Nocturia is a condition in which you wake up during the night because you have to urinate. This condition becomes more common as people age and occurs in both men and women, sometimes for different reasons. Normally, you should be able to sleep six to eight hours during the night without having to get up to go to the bathroom. People who have nocturia wake up more than once a night to urinate. This can cause disruptions in a normal sleep cycle. Nocturia may result from several different causes: There are many possible causes of nocturia, depending on the type: Any of the possible causes listed under nocturnal polyuria and low nocturnal bladder capacity To help your doctor diagnose nocturia, you can keep a fluid and voiding diary. This is a two-day record of how much you drink, how often you have to go the bathroom and the urine output, any medications you are taking, any urinary tract infections, and any related symptoms. Your doctor will review the diary in order to determine the possible cause(s) of and treatment for the nocturia.
However, studies have suggested that there is a reduced risk of bladder cancer associated with milk product intake. No single cause of bladder cancer has been identified; There is insufficient scientific literature on the relationship between milk and milk products and bladder cancer; Several studies have suggested an inverse association between milk products and bladder cancer; The 2015 updated report from the World Cancer Research Fund International indicated that no conclusions could be drawn regarding a possible association between milk products and bladder cancer due to limited evidence. Every year, there are about 8,000 new cases of bladder cancer in Canada. As with most cancers, there is no single cause of bladder cancer, but there are risk factors for its development. These include the following:The 2015 Continuous Update Project (CUP) reportissued by theWorld Cancer Research Fund International/American Institute for Cancer Research indicates that there is limited evidence on the association between milk products (milk, cheese, yogurt) and bladder cancer, such that no conclusion can be drawn.2In a 2016 systematic review of meta-analyses, the authors concluded that milk consumption was associated with a reduced risk of bladder cancer.3In another systematic review of meta-analyses
, also published in 2016, the association between modifiable risk factors (including dietary factors) and the risk of bladder cancer was investigated.4 The authors identified the meta-analysis by Mao et al.5 as being one of the most comprehensive scientific studies conducted on the relationship between dairy products and bladder cancer. It consisted of 19 cohort and case-control studies with a total of 7,867 bladder cancer cases.To date, few studies have investigated the role that calcium or vitamin D may play in bladder cancer.While intracellular calcium favourably influences cell growth and apoptosis of epithelial cells, calcium can have both beneficial and harmful effects on carcinogenesis at the cellular level, depending on the cell type.6Vitamin D is also thought to be protective against cancer in many organs due to its anti-proliferative effect. Higher intakes of vitamin D have been associated with reduced bladder cancer risk in the elderly.6Fermented or cultured milk products, such as yogurt, and some cheeses are a source of lactic acid bacteria.
A few animal studies, as well as a randomized trial among humans, have shown that Lactobacillus supplementation may prevent bladder carcinogenesis.6,7Limited evidence from scientific literature suggests that the consumption of milk and milk products, especially fermented or cultured milk products, may decrease the risk of bladder cancer. However, more studies are needed for conclusive answers.While calcium, vitamin D and lactic acid bacteria may have beneficial effects against bladder cancer, more mechanistic studies are needed to investigate their anti-cancer properties. , lactic acid bacteriaDecreasing fluids is often the first thing tried by someone seeking to control an overactive bladder. After all, if you drink less overall, you reduce the need to use the bathroom often or the chance of having an accident before you can get there. Yes -- but if you drink too little (fewer than about six cups a day), urine becomes concentrated, which can cause even more bladder irritation.
That's why equally important to managing bladder problems is what you're drinking and eating. Whether you're plagued by the frequent need to pee, actual leaking of urine, or some other form of overactive bladder (OAB) syndrome, eliminating some foods and beverages may provide some relief of your symptoms. Know that clinical research hasn't proven that avoiding all of these foods improvides overactive bladder symptoms. Every bladder is individual. You'll learn the most about what works for you if you: Still, all of the following foods and beverages are known to exacerbate bladder problems in some people, so it's worth seeing if they have a direct effect on you. Citrus is thought to irritate the bladder (even though, in general, it's wise to eat plenty of fruits and vegetables for their healthy, vitamin-rich liquid and fiber). Beware especially of oranges, grapefruits, lemons, limes, and tangerines. Pineapple, not technically a citrus fruit (even though it often appears in the same tropical salads), is also a culprit because it's highly acidic.
Also avoid citrus in juice form (orange juice, grapefruit juice, lemon juice). Better: Try substituting nonacidic whole fruits, such as bananas, apples, pears, and berries. This one may be painful to chocoholics, but chocolate contains caffeine, a substance that in higher quantities may annoy the bladder in some people who are especially sensitive to it. That's why some doctors recommend putting it on your try-to-eliminate list.If you must have your chocolate, have dark chocolate -- above 70 percent cocoa -- as it's more likely to satisfy a choco-tooth in very small (one- to two-ounce) amounts. Beware, though, that dark chocolate has higher caffeine, so portion size matters. Coffee is a diuretic, which can cause you to urinate more often, and it contains caffeine, which in high doses -- just three cups a day or more, according to recent research -- stimulates the bladder. The surprise: Even decaf versions may have this effect. That's because decaffeinated coffee and tea are seldom caffeine-free.
(Avoid iced tea and coffee, as well as hot forms.) Better: Try drinking herbal tea, which has no caffeine. If your bladder is very caffeine-sensitive, you may notice an improvement in symptoms. Spicy nachos, hot peppers, jambalaya, kabobs, curries . . . some like it hot, hot, hot, though they maybe should not. Among the many physical effects super-spicy foods have on the body (like watering eyes and burning lips) is a tendency to irritate the lining of the bladder. Spicy food can contribute to chronic bladder pain and may affect incontinence symptoms, so see what happens if you avoid them. Better: Try choosing cooled-down versions of favorite dishes, using herbs, garlic, and other strong flavors in place of spicy ones. While it's challenging to completely eliminate sweets, it's worth cutting back, since some urologists believe that sugars stimulate the bladder. Leave the extra spoonfuls out of your cereal bowl or teacup, and read labels to avoid packaged goods that list simple sugars high in the ingredients list.
Know that for some people, even artificial sweeteners (such as aspartame) irritate. Better: Try Stevia, a natural sweetener 100 times sweeter than table sugar. Or even better, aim to adapt over a couple of weeks of withdrawal to a less-sweet taste.hence their bladder-irritating quality. The effect varies by individual, but if you're vulnerable, try cutting out all tomato forms, including sauces, paste, juice, spaghetti sauce, taco sauce, and salsa. Better: Substitute mushrooms and other vegetables, a thin white sauce, beans, or other ingredients wherever you'd use tomatoes or tomato sauce. Whether in the form of wine, beer, champagne, or hard liquor, alcohol interferes with brain signals that tell you when to "go." It's also a dehydrator that makes you need to go to the bathroom more. Since reducing overall fluid intake by 25 percent has been shown to improve overactive bladder symptoms, this may be one area you want to try cutting. Better: Drink cranberry juice on the rocks (unless you're sensitive to cranberry; if so, you could try herbal tea on the rocks).