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Sleep Apnea and Frequent Urination

This area is for Sleep Apnea questions and general Sleep Apnea Discussions.


Sleep Apnea and Frequent Urination

Postby Spongebobiwan1 » Wed Aug 08, 2007 4:05 pm

This is more of a question about something that really puzzles me. I was recently diagnosed with sleep apnea. I have been using the CPAP machine for about one month. Prior to using the CPAP, I would awaken every 60 to 120 minutes (max) with a very full bladder. This obviously kept me from getting quality sleep, as I was up 5 to 7 times per night relieving that very full bladder. Since starting on the CPAP machine, I now get up typically ONE time only per night, and with a bladder that is not really all that full.

My question is this: just HOW in the world does insufficient breathing prior to the CPAP machine have the effect of filling my bladder so much and so frequently all night long, but now with the better breathing due to the CPAP, that is no longer occuring? I just don't make the connection between insufficient breathing and a very full bladder all night long nor understand exactly why that happens. Does anybody have any input on this? I'd really like to know as even my doctor cannot answer this.
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Re: Sleep Apnea and Frequent Urination

Postby Daniel » Wed Aug 08, 2007 4:16 pm

Spongebobiwan1 wrote:This is more of a question about something that really puzzles me. I was recently diagnosed with sleep apnea. I have been using the CPAP machine for about one month. Prior to using the CPAP, I would awaken every 60 to 120 minutes (max) with a very full bladder. This obviously kept me from getting quality sleep, as I was up 5 to 7 times per night relieving that very full bladder. Since starting on the CPAP machine, I now get up typically ONE time only per night, and with a bladder that is not really all that full.

My question is this: just HOW in the world does insufficient breathing prior to the CPAP machine have the effect of filling my bladder so much and so frequently all night long, but now with the better breathing due to the CPAP, that is no longer occuring? I just don't make the connection between insufficient breathing and a very full bladder all night long nor understand exactly why that happens. Does anybody have any input on this? I'd really like to know as even my doctor cannot answer this.


The condition is called 'Nocturia', and is one of a number of side effects of untreated sleep apnoea.

There have been numerous posts on it here. If you use the search facility you can find the exact reasons. It is typically to do with the bodies reaction to fractured sleep architecture and low oxygen saturation levels. Compliant use of cpap should help to clear it up completely, or at least reduce it (as you have discovered).

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Postby Vicki » Wed Aug 08, 2007 5:01 pm

Apnea causes the heart to produce a hormone called atrial natriuretic peptide. This hormone increase sodium and water excretion and inhibits hormones that cause water retention thus causing increased urine production.

Sleep Apnea and Frequent Nighttime Urination

The original study:
Sleep disordered breathing and nocturnal polyuria: nocturia and enuresis.

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Friedrich must of had apnea.
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Postby floppysleeper » Wed Aug 08, 2007 7:00 pm

Well I went to the extreme with the bladder problem. I had bladder neck suspension surgery because I thought I had a severe bladder problem. Was laid up for almost 2 months as I had the bladder surgery at the same time as a hysterectomy. Come to find out now it was the Sleep anea causing my bladder problem and it cost me a lot of time off work and recovery time to recover from a major surgery I didn't even need. It is ironic that they discovered I had sleep apnea when I was in the hospital recovering from the bladder surgery.
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Postby Bearded One » Wed Aug 08, 2007 8:15 pm

I believe that most people, including older children, who wet the bed have sleep apnea.
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Postby George O » Wed Aug 08, 2007 8:43 pm

I generally hate "me too" posts, but: ME TOO. I count the reduction in nocturia to one or even no trips per night to the bathroom as one of the real plusses of CPAP. Now that I read the articles by Dr. Umlauf, it makes a lot of sense. The awakenings due to apnea are a problem in themselves, but add to that a trip down the hall and it really destroys a good night's sleep. Thank you for providing such complete answers.

And, by the way, if I still had a problem with water, I'd change my name to something other than Sponge Bob. :lol:
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Postby pseudonym » Wed Aug 08, 2007 8:53 pm

Bearded One wrote:I believe that most people, including older children, who wet the bed have sleep apnea.


Hi Bearded One, can you shed some light on this? I was asked that question (if I had a bedwetting problem as a child) when I was at Stanford and I thought it curious. They also asked about sleepwalking, which I also thought curious. Have any info on that one, too?

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Re: Sleep Apnea and Frequent Urination

Postby jpezz » Wed Aug 08, 2007 9:29 pm

Spongebobiwan1 wrote:This is more of a question about something that really puzzles me. I was recently diagnosed with sleep apnea. I have been using the CPAP machine for about one month. Prior to using the CPAP, I would awaken every 60 to 120 minutes (max) with a very full bladder. This obviously kept me from getting quality sleep, as I was up 5 to 7 times per night relieving that very full bladder. Since starting on the CPAP machine, I now get up typically ONE time only per night, and with a bladder that is not really all that full.

Others have answered your question but I think there may be even more than that. I have noticed that when waking up at night I would need to go - and I think that some of it was not really need but that I simply noticed that I had an urge and knew that if I tried to go back to sleep, I would constantly think about it so I would get up even if I really didn't have to go bad.

That problem is gone. And the few times I don't sleep all night and wake up - even if I feel an urge - I just turn over and go right back to sleep.

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Postby Pennysfaith » Wed Aug 08, 2007 10:59 pm

That was the 1st thing I noticed when I used the apap and got the right pressure- all of a sudden I didn't have to get up during the night!
I do have a bed wetting theory...prior to being diagnosed I wet the bed a couple of times. And I'm no teenager! I think it was because the usual urge couldn't rouse me, and my body took more drastic measures to wake me up...or maybe I was on my way out and the muscles relaxed...I did have pretty low drops on the O2...
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Postby Eroy » Thu Aug 09, 2007 9:18 pm

Howdy everybody, hey I just wanted to say I have sleep apnea and I never knew it could cause this urination problem. This may be a no brainer and I hope the doctors would not just figure this is the problem. I really don't know how to put this but guys Please don't read this and think that sleep apnea is the only cause I had prostate cancer a couple years ago at 46 age does not matter so please make sure you don't over look this. Cause I know a sleep test is a hole lot better then the other I have had them all but it pays to find out. Any way just wanted to throw that in here. Carry on.

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Postby pseudonym » Fri Aug 10, 2007 10:23 am

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