Need The Toilet During The Night? You May Be Suffering From Nocturia

'Don't suffer in silence.'

If you find yourself needing to go to the loo during the night, you're not alone.

Nocturia - the medical term for this unpleasant sensation - is thought to be the most common cause of sleep disturbance.

Research suggests three quarters of people who complain of a disturbed night’s sleep cite nocturia as the cause of them waking up.

To mark World Sleep Day, we find out what causes the condition and what you can do to limit it.

Open Image Modal
PhotoAlto/Frederic Cirou via Getty Images

What Causes Nocturia? 

According to researchers as Ferring Pharmaceuticals, nocturia can be caused by an overproduction of urine at night or an overproduction of urine during the day time and night time, which leads to having to get up in the night to go to the toilet.

This is often explained by an abnormal rhythm of the body where large amounts of urine is excreted during sleep.

The condition can also be caused by external factors such as excess fluids before bedtime, medications, alcohol or caffeine.

In rare cases, nocturia can also be a symptom of something more serious such as diabetes, high blood pressure or heart disease

Who Does Nocturia Effect?

Up to 60% of elderly men and women display symptoms of nocturia, but it can affect all ages.

In fact, according to the National Association For Continence, one in three adults over age of 30 makes at least two trips to empty their bladder every night. 

How Is Nocturia Treated? 

Thankfully, behavioural changes such as altering the times you drink liquid, having an afternoon nap and wearing compression stockings can reduce symptoms of nocturia for many people. 

Various medications for an overactive bladder are also available. If you're suffering from nocturia, visit your GP to discuss the best options for you. 

Philip van Kerrebroeck, editor of the Nocturia Resource Centre, commented: "Nocturia is a serious issue that should not go ignored by the public.

"It can affect anyone regardless of age or gender but the good news is that it is treatable. We would therefore encourage anyone who is losing sleep over these symptoms to speak to your doctor as soon as possible.

"There is no need to suffer in silence."

Worst Foods For Sleep
Coffee(01 of08)
Open Image Modal
We probably don't have to explain why you shouldn't reach for an espresso at 10 p.m. But, turns out, your afternoon coffee habit can affect you for longer than you'd expect. In fact, that caffeine can remain in your system for hours, making even a 4 p.m. pick-me-up a bad idea. Baron recommends steering clear by the early afternoon.And don't forget coffee-flavored treats, she warns. Your favorite cappuccino-flavored ice cream can give you a surprisingly strong jolt.Of course, you've probably heard that a little tea before bed is a good idea. The caffeine content is smaller than in coffee, and herbal "sleepy time" varieties often contain sleep-promoting herbs like valerian or chamomile that can, indeed, help you nod off. (credit:<a href="http://www.flickr.com/" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Flickr" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="25" data-vars-position-in-unit="36">Flickr</a>:<a href="http://www.flickr.com/photos/63723146@N08/8461493952" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="rockindave1" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/photos/63723146@N08/8461493952" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="26" data-vars-position-in-unit="37">rockindave1</a>)
Chocolate(02 of08)
Open Image Modal
Even if you know to avoid coffee and strong tea, you might be sabotaging your sleep with sneakier sources of caffeine, like chocolate. Dark chocolate, in particular, can pack a significant punch, says Baron, although it varies by brand. If you like to nibble on a square or two for dessert, you'll probably be fine, she says -- but an entire chocolate bar could have just as much caffeine as a soda. If you wouldn't drink one close to bed, you probably shouldn't indulge in a chocolate bar either. (credit:<a href="http://www.flickr.com/" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Flickr" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="22" data-vars-position-in-unit="33">Flickr</a>:<a href="http://www.flickr.com/photos/46106852@N06/7070415249" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Chocolate Reviews" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/photos/46106852@N06/7070415249" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="23" data-vars-position-in-unit="34">Chocolate Reviews</a>)
Alcohol(03 of08)
Open Image Modal
Baron calls alcohol the "number one drug used for sleep," and it can, indeed, be tempting to unwind before bed with a glass of your favorite adult beverage. But you won't be doing yourself any sleep favors. While it might help you nod off initially, alcohol is disruptive to the later stages of sleep, which are important to memory and motor skills, according to recent research.And while alcohol might fuel deep sleep in the beginning of the night, the second half of your slumber will likely be more interrupted and full of strange dreams, Baron says, leaving you exhausted the next day. (credit:<a href="http://www.flickr.com/" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Flickr" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="20" data-vars-position-in-unit="31">Flickr</a>:<a href="http://www.flickr.com/photos/27887762@N07/8507303518" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Alexandra Zakharova" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/photos/27887762@N07/8507303518" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="21" data-vars-position-in-unit="32">Alexandra Zakharova</a>)
Fatty Foods(04 of08)
Open Image Modal
You already know they're tough on your heart, but it turns out that fatty foods might also disrupt your sleep. A 2012 study found that a high-fat diet caused rats to sleep more during the day, an outcome with marked similarities to the daytime sleepiness experienced by many people who are overweight. The rats also had more fragmented, interrupted sleep, wrote Dr. Michael J. Breus in a HuffPost blog.A brain chemical called orexin might explain this relationship, since it's involved in both appetite and regulating the body's internal sleep-wake clock. Earlier research has also suggested a link between high-fat foods and disruptions to these circadian rhythms.Fatty foods can also lead to a general feeling of discomfort, Baron says, that can make falling asleep tricky. She suggests staying away from any sizable portions, as well as heavy, greasy foods too close to bed. (credit:<a href="http://www.flickr.com/" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Flickr" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="17" data-vars-position-in-unit="28">Flickr</a>:<a href="http://www.flickr.com/photos/97844767@N00/367897356" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="WordRidden" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/photos/97844767@N00/367897356" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="18" data-vars-position-in-unit="29">WordRidden</a>)
Steak(05 of08)
Open Image Modal
"Your body's not designed to be digesting food when it's sleeping," Baron says. Protein presents a particular digestion problem, since it's harder to break down than other nutrients, according to WebMD. That makes a meat-heavy meal a bad idea if it's too late in the evening. Of course, famed sleep-inducer turkey is also a protein. And while the bird does indeed contain tryptophan, the amino acid itself doesn't actually bring on sleepiness. (credit:<a href="http://www.flickr.com/" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Flickr" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="12" data-vars-position-in-unit="23">Flickr</a>:<a href="http://www.flickr.com/photos/77102986@N07/7656923254" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Massachusetts Office of Travel &#x26; Tourism" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/photos/77102986@N07/7656923254" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="13" data-vars-position-in-unit="24">Massachusetts Office of Travel & Tourism</a>)
Spicy Food(06 of08)
Open Image Modal
Turning up the heat is a well-known trigger for heartburn, especially if you lie down shortly after ingesting that fiery dish.But a small study suggests there may be something else at work. Researchersexamined the effects of tabasco sauce and mustard on healthy men and their sleep. On the nights they ate spicy meals, they had more trouble falling asleep and got less sleep overall. The researchers noted a change in body temperature brought on by the spicy meal, the New York Times reported, which can confuse the brain, as core temperature naturally dips as bedtime approaches. (credit:<a href="http://www.flickr.com/" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Flickr" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="8" data-vars-position-in-unit="19">Flickr</a>:<a href="http://www.flickr.com/photos/79092707@N02/8288950656" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="pickled plum" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/photos/79092707@N02/8288950656" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="9" data-vars-position-in-unit="20">pickled plum</a>)
Grapefruit(07 of08)
Open Image Modal
However, that doesn't mean acid reflux isn't a problem. Even if you already know to steer clear of spicy foods, fatty foods and heavy meals before bed, there are some more surprising causes of heartburn, like citrus, that also increase the stomach's acidity, and can keep you up at night, Baron explains. (credit:<a href="http://www.flickr.com/" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Flickr" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="3" data-vars-position-in-unit="14">Flickr</a>:<a href="http://www.flickr.com/photos/69302634@N02/7710623614" role="link" class=" js-entry-link cet-external-link" data-vars-item-name="Helena Jacoba" data-vars-item-type="text" data-vars-unit-name="56eaddafe4b0fbd4fe07a34e" data-vars-unit-type="buzz_body" data-vars-target-content-id="http://www.flickr.com/photos/69302634@N02/7710623614" data-vars-target-content-type="url" data-vars-type="web_external_link" data-vars-subunit-name="before_you_go_slideshow" data-vars-subunit-type="component" data-vars-position-in-subunit="4" data-vars-position-in-unit="15">Helena Jacoba</a>)
Water(08 of08)
Open Image Modal
We generally have nothing but praise for good old H2O, but there's no denying that too much liquid right before bed is likely to lead to, uh, interruptions, in your sleep. It's a delicate balance between staying hydrated and cutting off your fluid intake, but Baron says limiting fluid intake in the two hours leading up to bed is a good place to start.Foods with a high water content -- like a slice of watermelon for dessert -- can have you running to the loo, too. And so can that afore-mentioned cup of SleepyTime tea. "How big is that cup?" Baron says she asks patients. "Tea can be part of a nice, relaxing ritual, but if you have it an hour before bed it can have you up and using the bathroom," she says.And if you find yourself waking up in the middle of the night with a dry mouth, consider investing in a humidifier, she says, rather than keeping a glass on your bedside table. (credit:Shutterstock)

Before You Go