Why do I process more pee when sleeping than when awake?

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I'm a 59 year old male whose main health problem is severe osteoarthritis in my hips. About 2 1/2 years ago I started drinking six 12 ounce glasses of water a day instead of just two because I read that more water would help lubricate the joints and lessen pain. It seemed to help for a while, so I've kept it up, but cut back a glass or so recently. I've always had the vast majority of water my first 5 or 6 hours of being up, to reduce having to get up in the middle of the night. For the first year or so, unsurprisingly I would have to pee every two or three hours after I started drinking, but less in the evening. I would always wake up once in the middle of the night and pee quite a lot more than other times in the day, and again a lot when I woke up. A gradual change has happened, six months or a year ago, I started having much less need to go in the daytime. Even on days when in addition to the water I'm having fruit, tea, and milk, I now usually have to go just once every six hours or so. I do a "one Mississippi" count, (which I probably count too fast), that in the daytime is about 15 or 20, but in the middle of the night it can be up to 45 and on waking another 30 or 35. And I always go right before bed of course. I take no prescription medicine, though I take lots of supplements. I feel great other than my hips. It seems like this ADH hormone which is supposed to suppress urine production while sleeping is only working in the daytime for me instead. It's not a problem now (unless it's a sign of something else developing), but after I get my hip replacement, I'd rather not have to get up at all in the middle of the night until I've healed at least. I mentioned to my doctor, who knew nothing about it. I'm sure a urologist might know, but I'm wondering whether any members might have a similar situation.
 
I have been logging my urination activity (in preperation for going to a new Urologist) and I typically go 4 to 6 times between 11 pm and 7 am. The lack of a good night sleep is terrible. If you find any reason for your overnight activity please let us know, and I will do the same. Good luck.
 
I have the same issue and I’ve come to the conclusion that it’s my legs retaining water, if I wear compression socks during the day I pee less after I lay down at night.
 
My physical therapists says when you lie down, the fluid from you legs is processed while lying down. One way to help this is to elevate your legs 2 to 3 hours before going to bed.
 
richr / harrisjmh:
Wow, what a revelation! I've just recently started wearing my compression stockings again (as my doctor advised) and I didn't connect it to my recent significantly reduced bedwetting until seeing your post. It makes sense that that without retaining fluid in your legs it won't have to be "released" at night when your legs are horizontal. Thanks!!
 
richr & harrisjmh: Wow. Thanks. I've had Gadsenmerch's issue. I had guessed it was related to getting horizontal, and now having no activity to divert the "pumping" of blood through the system/kidneys.
Compression socks (15-20 Hg) may not make a difference to me, and I wear them everyday. Once or twice, fell asleep with them on - it was painful, woke me. I can sort of have less awakenings with no sugar or caffiene after 4 PM, and less liquid then.
Since I use a CPAP, I seem to sleep well, just wake up to pee several times a night. If that hurts my rest, I can't tell the difference. Pain does. Waking is handy to me - i get to feed the woodstove instead of burn oil. I get to snuggle back into a warm wife.... Since she warms up her feet and her - ahem - rear on me when she comes to bed, it's only fair.
I worked the Merchant Marine, and got several decades practice with odd shifts, and waking for OT, and rude awakening for alarm bells. Sigh. So I'm probably not typical.
 
I have heard diabetic people urinate more during the night. I also personally think it has something to do with the bladder being relaxed and resting in a different position when asleep.
 
laalaauk said:
I have heard diabetic people urinate more during the night. I also personally think it has something to do with the bladder being relaxed and resting in a different position when asleep.
I am diabetic and it is certainly the case for me. I wet heavily or multiple times in my sleep very night
 
Try elevating the entire bottom of the bed a few inches. A small piece of 2x4 wood or even a stack of books would work. Give it a week and see if it reduces the number of times you urinate each night. Nothing to lose. Also don't consume any liquid after dinner. Compression sock will help Coffee and soda are KILLERS to avoid. Good luck. I share your pain. email me and we'll try to solve this together. michael e: scottmail4u@rogers.com
 
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