at night in the above case (when using a large amount of liquid the night before), when taking certain medications, such as diuretics.
In addition, palpitations nighttime urination is often inherent in the elderly, who have reduced muscle tone of the bladder. Often found nocturia in older women - pathology develops due to decreased tone of the muscles of the pelvic floor.
Nocturia is a measure of the concentration inhibition of renal function. This indicates a violation of the human body in a water-salt exchange. Symptoms of the disease are - a sick person at night feels a frequent need to urinate, after which comes the relief state. It is often combined with nocturia other pathology - polyuria, which is characterized by frequent urination both in the daytime and at night, as well as the increase in the volume of urine secreted.
This itself is painless urination, which helps to distinguish this disease from other pathologies urogenital, including cystitis.
Because night sleep disturbed patient, it developed other symptoms, including various mental disorders, namely:
irritability and temper;
impaired perception of reality.
Very often, parents are faced with the sign of nocturia as urinary incontinence baby during the night (the baby is not able to wake up in time).
The causes of nocturia in children are similar to adults, but these may also be connected stress and nervous strain. All because the children still unformed nervous system, and any stress is accompanied by disturbances in the work of all organs and systems. And, although the treatment of nocturia in children is similar to the treatment of illness in adults (as will be discussed below), however you need to eliminate the psychological factor - normalize the psychological background of the family and the team, where the child learns.
Diagnosis of the disease is carried out by taking a urine sample for Zimnitsky. According to the analysis, the patient throughout the day and night, every three hours the urine is taken for analysis, and at the end of sampling period is determined by the number of daytime and nighttime urine allocated to them. If the night is dominated by the amount - say about nocturia.
In addition, Zimnitsky test allows you to monitor the dynamics of the disease in the course of the treatment.
Lasix (active ingredient: furosemide) the drug - affects the kidneys. It stimulates the kidneys excreted in the urine more fluid, sodium and chloride (salt). Because of this, decrease swelling. Thus the organism also loses potassium, calcium and magnesium, which often leads to side effects.Admission Lasix increases the excretion of urine . Therefore Lasix is a diuretic medication (diuretic). It affects the part of the kidney called the loop of Henle. Therefore, Lasix referred to as loop diuretics. This is a more powerful drug than popular thiazide and thiazide diuretics (indapamide, Arifon, Hypothiazid).
Lasix quickly begins to act after receiving in the form of tablets or injections. If we take 40 mg of furosemide, the diuretic effect starts within 60 minutes and will last about 3-6 hours. Although the speed and potency of the drug depends on how well a patient's kidneys and heart work.The active substance is excreted mainly by the kidneys, but not liver. The kidneys work less, the weaker the effect Lasix and higher risk of side effects. After the effect of the drug salt excretion in the urine (natriuresis) is significantly reduced due to the "rebound effect". Because of this, the total amount of salt derived from urine per day, may not be changed despite taking furosemide.