Nighttime urination: causes, treatment & tips

Having to get up often at night to urinate: is that normal? This is the question of many people who often wake up to urinate. A nighttime visit to the toilet can seriously disrupt your sleep, making you less rested in the morning. It is believed that there is a problem if you wake up to urinate two or more times a night. Nighttime urination can be related to many things and should be treated depending on the cause. Supplements with melatonin can possibly help you sleep more peacefully, reducing the chance of nighttime urination. What are the causes of frequent nighttime urination and what can you do to prevent those annoying nighttime visits to the toilet?

Nighttime urination

It is something that bothers many people, but is not talked about much: having to urinate regularly during the night. Having to get up often at night to go to the toilet is especially annoying and frustrating. It disrupts your night’s sleep and affects your sleep rhythm, making you less rested during the day. Having to get up at night to urinate is a phenomenon that increases with age and is also called nocturia . Both men and women can suffer from nocturia.

Frequent urination at night

Nocturia occurs in ten percent of people between the ages of 35 and 45, and these figures increase steadily as age increases. Sometimes you may have to urinate because you wake up, and vice versa, you may also wake up because you have to urinate. Clearly distinguishing cause and effect is therefore very important here. In the medical world it is assumed that there is a problem when you have to get up to urinate two or more times a night.

Causes of nighttime urination

Frequently having to go to the toilet at night can have both psychological and physical causes. With a psychological cause, it is often the case that people do not really know why they wake up and therefore go to the toilet in the hope of being able to fall asleep again afterwards. In other words, you go to the toilet because you think you won’t be able to fall asleep again. Physical causes usually have to do with urinary tract problems such as a bladder infection or prostate problems.

Psychological causes

  • restless sleep
  • stress: worrying and thinking
  • anxiety and depression


Physical causes

  • kidney failure
  • diabetes
  • overactive bladder and/or bladder infection
  • interstitial cystitis
  • heavy, swollen legs
  • congestive heart failure
  • sleep apnea syndrome
  • prostate problems (including enlarged prostate)
  • urinary tract infection
  • weak pelvic floor muscles


Other causes

Other factors that may be the cause of frequent nighttime urination include excessive consumption of drinks. This may include coffee, alcohol, water and other drinks. Logically, you will have to urinate more if you absorb more fluid shortly before you go to sleep. Drinking a lot in the evening leads to a lot of urination at night .

Tips against nighttime urination

One of the most important tips to prevent nighttime urination is to ensure you get a quality night’s sleep. The key here is to clear your head before going to sleep. Try to talk out conflicts before you go to bed, and don’t take a practical problem from everyday life with you to bed. Worries are detrimental to a good night’s sleep. In addition, you can make sure not to drink anything two hours before going to bed, so that the bladder does not have to be emptied during the night. You can also do exercises to train your pelvic floor muscles. The stronger you make these muscles, the better you can hold your urine.

Treatment of nighttime urination

Eliminate physical causes

Urinary tract
If the cause of frequent urination during the night has become clear, action can be taken to eliminate this cause. For example, with a bladder infection, the symptoms will improve over time as the inflammation approaches its end. In addition, you can take nutritional supplements for the bladder and kidneys, which are also useful for preventing urinary tract problems.
If nighttime urination is due to prostate problems, supplements to promote prostate health may be considered. These make the prostate healthier, which reduces the chance that you have to get up at night. If the complaints do not diminish in this way, medical advice is indicated. Further treatment of the prostate problem may then be required.

Sleep better

In general, it is recommended to strive for a good, deep sleep. You can also take sleeping tablets with melatonin for this purpose; This will help you fall asleep faster and help you sleep better. These sleeping tablets can be useful, especially if the cause of nighttime urination is uncertain (psychological? worrying? stress?). This will reduce the chance that you will have to get up to go to the toilet.

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