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Questions to ask a patient with nocturia
Wendy F Bower1, Karel Everaert2, Tee J Ong3
1FACP, PhD, BAppSc (Physio), Principal Investigator TANGO Research Group and Senior Clinician Physiotherapist, Department of Medicine and Community Care, the Royal Melbourne Hospital, Melbourne; Associate Professor, University of Melbourne, Melbourne; Visiting Professor, Ghent University, Belgium. wendy.bower@mh.org.au.
Australian Journal of General Practice
|August 18, 2018
Summary
Nocturia, or waking at night to urinate, is often wrongly dismissed as normal aging. This condition is linked to significant illness and requires proper diagnosis and personalized treatment.
Area of Science:
- Gerontology
- Urology
- Sleep Medicine
Background:
- Nocturia is frequently overlooked by patients who perceive it as a normal consequence of aging.
- Despite being commonly dismissed, nocturia is associated with considerable morbidity and may indicate underlying health issues.
Purpose of the Study:
- To provide a diagnostic and treatment framework for nocturia.
- To guide clinicians in evaluating and managing nocturia through a series of targeted questions.
Main Methods:
- The paper outlines an assessment process to identify contributing factors to nocturia.
- It emphasizes understanding the interplay of nocturnal polyuria, reduced bladder capacity, and sleep disturbances.
Main Results:
- Nocturia arises from complex interactions involving the urinary system, kidneys, brain, cardiovascular health, and hormonal changes.
- Common medications in older adults can influence the onset or resolution of nocturia.
- Patient-reported bother from nocturia is linked to disrupted sleep, physical exertion, and fatigue.
Conclusions:
- A thorough assessment identifying individual causes of nocturia is crucial for effective, targeted treatment.
- Addressing nocturia can lead to improved health outcomes and quality of life for affected individuals.
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