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Treatment of nocturia 

Treatment of nocturia
Chapter:
Treatment of nocturia
Author(s):

Daniel P. Verges

and Jeffrey P. Weiss

DOI:
10.1093/med/9780198719113.003.0004
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date: 22 September 2019

Nocturia may result from several unrelated causes, and, therefore, following a detailed assessment of the patient, treatment of nocturia should be appropriate to the cause or causes. Initial treatment usually includes lifestyle interventions and behavioural modifications such as: reducing fluid intake at least 4 hours prior to bedtime, e.g. caffeine and/or alcohol, both of which are mild diuretics; limiting excessive food volume intake prior to bedtime, e.g. fruits, vegetables; in those with dependent oedema—adequate exercise, elevating the leg in the afternoon above the heart level, compression stockings; and emptying the bladder before going to bed. If conservative treatment fails to control the patient’s symptoms, then medical treatment is aimed at the primary cause of the nocturia. Combination therapy may be required in some cases. However, high-quality clinical trials looking at these combinations are lacking.

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