If You Wake Up to Pee This Many Times a Night, Tell Your Doctor

Doctors say having to pee too often overnight could be the sign of a larger issue.

Getting woken up in the middle of the night is never an enjoyable experience—especially when you're forced to get out of bed. Try as you might to get an uninterrupted night's sleep, there are lots of reasons you might be jolted awake, including your own bladder. And while having to pee in the middle of the night is far from an uncommon occurrence, it could be an indication that something is wrong if it's happening too often. According to experts, you should talk to your doctor if you wake up to pee more than this many times a night. Read on to find out if you need to talk to a professional, and for more reasons to get medical assistance, If Your Urine Is This Color, Call Your Doctor.

If you wake up two or more times a night to pee, you could have nocturia.

Man with headache sits in bed

If you're waking up twice or more during the night to pee, you should talk to your doctor about nocturia. According to Adam Ramin, MD, a urologist and medical director of Urology Cancer Specialists in Los Angeles, nocturia is a condition that causes someone to wake up during the night with an urge to urinate—typically "strong enough that it forces a person to leave the bed and go to the bathroom."

Once you reach middle age, it may be normal to have to get up once in the middle of the night to pee, or twice on occasion, but any more than that is concerning, says David Beatty, MRCGP, a general practitioner with more 30 years of experience. "I might accept twice a night occasionally, but any more than that, and I think it should be checked out," he says. And for more nightly issues, If You Feel This at Night, You Need to Get Your Liver Checked, Doctors Say.

Nocturia may be the sign of a serious underlying medical condition.

woman having heart attack on her bed. copy space.

Having to get out of bed to pee multiple times a night can be annoying, but that's not the only problem. According to Ramin, nocturia may also be the sign of a serious, underlying medical condition. There are a number of diseases that could be causing your nocturia, based in one of three major categories—central nervous system disorders, like brain tumors and sleep apnea; cardiovascular disorders, including heart failure and severe varicose vein disease; and bladder muscle disorders, such as diabetes, bladder cancer, and enlarged prostate, Ramin says. And for more health concerns, If You Drink This Much Coffee a Day, Your Heart's in Danger, Study Finds.

However, there could also be a much more benign cause.


Nocturia could also just be a sign of a urinary tract infection (UTI) or bladder infection, Healthline says. But even these infections can have serious consequences if not treated. Dearbhaile Collins, PhD, a medical doctor at Cork University Hospital, also warns that certain medications, like diuretics and muscle relaxants, can cause nocturia as a side effect.

"The first step to treat nocturia is to discover what the underlying cause is and to treat this effectively," Collins says. "To diagnose the cause, your doctor will take a look at your full medical history, including a medication list, and ask you to keep a fluid intake and urination diary. They can also order a blood test, urinalysis, bladder scan, or cystoscopy." And for more up-to-date information, sign up for our daily newsletter.

Waking up this many times a night can affect your body no matter the cause.

Shot of a young woman suffering from depression in her bedroom

Even if the underlying cause isn't serious, nocturia can still negatively affect your body, says My Pelvic Therapy founder Angela Fishman, PT, a licensed physical therapist who has specialized in the treatment of nocturia.

"The more often you wake up at night from your bladder, the more distress this can cause your body," Fishman says. This can, of course, include reduced total sleep time and more fragmented, lower-quality sleep that leads you to become overly sleepy during the daytime, which "interferes with your focus and can even alter your mood," according to Fishman. For older adults, Fishman says nocturia can "create a higher rush of falls and fall-related injuries, especially if there is urgency, causing rushing to get to the bathroom in time." And for more health issues to get checked out, If This Body Part Hurts You at Night, See Your Doctor.

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