I really wish I was one of the people with Nocturia who don’t wake up when they have to pee. But I’ve had severe insomnia that has even been life-threatening at points, requiring hospitalization three times because I hadn’t been able to sleep in a week. Because I rarely sleep no deeper than the first level of sleep, I easily wake up every time I have to pee and it’s hard, if not impossible, for me to fall back to sleep efficiently. By the time I fall back to sleep, I have to pee again. I get 10 doses of Ambien each month to help me sleep through the pee awakenings every third night. Ambien is the only sleeping medicine that will keep me asleep through the painful pee urges. My doctors think I only need to sleep every third night, as if! I need to sleep EVERY night!!!! I love waking up to a wet diaper instead of waking up to pee! I’d give anything - 10 years of my life - to be able to sleep good Every. Single. Night. especially without taking a medication that causes dementia.
I accepted my insomnia blight a long time ago, and that doctors don’t care about it nor believe me, even though they’ve seen it themselves in my sleep studies and during a year when I worked with a sleep clinic with PhDs and M.D.s. My brain neurologist (who I see for chronic migraine and because I’ve had a lot of concussions while snowboarding) thinks I have narcolepsy, but I can’t fall asleep during the day if I try. If I have narcolepsy, he can then prescribe a really nasty-tasting, strong medication named Xyrem, which is comprised of “the date rape drug”, formally called GHB, that he’ll prescribe me if I take another sleep study, but I don’t want to take a drug that scary and gross, nor do I want to do another sleep study. And I’d have to take Xyrem twice per night because it only lasts for a few hours, which sounds obnoxious. I just wish I could get enough Ambien or Xanax to sleep through the pee awakenings every night.
So, you see, the option left for me is to be a little dehydrated at bedtime, so I can wake up hopefully “only” five times per night to pee. My condition makes me pee not very often in the day, but mostly when I lay down horizontal. I hate it. Waking up five times per night is plenty disruptive to my sleep; I can’t handle any more awakenings than that. So I consume less fluid (32-48 oz.).
I will say, Botox absolutely helps decrease my bedtime awakenings to maybe three instead of five. It’s miraculous. Totally worth it. And I have next to no daytime accidents for at least three months when I’ve had it. I need Botox and Ambien for good sleep.