I go to bed at 8:30 and every night I awake between 11:30- 12:30 and then again between 3:00-3:30. Even if I do not feel the urgency to go to the bathroom I have to go, otherwise I will not fall sleep again.
There are so many reasons. I do drink more before going to bed because I exercise before bed. I hope I do not have sleep apnea. I don't have to go urgently during the night, it is just more of a comfy sleep after going to the bathroom. It does not bother me at all as long as I can go back to sleep.
@@djmerchant 😳 I don't think we are talking about the same thing! I hadn't even considered your very sensible thought. Reminds me of the old joke about the elderly man who complained to his doctor that he had a BM every morning at 7am. When the doc asked why he was upset about that, the old gentleman said, "I don't wake up until 8!"
Waking up in the middle of the night has been widely described since centuries. In fact, there was something called first sleep and second sleep. Not everyone needs to sleep 8 hours straight, some people need to sleep more through the day and other people need less time. The 8 hours sleep at night began to be imposed with the industrial revolution, the use of electricity and the massive amount of people that migrated from the country to cities to find jobs in factories.
I was a sleep therapist for 20 years, a respiratory therapist for 30 years before that, an# a paramedic for 40 years. I also had a CVA 5 years ago, which ended my career; 3 years ago i had shingles cor the first time. Now, the point of all this is that i already knew about the sleep apnea and the peptide and the dynamics of UARS, but until i read this commentary, i had forgotten it. Completely. As in, "well, I'll be, how about that..." and then it flooded back in. So thank you, from the bottom of my heart, for taking the time to do this video and answering quesfions about why i, after the stroke, suddenly need to get up 5 times a night now, when i never had to, pre-stroke. Applause, Applause, sir!!!😅😅😅😅❤❤❤❤❤
@@pjschmid2251 Technically, paramedics don't have to work full time; they can be volunteer or they can work a few night/weekend shifts. Some med students will do that early on to help pay off their debt more quickly. So it is possible that some or all of the years claimed as a paramedic were at the same time as being a full-time sleep or respiratory therapist :P. Not saying it's true of course lol; just that it is possible.
Since I stopped eating 4 hours before sleeping I slept better lost weight blood pressure lower ac1c is back to normal cholesterol levels is good Arthritis pain diminished, What a big difference just a little change do. Thanks for your time and effort
Thank you, Dr Park. This has helped me understand so much. Eating before bed = Insulin rise = Sleep Apnea = Nocturia, Bed wetting, lack of focus, ADHD, Weight gain around belly. Solution: Don't eat 3-4 hrs before sleeping. Intermittent fasting. This makes a lot of sense. Thank you! This fits with what Dr Eric Berg (chiropractor/nutritionist) was saying too. It is the Insulin that is doing it.
And untreated sleep-breathing problems will raise your glucose and insulin levels. A lot of people stop breathing at night who don't meet the official criteria for sleep apnea. And even if you're skinny and don't snore, you can still have lots of breathing interruptions. This is the main concept that I talk about on my channel.
@@doctorstevenpark Thank you Dr Park! This is why I have a belly even though I don't eat much and why my insulin levels are high. I have bad sleep issues, hard to sleep, no energy in daytime. I used to workout very hard was very lean with a BMI of 19. Now I gained weight and cannot get it off. It is the sleep and nothing else. I thought my insulin was hurting the sleep but its the lack of sleep raising the insulin. I have to fix my hormones. There is a new class of hormones called bio identical hormones and I used to take them, but lost my doctor when I moved. The lack of Progesterone has affected my sleep. Got to get back on those. These hormones will not hurt you. The conventional ones will give you cancer. Thank you for your insights! You are the best.
Easier said than done- not eating within three hours of going to bed leaves me hungry at bedtime, and then i don't sleep well if I try to go to bed hungry. As a diabetic I should do this, but I need to get good sleep.
@@MisterMoosterI can relate to this. I only eat protein if I need to eat before bed. I stay away from carbs and sugar and I no longer get woken by my blood sugar levels crashing.
I wake up at 2:00AM every day. It doesn't help that I go to bed at 7:00PM. Those early morning hours are my favorite part of my day, for reading, catching up on the news, and coffee just tastes better when everybody else is sleeping... the dogs too.
I sometimes get up anywhere from 1am to 4 am..it depends on the amount of fluid intake before bedtime..many nights I sleep straight through...not sure I believe this
I wake up because my hot flashes wake me up, then I have to pee. I can't do HRT. With all the responses here just pass on something my Swedish doctor prescribed oxybutynin, for excessive sweating. It has made a big difference. It is almost like it "trains" my body not to have hot flashes, I can take 5mg at night for 3 days, and then for about 10 days I only get a "wake up it's morning" hot flash.
I have a CPAP machine that I wasn't using. I have lost a little weight and wasn't snoring nearly as loud, and sometimes not at all. However, I was getting up, just as what is talked about here, about every two and a half hours. Especially around 3:30 in the morning. I had my prostate removed a year ago so that's not an issue. I watched your video, used the CPAP again, and slept through the night! Thanks! You have a new subscriber.
Great to hear! Your example just goes to show that you don't need a prostate to have nighttime urination. There's actually a study showing that sleep apnea severity is related to prostate size, especially for men under 40 years old. Here's the study: link.springer.com/article/10.1007/s11325-022-02617-y
As soon as I took a sleep study test and started using a Cpap machine, I stopped waking up every 2-3 hours...I mean I was back to sleeping 8 hours/night the first night using the cpap machine....TAKING A SLEEP STUDY TEST IS THE MOST IMPORTANT THING PEOPLE CAN DO FOR THEIR HEALTH....Cpap also fixed my kidney issue...Out of the blue, my kidney test dropped to 30, border line for dialyis....After 30 days on cpap machine my kidneys went from 30 to 42 and within 90 days they were back up to 60, a normal level.....TAKE A SLEEP STUDY TEST.
*Watched this a couple months ago. Thank you, it completely changed my life, and inspired me to go on a months long hiking-camping adventure.* I am an actual new person because of this.
Here's a ChatGPT summary: - Waking up to pee at night is a common problem, but the reasons for it are often not discussed. - Dr. Steven Park, ENT surgeon and sleep medicine doctor, explains that a sleep breathing problem is the most common cause of this condition. - Obstructed sleep apnea is one of the most undiagnosed conditions where you stop breathing many times every night because your throat closes off when you breathe in. - Every time you stop breathing at night during sleep, your heart makes a hormone called atrial naturality peptide or ANP which goes to your kidneys to squeeze out more urine. - Typically apnea is happening more often during periods of REM sleep when you're dreaming and also when your muscles are completely relaxed. - The longest period of REM sleep happens around 3 a.m. in the morning, which is why most people wake up around this time. - If you wake up more than once per night, it'll usually be about 90 minutes apart, which is one sleep cycle. - Studies have shown that the more times you wake up to pee at night, the higher your rate of dying from any reason. - After treating for sleep apnea, the nighttime urination goes away completely or is not as severe. - Dr. Park suggests not eating anything within three to four hours of bedtime, breathing well through your nose, and taping your mouth at night to help with this condition. I do indeed wake up at 3am sharp every single night... god damnit...
Thanks! I think my problem is more likely to be the three glasses of water or soda water and two cups of coffee that I have before going to bed. Along with the soup...
I see so many people in my clinic who were being treated for prostate issues for years. We finally get them on a CPAP or treated for their sleep apnea, and bam nighttime urination improves drastically! sleep apnea can cause so many other symptoms that impact your day to day life!
Thank You for this significant information. Interestingly, this has enlightened Me about My sleep interruption to urinate between 2-3 times nightly. additionally, waking up at 3 2:30 OR 3:00 AM. Presently, it is 1:00 AM and 4:30 AM . Be healthy All, and live in ease. Blessings!
This was highly informative and captured the problems I’ve been having for some time with waking up at 3:00 am to pee. I’m on bipap. Complicating my situation in addition to what you described is that I’m on 2 seizure medications which impact a person’s sleep arousal level. I’m under the care of a sleep specialist. Your video was really informative. Thank you.
"As it turns out, biphasic sleep never vanished entirely - it lives on in pockets of the world today." Biphasic sleep, meaning that each nighttime sleep was divided into two periods. This was the pattern for most of the time modern humans have existed. It still must be taken into account for the fact that many people naturally still do this. Biphasic sleep may be the norm and a continuous 8-hour sleep is a modern construct.
Yes, I have read about biphasic sleep before and how it seems to be the evolutionary norm. It's actually what I do naturally but it does cause some problems nowadays. 😢🤔🤓🍻
I read about it - in Newyorker book review, got the book which explains how we slept during pre industrial era. it's very interesting phenomenon which existed among all pre industrial societies who were tuned to sun for their energy needs. Advent of electrictiry changed everything - we lost one precious habit - when days are earmarked for work and nights obviously for sleep , as they goto bed around sunset , it is natural for them to get up during the night, to take care of few chores (for example make sure cattle has something to eat and drink ) and even more. Straight 8 Hours sleep is new norm established during industrial revolution like remote work which is new norm established during Covid outbreak. Scientists are trying to understand effects of straight 8 hours sleep on humans - is there any relation between new sleep norm and flood of chronic and auto immune diseases.
I do intermittent fasting. My last food and water are at 3:30 in the afternoon. No problem waking at 3. By 5:30 a.m. I'm ready to drink 16 oz of water and then coffee. And hydrate every couple of hours until 3:30. 88 years, female, 5'7", 130lbs.
I've been mouth taping for 3 years now, I rarely ever get up in the middle of the night now. I use the gentle paper tape from CVS, sticky enough to stay, but doesn't feel like it's ripping you're skin off.
Yes, mouth taping works for me... I sleep well at night and no more peeing until I wake up at 5 a. m. Also, my husband is happy when he sees me taping my mouth before bed.. 😷😝😂
So, I just started mouth taping a week ago, my sleep has improved, but I am still getting up 2-3 times per night. How long did it take you to stop getting up at night once you started taping? Immediately? Or did it happen over a period of time? Thanks.
@@susannahfox7188 it was pretty immediate for me, but I wasn't getting up every night or multiple times a night. I don't eat for at least 3 hours before bed, I also try to drink the bulk of my water before then. There are other causes too, it might be something else.
I’m an RN watching from Hawaii. This is a fascinating video and I highly recommend sharing this with your healthcare provider. A sleep study, properly administered and evaluated, can have life changing consequences. I Thanks for making this vid Doc. Aloha from the Big Island. 🌴
You mentioned the mouth guard for sleep disruptions in a comment. The mandibular advancement device is brutal for me. I grind my teeth at night and grinding with the mouth piece in is more painful and disruptful at night than grinding without it (even if it protects my teeth). CPAP didn't work for me either. 2 years into it, I still sleep like shit. Despite a healthy diet and good exercise, I still sleep terribly. I'm high strung and have no doubt my cortisol levels are jacked, but meditation and all that don't do a thing to get my circadian rhythms in check. It's maddening.
You need the peace of God which no man understands. Pray to Him in faith and His peace will guard your heart and thoughts in Christ Jesus . You have nothing to lose and everything to gain. Just call on His namevand He will save you. Just say "OH LORD JESUS SAVE ME"
Not sure if it will help, but it helped my sister and it's an easy thing to try - she asked her dentist to switch her to a softer nightguard (she described it as sort of chewy). Though she has to replace it more often then a hard nightguard it's both way cheaper and she's actually comfortable sleeping now.
I changed my diet 5 yrs ago to low carb, no sugar. I never get up at night. Before this change I had always been up at night, sometimes twice. I drink a lot more water on this diet and take water to bed with me, so it's not liquids. I used to snore (so did my husband) we both don't snore anymore. I used to have terrible sleep and now I get good quality sleep. Just because I eat a healthy diet.
Not saying you're wrong, whatever works for you. However I eat hella carbs, and eat/drink a substantial amount of sugar, but I never eat or drink within 2 hours of bedtime. It's literally one of the worst eating habits because your body has no need for calories or water while sleeping. If I must put something in my belly late at night, it's milk nothing else, and only to quiet the grumble.
I take sleeping pill low dose since 10 years and now I am 70 I am diabetic And HT patient and leading normal life with medication and physicians advice
@@saraswatkin9226 well I figured that went without saying considering anyone who's lactose intolerant or allergic to dairy would know not to drink milk. You might as well tag the person below my first comment too and tell them that sleeping pills won't be a good recommendation to someone allergic to whatever sleeping pills they take. But hey, the gesture isn't lost on me even if it's hidden behind sarcasm and the assumption that most people have a modicum of sense lol
Thank you for sharing this info. I am an 80 year old female who awakens almost every night around 3 to urinate -- as do most of my friends and my husband. I also use a CPAP. A couple of weeks ago, I noticed a notification from my iwatch the next morning, telling me that my pulse was below 40 bpm for about 10 minutes around 2:45 am. (Right before I got up to urinate.) I then associated this with the reason I woke up everynight??????
Waking up only 1x sounds like heaven....but 2-3x is a big deal cuz you never get into the restoring your body systems sleep cycle......which is very necessary!
It isn't having to pee that wakes me up. It is something else...but I dont know what. After I open my eyes then I have to pee. I know this because when I do pee my bladder isn't full. I wonder what it is that actually wakes me up.
All my life, without exaggeration, I would wake to ‘wee’ anywhere from 5 to 13 times every night, despite barely needing to wee. I just had the sensation. Every day, I’d wake desperately tired with awful headaches. Having asked my various doctors over the course of 50 odd years to PLEASE help, my last doctor sent me for a sleep test. Not for the urinating, he sent me for the dreadful headaches and exhaustion so I had the sleep test and it showed I was stopped breathing 357 times so off I went to buy a CPAP machine. When there, the lady was telling me that subliminally, my head/body was telling me I needed to breathe and the only it could it could was to trick me into thinking I needed to ‘wee’, hence waking so many times, which of course then made me breathe. The strength of the mind is very powerful. From the moment I started on my CPAP at the aged of 52, I’d go to the toilet, at best, twice which has remained the same to this day, now 57. Only took most of my life to finally discover it and I no longer wake with headaches. Don’t wait like I did!
@@GabriellaDiSantAngelo Caught me…..was just about to log out 😊. It’s a machine that helps regulate your breathing. It stands for Continuous Positive Airway Pressure. You should be able to google it and it’ll give you images of the machines and all the information on it. They’re life changing.
According to Ayurveda - 2AM - 6AM time known as Vata time - during that time window everything moves down - Brahma Muhurta ( creative time )- recommended for meditation occurs during that window. Today May 29th - sunrise in New Jersey , USA is at 5: 29 -Brahma Muhurta( 48 minutes window) starts at 96 minutes before Sunrise ie 3:53AM ends at 4:41 ; For what ever reason one gets up early in the morning, can make use of that time. en.wikipedia.org/wiki/Brahmamuhurtha
A few years ago I wrote up every night nearly every hour extremly thirsty and needed to urinate. I then started to silence with vitamin B5. It fixed the issue. I only took the supplemental for about a month. Never had the issue again.
Thank you, as an RN I'm glad you addressed the 90 min cycles. I'll try sleep tape, because I've noticed so much dry mouth problems from mouth breathing for no reason at all. I tried cpap and it just made my fibro so much worse. Various reasons why my chronic issues are related to my military career, but I'm finally getting down to the last few problems needing to be addressed.
I had been using disposable masks to keep my mouth from drying out. Prior to that I buried my face partly in my blanket to keep rebreathing some of my moist exhaled air. Maybe this could help.
I noticed that for all I drink during the day I hardly have to pee. It’s like as soon as I go to sleep my body relaxes and then I wake up to go pee. Is there a reason why my body would hold on to fluids until I sleep?
Wintersprite, give it a sleeping pill for its insomnia! LOL! All joking aside, I don't think our organs actually "fall asleep". They still perform their functions while we sleep.
Thank You..This is eye opening as l was recently diagnosed with sleep apnea when l had a sinus checkup.. l was surprised as I'm thin and l don't snore, yet l do wake up at least 3 to 4 times to pee through the night . So does this mean I'll have a heart attack?. My blood pressure is also on the low side. You explained so much in this video for me to understand what's going on. My profound gratitude ❤
Try doing intermittent fasting. Eat within a 6 hour window. I used to have to pee throughout the night, but when I searched online for help, I found that intermittent fasting helps. Search intermittent fasting on youtube here and do it. You won't regret it. It will completely cure you of frequent urination and you'll sleep like a baby at night. I sleep very well these days.
Possible reasons why you need to pee at 3 AM: Drinking lot of water right before bedtime, pre-diabetes/diabetes, congestive heart failure, liver problems, circadian rhythm problems, enlarged prostate (for men), overactive bladder for women, kidney stones, apnea (rare)
you mentioned ice cream so I will chime in with elevated blood sugar as a cause for frequent pee breaks. Those who drink beer are already familiar. IOW, it's not just the volume of liquid, but the body trying to get rid of the excess blood sugar, which takes 6-12 hours to settle down. It's slower as you age, even though you may not be diabetic.
Yeah, cutting out sugar seems to be the logical explanation to not peeing all the time. That's what usually does it for me. I can tell if I have a day with tons of sugar, I'm peeing constantly throughout the night and even up until I go to bed. If I go even one day with little or no added sugar, I'm waking up maybe once to pee, if at all. I think people underestimate just how much sugar we consume throughout the course of a day and what affect that has on our urine production. After watching this video, I'm not even sure what this guy was trying to claim as the reason for nighttime urination. I think he was more or less explaining what affects, but not necessarily the cause. Probably because it can be different for everyone and there's no catchall.
@@gatolibero8329 ... also consider that carbs turn to sugar in the blood so that morning bagel and mid-day sandwich are in there too. IOW, not just the coffee cake and cookies.
I started having this problem while I was on a very low carb diet. Which also gave me boils on my skin and the inability to sleep due to high cortisol. I added back in healthy carbs, and can now sleep better than when on low carb, but it seems to have left me with the nasty gift of having to pee nocturnally. It's a royal pain. The mouth taping has helped a lot with my sleep quality, even when I still have to get up 2-3 times to urinate - I can fall back asleep much easier.
Whenever I consumed marijuana via smoke or edibles, I never get up at 3:00am to go pee and I sleep so well. Why wife noticed that I have symptoms of sleep apnea whenever I do not consume marijuana, and I do get up at 3:00 am every time to go pee. I wonder if there is any research out there about effects of Marijuana in sleep apnea. I should do a sleep study with marijuana and without marijuana. That would be interesting results.
If you would stop telling us to drink 3 L of water everyday we wouldn't have to wake up 3:30 in the morning to pee. Also helps children newborn through 4 years old to stop bothering their parents in the middle of the night.
Not too coincidentally, around 3 AM is when you enter a long period of REM sleep, when you're dreaming, with complete muscle relaxation except for the diaphragm and the eye muscles. But REM is also when you're most likely to stop breathing and have an apnea. This is also the time that people have heart attacks if they have sleep apnea.
This is very helpful. I do have moderate Sleep Apnea going on for 15 years. Also diabetes, high blood pressure, and a "massive" prostate (urologist's comment). I'll pee 4-6 times a night, or more. I'm 69. Thank you for this video.
I wake up at 5am like clock work. I’ve started having chest pain while I’m laying down while I’m wide awake. I’m a 44 year old woman , who found out 1 year ago that I’ve got coeliac disease- dunno if this has anything to do with it
I have fibromyalgia aka FMS and 60% of us have hypopnea. At least 90% of us also have a sleep disorder called the alpha-delta sleep anomaly, where alpha waves overlay our delta waves and arouse us. In some cases, like mine, delta sleep is absent entirely. I used a CPAP for 17 years but there was no change in my waking up every 90 minutes. Then a study came out showing CPAP does not help people with FMS very much. All I got from CPAP was a nasty problem with my sinuses on one side that will not go away. I also have edema from a drug I must take, and was told that lying down at night will cause that fluid to go back to my core to be eliminated, so that is one reason why I must pee 3-4 times per night. It makes total sense to me that this would cause earlier death, but researchers keep insisting that FMS does not shorten life span....all very confusing.
Totally agree...I'm the same way, up 1-4 times per night (but I don't get to sleep until 3am!). This has made me make the connection, however, that when I, on occasion, use a very mild THC (marijuana gummy) for bad days/pain, etc., it relaxes my body enough that I sleep through the night. I must eat more of those!! I'll keep you in my thoughts, Meagie.
Thank you for this information! I have both fibromyalgia and sleep apnea and have steadfastly refused to use a CPAP machine. Now I can tell my doctor why.
@@vaska1999 - If you are in the severe category (more than 30 apneas per hour) they still recommend it, since it is so serious. People with Fibro are 10 times more likely to have OSA. If you don't have TMJ, a device that moves your jaw forward while sleeping can help a lot. I've found great improvement by sleeping with the upper half of my body elevated, and only sleeping on my side. I also lost 42 lbs. on the Paleo diet. All of that got me down to 5 apneas per night. So much of dealing with Fibro is a Catch-22. I wish you success.
I have known many people that have had sleep study test or evaluation and every single person was recommended a CPAP machine. CPAP machines for many, have caused other issues.
One thing that I noticed in my 10 years working as a nighttime PSG tech was that most patients, roughly 90 %, had an arousal at 3 AM. We dubbed it 'the 3 AM flip', and it happens regardless of the patients condition. Please tell me that this isn't because the 3 AM timeslot has been designated as the 'everyone go pee' time. #SemperGumby Always Flexible
I wake up at 3 not needing to pee, but to go outside.. fifteen minutes or so, then go back to bed. Been most of my life, any season. IDK why. But I'm not sleep walking , I'm fully awake and aware. Got to say Ive encountered odd goings on when all are sleeping out there.. that likely woke me up. Like vibrations underground, light sky where there are no streetlights over a particular direction from my house that's all forest. Military jets, spray planes, cows "moaning" ,non nocturnal animals on the run. Forest animals that appear scared .. ominous Hums. And frequencies. I have fibro, so not only can I hear it, but I can feel it and often a smell like an ozone machine.
Here's my hypothesis: After you fall asleep, your sleep drive goes down (lower adenosine). As you go through your sleep cycles with longer deep sleep periods in the beginning and longer REM periods in the latter part of the night, you get the perfect condition ~ 3 AM where you have much less drowsiness and the longest period of REM, when you're more likely to have an apnea. If you're been making more urine throughout the night, then you'll wake up to pee. I remember one study showing that people wake up due to obstruction and not due to bladder distension.
Several years ago, in college, I had this one class, only held in the summer. This nun came in from the mountains of Colorado to teach this class in spirituality. She did this one meditation with the entire class. She took us through this journey to imagine our death. She led us, but did not tell us what to think or see. I've never feared death since that class. I literally have a greater fear of doctors who become too invasive and want me to take shots and pills I'd rather not. I try to take good care of myself, but I do not wish to make my life about living in order to avoid death.
We are sinners needing a Savior and to be saved by grace through Him. When we stand before the Lord, we will not be able to rely on our own goodness just as any good a criminal does will not be acknowledged in a court of law. We’ve broken the Ten Commandments called “The Moral Law.” Jesus paid our fine upon the cross. In a court of law, the judge can legally let us go if someone else pays our fine. Believing in the Lord Jesus, repenting (which is not a work) of our sins is the most important thing we can do. Make no mistake, it is written “Do you not know that the unrighteous will not inherit the kingdom of God? Do not be deceived. Neither fornicators, nor idolaters, nor adulterers, nor homosexuals, nor sodomites, nor thieves, nor covetous, nor drunkards, nor revilers, nor extortioners will inherit the kingdom of God. And such were some of you. But you were washed, but you were sanctified, but you were justified in the name of the Lord Jesus and by the Spirit of our God.” I Corinthians 6:9-11 NKJV
I was diagnosed with severe obstructive sleep apnea. Since using a cpap I rarely get up to pee at night. Before I was getting up many times during the night.
Though not mentioned in the title, this video contains a comprehensive yet succinct explanation of sleep apnea, it’s effect on the heart, production of the APN hormone and in turn, it’s effect on the bladder. I’ve never heard this from my own sleep specialist, or in any of the casual online research I’ve done. Thank you for that information!
I asked my own pulmonologist/sleep specialist why sleep apnea goes with nighttime urination. He said because apneas wake us up, and so we think we have to pee. 🙄 Obviously he didn’t know. 😞
@@twokatmewell it is a very small part of the reason. I think certain sleep stages, (not just lower sleep drive), does suppress conscious awareness of many sensations, including the feeling the you need to pee. So if sleep apnea means you can't stay long in those deep sleep stages were sensory perceptions are muted, you would be more often aware of signals from your bladder that you need to pee. However most is likely due to more urine being made. Consistent synchronising of the muting and activation of sensation perception with dream states is not precise for everyone. For me it seems neurologically my whole brain doesn't always all wake up at the same time. In my case probably something to do with epilepsy, I am more likely to have seizures in my sleep (or during changes between sleep stages). Sometimes when I wake in the morning, and I am conscious and aware of my surroundings, not everything is switched back on. I used to experience sleep paralysis a lot in my twenties, where you wake up, but can't move or talk (call for help or scream lol), for a few minutes. Normally the brain suppresses muscle movement during REM sleep, so you don't act out your dreams... so with sleep paralysis, there is a delay turning this off and you can remain paralysed a short while after you awake. It often happened to me at night likely between sleep cycles, so it was followed by more sleep, rather than first thing in the morning, so it felt like a recurring nightmare, and effected my mood the next day. For many years even into my 40s my hearing often didn't switch on or was severely dampened until I had my eyes open for a while... so in the morning, I could look and see the electric fan spinning but not hear it..., then all of sudden a short while later start hearing it. Lastly, and most relevant to this conversation, I can wake up in the morning and be lazing, pleasantly groggy in bed, then a bit later have a desparate urge bad enough to rush to get to the loo out of nowhere, bad enough that sometimes I do not make it in time. During waking hours that sort of urge doesn't normally come without prior warning or sensation of bladder fullness. I suspect it is another example of my brain not waking up all at once, and that sensations from your bladder warning you it is full are also normally suppressed during some stages of sleep. So your sleep doctor is probably right about this being one reason you feel the need to get up and pee during the night. I had many years in my twenties and thirties were I did not have overt seizures. Now in my fifties I am on a higher dose of anticonvulsants, and rarely get most of these sleep/awake quirks. The biggest factor though is that more urine is produced because of pressure changes in the chest that occur when you try to breathe against an obstructed airway. I can't remember the exact hormonal mechanism, but the same pressure changes often eventually lead to hypertension (high blood pressure) even when you are awake, as well as kidney problems, pulmonary hypertension and right heart failure, which is why CPAP therapy is life saving. A high sleep drive, (eg from sleep deprivation), may let you continue to sleep through stimuli that would wake you when your sleep drive isn't as high. On occaasion my brain has even found a way around that. When I become sick overnight, or I'm in quite a bit of pain, or even have a really full bladder, those sensations sometimes weave themselves into my dreams. In my dream I can have an injury at the location of the pain, that explains the pain without waking me. The first time I remember realising this was as a 7 year old child I had a dream where I had a sore jaw, and woke up with that side of my face swollen from the mumps! Embarassingly, several times as a child and once or twice as an adult, I was going to the toilet in my dream, only to start wetting the bed and abruptly wake when I felt the warm sensation of urine flowing between my legs... woke me because that sensation was incongruent with the dream. So my brain found a way to explain the sensation of a very full bladder by incorporating it into my dream
@@annedymock2850 wow! Thank you for explaining all of this. I have had similar things happen just maybe not to the same degree. Especially, the thing about pain showing up as an injury in my dream. I too have had those urges to pee in my sleep. I’ve even being sitting on the toilet in my dream, but in my dream I couldn’t go or something would distract me. I’m always grateful when I wake up that I didn’t go of course, lol. All of this has given me food for thought. Thanks!
I tried the cpap machine but I started to feel claustrophobic when I had it on. I did the trial test for few months and just couldn't get used to the mask. They need to make better masks that people can feel comfortable using.
Interstitial Cystiti (bladder pain syndrome) is probably the reason I have to wake up to pee 2-4 times a night. I tested negative for urinary tract infections. If I don't eat or drink anything after like 7 or 8pm then I usually only wake up 1-2 times a night
Yes, interstitial cystitis can cause nighttime urination, but at least rule out obstructive sleep apnea, since it's such a common disorder. Sleep apnea is also linked to daytime urinary frequency as well, since it irritates the bladder.
@@doctorstevenpark Question: I have started to use mouth tape for the last week. I am no longer waking up during the night for 1-2 hours before falling back asleep as a result so far. However, I am still having to pee 2-3 x per night. I am wondering how long does it take after starting the mouth tape (and improving breathing as a result) to see results with needing to get up during the night to urinate? If it is due to interstitial cystitis, what can be done for that condition to ameliorate frequent urination during the night?
I actually had a hunch about this and am glad I watched this video. I have been tested twice now for sleep apnea but b/c I don't do it enough in the time frame, I have not been diagnosed with it. I had a bought in February where my throat collapsed on itself making me wake up gasping for breath. When I finally could breathe normal after that, almost an hour later I went to the ER b/c my heart rhythm wasn't right. Was diagnosed with AFib. However, had all the tests a heart Dr has you go thru and all were fine. It is very rare that I ever sleep thru the night. I ALWAYS wake up at least once during the night and it's around 2:30/4:30 AM. I use to wake up several times during the night and now it's only once. I atribute that to eating better and not letting stress take over my body like I use to. But I am fearful I will die in my sleep one night, it's always in the back of my mind anyways.
I can so relate ! Look up Laryngospasm which I have found as the culprit to my what feels like “near death” experience of gasping for air I have changed my diet significantly and that has helped tremendously! Todays foods are definitely not what they used to be ! For me a Whole Foods diet approach was key to completely eliminating the spasms that would happen without any warning ! Terrifying is the only word that comes to mind!
Thanks for pointing this out. Acid reflux is a common consequence of obstructed breathing. So anything that helps to address acid reflux and slow stomach emptying will help with various throat symptoms including laryngospasm, post-nasal drip, throat clearing and hoarseness. What comes up is not only acid, but also bile, digestive enzymes and bacteria. They've actually found the stomach enzyme pepsin in the sinuses and middle ears, and in the lungs in people with chronic lung disease, along with lipid-laden macrophages.
Stop drinking an hour or more before bed. You’ll need to go before bed, and you will be able to make it through the night without a problem. Also, the first thing to do in the morning is drink “ 500 ml of water”, becuase your body will be dehydrated.
I noticed that I wake up at 3 AM, not necessarily to urinate. I am going to be studying and considering what you are teaching. Thank you for the surprising and fascinating video.
When I was providing elderly care for my 90+ year old Mother who had broken her hip, I realized that she would do an allergy cough, a string of several sneezes, about five hours after eating cheese or ice cream. It is the same for me. It is a moderate allergy to dairy. When I am careful to not each dairy for a day, I apparently do not awake at 5 am. That is not enough experience to be certain. Maybe it is helpful.
Interesting. I wet the bed when I was young and my parents rented a device. It was a heavy rubber Matt with sensors in it that went under the fitted sheet. If it got went a very loud buzzer went off that woke me. After a couple of weeks I no longer wet the bed.
If you lay on your stomach your weight is on your chest which will cause very shallow breathing and low oxygen availability. This is why its bad for babies. Arms under the upper chest helps. On your back it creates tension across your diaphragm, and your chest weight has to rise against gravity once again causing shallow breathing, and apnea. For full chest expansion your side is better as expansion is not constricted so you can breath deeply for easy full lung oxygen tissue utilization backing up bodily function. Much easier if you are lean by eating only whole foods. Weight is your enemy here.
@@DavidRose-m8s I have always had sinus issues, allergies etc. I have never been able to sleep on my back. Belly or side, as I get older side is more comfy. 🤔🤓🍻
@@alsaunders7805 I am over 60 now myself and carry one copy of the cystic fibrosis gene. Phlegm and sinus issues have haunted me till I cut out High Glycemic foods. So much better now.
I was diagnosed with both obstructive and central sleep apnea years ago. My CPAP was a life saver, literally. I noticed when I fell asleep and forget to put it on or somehow winds up off while I'm sleeping I will get up to pee, otherwise I sleep soundly throughout the night; that always puzzled me.
You should see if you can get a machines that sends off an alarm when your mask is off. Its not good that it comes off. My friends father died because his came off. So please check into it. Id hate for this to happen to anyone if it is preventable. God Bless!
I wake to pee every two hours or so because I drink water before bed. Not everyone has a illness. It literally is something I am doing to myself. My husband was in the military and he told me that that is how they wake themselves up to stand watch. We have a puppy and if I don't get up to pee around three am I will have a puddle in the floor as she will pee right next to the piddle pad not on it. So I am saving myself work.
Yes, as with many of other commenters, drinking water or alcohol before bedtime will definitely raise your chances of waking up to pee at night, but many people know this already, but still wake up to urinate even if they stop drinking close to bedtime. I describe why this happens in this video.
No mention of your age, which is a factor - Aging decreases the amount of the anti-diuretic hormone, so it is easier for younger adults to sleep through the night, and the first morning pee will be condensed and darker;
I get up 2 - 4 times, but that could be because I drink coffee. I think I was getting up once when I was younger. But I am not happy about this as I don't feel refreshed. I also have noisy neighbours and a noisy street so that doesn't help either.
Interesting. I'm a 49 year old female and I've woken up every 2 hours to pee for my entire adult life. The sleep study ruled out sleep apnea and I don't snore.
You don't have to have sleep apnea to have significant obstructed breathing. This is called upper airway resistance syndrome. For example, you can stop breathing 25 times an hour and not have sleep apnea. This is because the threshold for an apnea is 10 seconds or longer. So if you stop breathing 25 times every hour for 9 seconds each, your score on a sleep study is 0. But each time you stop breathing, your heart muscle gets stretched, producing atrial natriuretic peptide, which goes to the kidneys to make more urine.
You have just described me! I am a 78 year old male andI was diagnosed with Sleep Apnea 10 years ago.....I have been on C-Pap since. I went from 3 to 5 times to rarely having to get up to urinate. I do not remember what times I got up.....but every 90 minutes sounds about right. For the record, my sleep study showed that I averaged 90 events per hour lasting more than 10 seconds with some events lasting as long as 90 seconds. When they told me those results, I was floored! Great video that I know will help many!
Good for you getting past the CPAP challenges and sounds like successfully treating your sleep apnea! You have saved your life! I have also been learning that my diet causing GERD could actually be contributing to my sleep apnea as well ! It totally all makes sense to me now! Dr. Janice Kaufman is the author. Fantastic research if anyone is interested!
A friend checked his vitamin D3 level, it was low, started taking Vitamin D3. And now whenever he wakes up to go to toilet, he easily goes back to sleep.
Thanks! Vitamin D is an important thing to address, since it's actually a hormone. It helps with sleep in general, as as well sleep apnea to some degree. I'm currently working on a video on the multiple health benefits of vitamin D.
I used to drink 3-4 12 oz coffees a day for many years. I was also waking up 2-3x a night to pee. I tried not drinking coffee past 2 or 3 and no water after 7 but it didn't change much. I never thought coffee affected me but a couple of weeks ago I quit cold turkey and started sleeping through the night most nights.
Does it help to drink decaffinated coffee? I drink about 2-3 12 oz regular coffee in the morning and if I drink in the evening, I would either drink the (regular) coffee early in the evening like around 6-7 pm at the latest; or drink decaffinated coffee anytime in evening. This approach seems to help me feel better before/when sleeping. Also, I notice that it's important to drink aklaine (e.g. lemon with water) to balance out the acidity from coffee.
I drink 2 to 3 pots of coffee a day, which is over 200 oz's of coffee a day and have no such problem. It causes me to urinate quickly after finishing a few cups, but definitely not hours afterwards. Caffeine effects some differently obviously, but regardless caffeine isn't going to effect a regular coffee drinker much more than 4 or 5 hours after your last cup. And if you've replaced the caffeine you got from coffee with something else I can almost guarantee coffee in and of itself was a not factor in your night time urination or trouble sleeping. Everyone's different, can't say that enough, but coffee helps me sleep thanks to the crash. I'm also a lifelong insomniac.
Not so - after a lifetime of waking up at night to pee, I decided to train myself to stay asleep, and now I sleep through every night. Oh and I’m an 80 year old woman 😊
From 1 AM to 3 AM it's the liver-time, from 5 AM to 7 AM it's the colon-time. So waking up at 3 AM you should take your tablespoon (= 15 ml) castor oil in order to cleanse your liver in an optimal manner, later it will be the correct time for the large intestine to get activated by the ricinoleic acid.
sleep aptiea can also be caused by low iodine levels. all glands will swell if there is not sufficient iodine in the glands. there are glands in the back of the throat called atnoid glands, and your tonsils. they swell when displaced with fluoried or bromine then when you relax they restrict your air way. I had this situation. The problem is complex. Fluoride, Bromide, and Iodine are called Halogen elements and are in the same columb in the periodic chart and have similar behavviors. the Body wants and needs iodine for its glands, all of them. the entire endocrine system needs iodine, so very importand for your body to function. Today's American diet is extremely sparce in iodine typically. the body can not make it. So the body gets very low in iodine. but the food industry had presented fluoride and bromine in plenty. these elements will fit in to the iodine receptors and keep the glands functional but sickly causing the endocrine system to function really bad. hormones will be made too late at the wrong amount or not at all. This is basically the cause of so many American illnesses from diabetes, insomnia, snoring, ovarian cists, painful breasts, erection disfunction, weight gain, brain fog even will bring on cancer. What you have to do is take 12.5 mg of iodine daily and stop using fluoride toothpaste and stop eating bread. you must also supplement with selenium with the iodine. The food industry started putting potassium bromate in flour, with the FDA approval in the 1980s. Terrible stuff. American bread is illegal everywhere else in the world. This is the why Americans can be pegged in an international crowd by their wide adomins. fatty livers. I speak the truth, I hope you look into this further and take action.
I’m 70 years old. I don’t indulge too much in tea or coffee. I am non alcoholic. I drink only moderate amounts of fluids during the day time, none before going to bed. I do not eat dinner too. I had a bypass surgery recently but I’ve recovered very well and am following a strict regime of diet and exercise. I’m also not fat, yet I have these peeing interruptions of sleep during the night. The bladder pressure wakes me up at 11.30 p.m. and 2.30 a.m. (+/- 30 mins). These waking episodes started only after the bypass surgery, before that I never woke up to pee in the middle of night.
While I consider myself a candidate for several potential reasons for urination during the night, I figured with my advanced age it was probably prostate related. I have tried eating at least 4 hours before sleep and limiting my fluid intake. Both of those helped but I was still waking at 3 a.m., even if I didn't have to urgently urinate. Thanks to this video I will explore sleep apnea as a potential cause. I would imagine sleeping on my side aggravates this condition. Never had it until I reached about 50-60 years old.
Side sleeping is actually the best position for sleep apnea. Sleeping on your back can cause snoring and sleeping on your stomach can cause neck problems.
I've been complaining about waking up at 2:30am and 5:30am every night. I think it has affected my ability to fight off infections. I used to use a CPAP but stopped after I had sinus surgery. I use a sleep app and noticed that I am not snoring very often, but maybe once or twice a night, shortly before I am woken up. I am notorious about eating too close to bedtime. I really appreciate this video. I'm going to change my eating habits first. If that doesn't help, then I am going to drag out the CPAP and start using it again.
My husband has sleep apnoea. I sleep in a separate room as the snoring is so loud and i still hear it in the next room, so I don't really have a sleep cycle as I just grab sleep when I can. Interesting I survive on about 6 hours sleep a night, he gets about 10 hours and Is tired all the time. Hopefully he will get an appointment at the sleep clinic soon. I am rarely tired during the day thank goodness☺☺
I go to bed at 8:30 and every night I awake between 11:30- 12:30 and then again between 3:00-3:30. Even if I do not feel the urgency to go to the bathroom I have to go, otherwise I will not fall sleep again.
There are so many reasons. I do drink more before going to bed because I exercise before bed. I hope I do not have sleep apnea. I don't have to go urgently during the night, it is just more of a comfy sleep after going to the bathroom. It does not bother me at all as long as I can go back to sleep.
It beats the hell out of NOT waking up and peeing at 3am.
😂 hahaha - true!
dj, You don't KNOW that. I suggest you are biased.
@@shadowlouise Unfortunately I DO know it. *SIGH*
@@djmerchant 😳 I don't think we are talking about the same thing! I hadn't even considered your very sensible thought. Reminds me of the old joke about the elderly man who complained to his doctor that he had a BM every morning at 7am. When the doc asked why he was upset about that, the old gentleman said, "I don't wake up until 8!"
@@shadowlouise That was EXACTLY my point!
Waking up in the middle of the night has been widely described since centuries. In fact, there was something called first sleep and second sleep. Not everyone needs to sleep 8 hours straight, some people need to sleep more through the day and other people need less time. The 8 hours sleep at night began to be imposed with the industrial revolution, the use of electricity and the massive amount of people that migrated from the country to cities to find jobs in factories.
I do first and second sleep fairly often.
Something is wrong
This is known as bi-phasic sleep. Totally natural & normal. Also can be aggravating!
This was my natural routine when I was younger, ironically as I age I feel like I'm more likely to sleep a "normal" 8 hours
SOME BODIES DO NOT REQUIRE 8 HOURS STRAIGHT SLEEP, ESPECIALLY IF YOU ARE NOT ACTIVE!🤷♂️
I was a sleep therapist for 20 years, a respiratory therapist for 30 years before that, an# a paramedic for 40 years. I also had a CVA 5 years ago, which ended my career; 3 years ago i had shingles cor the first time. Now, the point of all this is that i already knew about the sleep apnea and the peptide and the dynamics of UARS, but until i read this commentary, i had forgotten it. Completely. As in, "well, I'll be, how about that..." and then it flooded back in. So thank you, from the bottom of my heart, for taking the time to do this video and answering quesfions about why i, after the stroke, suddenly need to get up 5 times a night now, when i never had to, pre-stroke. Applause, Applause, sir!!!😅😅😅😅❤❤❤❤❤
God bless your health!
I feel truly sorry for your past patients. lol
So you are over ,90 years of age
@@paulsanderson8804 No he’d have to be closer to 110 unless he started working at the age of zero
@@pjschmid2251 Technically, paramedics don't have to work full time; they can be volunteer or they can work a few night/weekend shifts. Some med students will do that early on to help pay off their debt more quickly. So it is possible that some or all of the years claimed as a paramedic were at the same time as being a full-time sleep or respiratory therapist :P. Not saying it's true of course lol; just that it is possible.
Since I stopped eating 4 hours before sleeping I slept better lost weight blood pressure lower ac1c is back to normal cholesterol levels is good
Arthritis pain diminished,
What a big difference just a little change do.
Thanks for your time and effort
Thank you, Dr Park. This has helped me understand so much.
Eating before bed = Insulin rise = Sleep Apnea = Nocturia, Bed wetting, lack of focus, ADHD, Weight gain around belly.
Solution: Don't eat 3-4 hrs before sleeping. Intermittent fasting.
This makes a lot of sense. Thank you!
This fits with what Dr Eric Berg (chiropractor/nutritionist) was saying too. It is the Insulin that is doing it.
And untreated sleep-breathing problems will raise your glucose and insulin levels. A lot of people stop breathing at night who don't meet the official criteria for sleep apnea. And even if you're skinny and don't snore, you can still have lots of breathing interruptions. This is the main concept that I talk about on my channel.
@@doctorstevenpark Thank you Dr Park! This is why I have a belly even though I don't eat much and why my insulin levels are high. I have bad sleep issues, hard to sleep, no energy in daytime. I used to workout very hard was very lean with a BMI of 19. Now I gained weight and cannot get it off. It is the sleep and nothing else. I thought my insulin was hurting the sleep but its the lack of sleep raising the insulin. I have to fix my hormones. There is a new class of hormones called bio identical hormones and I used to take them, but lost my doctor when I moved. The lack of Progesterone has affected my sleep. Got to get back on those. These hormones will not hurt you. The conventional ones will give you cancer. Thank you for your insights! You are the best.
@@doctorstevenparkThis is my problem , I doubted this for so long and now I am clearly understand . Oh God , Thank you so much ❤
Easier said than done- not eating within three hours of going to bed leaves me hungry at bedtime, and then i don't sleep well if I try to go to bed hungry. As a diabetic I should do this, but I need to get good sleep.
@@MisterMoosterI can relate to this. I only eat protein if I need to eat before bed. I stay away from carbs and sugar and I no longer get woken by my blood sugar levels crashing.
I wake up at 2:00AM every day. It doesn't help that I go to bed at 7:00PM. Those early morning hours are my favorite part of my day, for reading, catching up on the news, and coffee just tastes better when everybody else is sleeping... the dogs too.
I sometimes get up anywhere from 1am to 4 am..it depends on the amount of fluid intake before bedtime..many nights I sleep straight through...not sure I believe this
You are very lucky!! But there are sooooo many people who are not you....and not so lucky!
I wake up because my hot flashes wake me up, then I have to pee.
I can't do HRT. With all the responses here just pass on something my Swedish doctor prescribed oxybutynin, for excessive sweating. It has made a big difference. It is almost like it "trains" my body not to have hot flashes, I can take 5mg at night for 3 days, and then for about 10 days I only get a "wake up it's morning" hot flash.
Teach the chirn!!! 😊😂
Same!!!
Oh Lordy same for me too
Same
TMI!
I have a CPAP machine that I wasn't using. I have lost a little weight and wasn't snoring nearly as loud, and sometimes not at all. However, I was getting up, just as what is talked about here, about every two and a half hours. Especially around 3:30 in the morning. I had my prostate removed a year ago so that's not an issue. I watched your video, used the CPAP again, and slept through the night! Thanks! You have a new subscriber.
Great to hear! Your example just goes to show that you don't need a prostate to have nighttime urination. There's actually a study showing that sleep apnea severity is related to prostate size, especially for men under 40 years old. Here's the study: link.springer.com/article/10.1007/s11325-022-02617-y
@@doctorstevenpark thanks again!
As soon as I took a sleep study test and started using a Cpap machine, I stopped waking up every 2-3 hours...I mean I was back to sleeping 8 hours/night the first night using the cpap machine....TAKING A SLEEP STUDY TEST IS THE MOST IMPORTANT THING PEOPLE CAN DO FOR THEIR HEALTH....Cpap also fixed my kidney issue...Out of the blue, my kidney test dropped to 30, border line for dialyis....After 30 days on cpap machine my kidneys went from 30 to 42 and within 90 days they were back up to 60, a normal level.....TAKE A SLEEP STUDY TEST.
*Watched this a couple months ago. Thank you, it completely changed my life, and inspired me to go on a months long hiking-camping adventure.*
I am an actual new person because of this.
Here's a ChatGPT summary:
- Waking up to pee at night is a common problem, but the reasons for it are often not discussed.
- Dr. Steven Park, ENT surgeon and sleep medicine doctor, explains that a sleep breathing problem is the most common cause of this condition.
- Obstructed sleep apnea is one of the most undiagnosed conditions where you stop breathing many times every night because your throat closes off when you breathe in.
- Every time you stop breathing at night during sleep, your heart makes a hormone called atrial naturality peptide or ANP which goes to your kidneys to squeeze out more urine.
- Typically apnea is happening more often during periods of REM sleep when you're dreaming and also when your muscles are completely relaxed.
- The longest period of REM sleep happens around 3 a.m. in the morning, which is why most people wake up around this time.
- If you wake up more than once per night, it'll usually be about 90 minutes apart, which is one sleep cycle.
- Studies have shown that the more times you wake up to pee at night, the higher your rate of dying from any reason.
- After treating for sleep apnea, the nighttime urination goes away completely or is not as severe.
- Dr. Park suggests not eating anything within three to four hours of bedtime, breathing well through your nose, and taping your mouth at night to help with this condition.
I do indeed wake up at 3am sharp every single night... god damnit...
Thank you. Well, i woke up like every 90 minutes for pee. I guess i have a big problem!
I wake up 3am to pee, 4am to breastfeed and 5am to pee again. fml. 😂
Thanks! I think my problem is more likely to be the three glasses of water or soda water and two cups of coffee that I have before going to bed. Along with the soup...
Avoid liquid completely or limit into to barest minimum in order to control peeing at bedtime and beyond
Good information
I see so many people in my clinic who were being treated for prostate issues for years. We finally get them on a CPAP or treated for their sleep apnea, and bam nighttime urination improves drastically! sleep apnea can cause so many other symptoms that impact your day to day life!
Thank You for this significant information. Interestingly, this has enlightened Me about My sleep interruption to urinate between 2-3 times nightly.
additionally, waking up at 3
2:30 OR 3:00 AM. Presently, it is 1:00 AM and 4:30 AM
. Be healthy All, and live in ease.
Blessings!
I wake up at 3.00am and I don't need to urine. I think it's because of stress and high cortisol levels
This was highly informative and captured the problems I’ve been having for some time with waking up at 3:00 am to pee. I’m on bipap. Complicating my situation in addition to what you described is that I’m on 2 seizure medications which impact a person’s sleep arousal level. I’m under the care of a sleep specialist. Your video was really informative. Thank you.
O
"As it turns out, biphasic sleep never vanished entirely - it lives on in pockets of the world today."
Biphasic sleep, meaning that each nighttime sleep was divided into two periods. This was the pattern for most of the time modern humans have existed. It still must be taken into account for the fact that many people naturally still do this. Biphasic sleep may be the norm and a continuous 8-hour sleep is a modern construct.
Yes, I have read about biphasic sleep before and how it seems to be the evolutionary norm. It's actually what I do naturally but it does cause some problems nowadays. 😢🤔🤓🍻
Agree.😊👍❤️
For those who get confused easy, "Biphasic Sleep" just means taking a nap at some time during the day.
I read about it - in Newyorker book review, got the book which explains how we slept during pre industrial era. it's very interesting phenomenon which existed among all pre industrial societies who were tuned to sun for their energy needs. Advent of electrictiry changed everything - we lost one precious habit - when days are earmarked for work and nights obviously for sleep , as they goto bed around sunset , it is natural for them to get up during the night, to take care of few chores (for example make sure cattle has something to eat and drink ) and even more. Straight 8 Hours sleep is new norm established during industrial revolution like remote work which is new norm established during Covid outbreak. Scientists are trying to understand effects of straight 8 hours sleep on humans - is there any relation between new sleep norm and flood of chronic and auto immune diseases.
People used to wake up in the middle of the night and go back to sleep 1hr later.
I'm not sure why we are expected to sleep +8hrs without peeing.
I do intermittent fasting. My last food and water are at 3:30 in the afternoon. No problem waking at 3. By 5:30 a.m. I'm ready to drink 16 oz of water and then coffee. And hydrate every couple of hours until 3:30.
88 years, female, 5'7", 130lbs.
And when do you eat? I’ve been doing intermittent fasting for some months, too. 😊
😮🙇🏻♀️
Like king David
Said I am wonderfully
Made
Thank you
Psalms 138:14
👏🏻👏🏻👏🏻🎉🎉🎉love to hear this! Good for you!❤
I've been mouth taping for 3 years now, I rarely ever get up in the middle of the night now. I use the gentle paper tape from CVS, sticky enough to stay, but doesn't feel like it's ripping you're skin off.
Yes, mouth taping works for me... I sleep well at night and no more peeing until I wake up at 5 a. m.
Also, my husband is happy when he sees me taping my mouth before bed.. 😷😝😂
So, I just started mouth taping a week ago, my sleep has improved, but I am still getting up 2-3 times per night. How long did it take you to stop getting up at night once you started taping? Immediately? Or did it happen over a period of time? Thanks.
@@susannahfox7188 it was pretty immediate for me, but I wasn't getting up every night or multiple times a night. I don't eat for at least 3 hours before bed, I also try to drink the bulk of my water before then. There are other causes too, it might be something else.
That's why I go to bed at 3. Genious.
I’m an RN watching from Hawaii. This is a fascinating video and I highly recommend sharing this with your healthcare provider. A sleep study, properly administered and evaluated, can have life changing consequences. I
Thanks for making this vid Doc. Aloha from the Big Island. 🌴
Yeah right a doctor entertaining your thoughts about your health 😂😂😂
If you wake up too many times to pee, stop, drinking a lot of water before bed time 😂
You mentioned the mouth guard for sleep disruptions in a comment. The mandibular advancement device is brutal for me. I grind my teeth at night and grinding with the mouth piece in is more painful and disruptful at night than grinding without it (even if it protects my teeth). CPAP didn't work for me either. 2 years into it, I still sleep like shit. Despite a healthy diet and good exercise, I still sleep terribly. I'm high strung and have no doubt my cortisol levels are jacked, but meditation and all that don't do a thing to get my circadian rhythms in check. It's maddening.
Que tal si experimentas con los ejercicios Kegel para fortalecer el piso pelvico me han servido.
You need the peace of God which no man understands. Pray to Him in faith and His peace will guard your heart and thoughts in Christ Jesus . You have nothing to lose and everything to gain. Just call on His namevand He will save you.
Just say "OH LORD JESUS SAVE ME"
Try magnesium
Not sure if it will help, but it helped my sister and it's an easy thing to try - she asked her dentist to switch her to a softer nightguard (she described it as sort of chewy). Though she has to replace it more often then a hard nightguard it's both way cheaper and she's actually comfortable sleeping now.
@@acavsdbfdbdb744 ¿eres €$tμp¡d¤ o no sabes leer?
Pretendes curar problemas de cortisol con gimnasia de piso pélvico. ¿Qué clase de Rita eres? 😂😂😂🤡
I changed my diet 5 yrs ago to low carb, no sugar. I never get up at night. Before this change I had always been up at night, sometimes twice. I drink a lot more water on this diet and take water to bed with me, so it's not liquids. I used to snore (so did my husband) we both don't snore anymore. I used to have terrible sleep and now I get good quality sleep. Just because I eat a healthy diet.
Not saying you're wrong, whatever works for you. However I eat hella carbs, and eat/drink a substantial amount of sugar, but I never eat or drink within 2 hours of bedtime. It's literally one of the worst eating habits because your body has no need for calories or water while sleeping. If I must put something in my belly late at night, it's milk nothing else, and only to quiet the grumble.
I take sleeping pill low dose since 10 years and now I am 70 I am diabetic And HT patient and leading normal life with medication and physicians advice
@@Saldivinorum Worst night drink for people with cows milk or dairy products allergy causing excessive gas, bloating etc
@@saraswatkin9226 well I figured that went without saying considering anyone who's lactose intolerant or allergic to dairy would know not to drink milk. You might as well tag the person below my first comment too and tell them that sleeping pills won't be a good recommendation to someone allergic to whatever sleeping pills they take. But hey, the gesture isn't lost on me even if it's hidden behind sarcasm and the assumption that most people have a modicum of sense lol
Thank you for sharing this info. I am an 80 year old female who awakens almost every night around 3 to urinate -- as do most of my friends and my husband. I also use a CPAP. A couple of weeks ago, I noticed a notification from my iwatch the next morning, telling me that my pulse was below 40 bpm for about 10 minutes around 2:45 am. (Right before I got up to urinate.) I then associated this with the reason I woke up everynight??????
Yes, you associated this with the reason you woke up every night.
Apparently, yes, you made this association.
What cause to pee 4to5 time at night
I have woken up at about 3:00am most of my life. At that time, I'm about ready for a glass of water as well. I don't see what the big deal is.
👎🏾👎🏾
Waking up only 1x sounds like heaven....but 2-3x is a big deal cuz you never get into the restoring your body systems sleep cycle......which is very necessary!
I have been waking up more than once in the night to go to the bathroom and I could never feel refreshed in the morning.
It isn't having to pee that wakes me up. It is something else...but I dont know what. After I open my eyes then I have to pee. I know this because when I do pee my bladder isn't full. I wonder what it is that actually wakes me up.
Liver at 3 is what my acupuncturist tells me and treats with me
👨🏾⚕️🥼thanks! Dr. Park very informative video.
Wow!! I had already begun taping my mouth at night. I never imagined that was a legit way to deal with the problem.
All my life, without exaggeration, I would wake to ‘wee’ anywhere from 5 to 13 times every night, despite barely needing to wee. I just had the sensation. Every day, I’d wake desperately tired with awful headaches. Having asked my various doctors over the course of 50 odd years to PLEASE help, my last doctor sent me for a sleep test. Not for the urinating, he sent me for the dreadful headaches and exhaustion so I had the sleep test and it showed I was stopped breathing 357 times so off I went to buy a CPAP machine. When there, the lady was telling me that subliminally, my head/body was telling me I needed to breathe and the only it could it could was to trick me into thinking I needed to ‘wee’, hence waking so many times, which of course then made me breathe. The strength of the mind is very powerful. From the moment I started on my CPAP at the aged of 52, I’d go to the toilet, at best, twice which has remained the same to this day, now 57. Only took most of my life to finally discover it and I no longer wake with headaches. Don’t wait like I did!
What is CPAP?
@@GabriellaDiSantAngelo Caught me…..was just about to log out 😊. It’s a machine that helps regulate your breathing. It stands for Continuous Positive Airway Pressure. You should be able to google it and it’ll give you images of the machines and all the information on it. They’re life changing.
According to Ayurveda - 2AM - 6AM time known as Vata time - during that time window everything moves down - Brahma Muhurta ( creative time )- recommended for meditation occurs during that window. Today May 29th - sunrise in New Jersey , USA is at 5: 29 -Brahma Muhurta( 48 minutes window) starts at 96 minutes before Sunrise ie 3:53AM ends at 4:41 ; For what ever reason one gets up early in the morning, can make use of that time.
en.wikipedia.org/wiki/Brahmamuhurtha
A few years ago I wrote up every night nearly every hour extremly thirsty and needed to urinate. I then started to silence with vitamin B5. It fixed the issue. I only took the supplemental for about a month. Never had the issue again.
Keep taking a complete B Vitamin complex daily,as B Vits are water soluable and not stored in the body. Your overall health will improve.
Good to know. Sounds like it might have fixed a cortisol problem
I’ve been peeing multiple times a night ever since pregnancy. It just never stopped. Love my babies, they’re worth it.😂💕
Me too, and my daughter will be 39 this year
Thank you, as an RN I'm glad you addressed the 90 min cycles. I'll try sleep tape, because I've noticed so much dry mouth problems from mouth breathing for no reason at all. I tried cpap and it just made my fibro so much worse. Various reasons why my chronic issues are related to my military career, but I'm finally getting down to the last few problems needing to be addressed.
I had been using disposable masks to keep my mouth from drying out. Prior to that I buried my face partly in my blanket to keep rebreathing some of my moist exhaled air. Maybe this could help.
@@JohnHoranzy m
Vitamin C Slow Release 2,000 mg has resolved my ‘aches and pains’ and Ive read it helps with Fibromyalgia? Worth a try? Go well.
@@JohnHoranzy I sometimes try that too - burying my mouth in the blanket/covering my mouth w/ a dry towel. Now I may try w/ a Covid mask.
I have dry mouth problem too. I might try Sleep Tape.
I noticed that for all I drink during the day I hardly have to pee. It’s like as soon as I go to sleep my body relaxes and then I wake up to go pee. Is there a reason why my body would hold on to fluids until I sleep?
I’ve also heard that your bladder is one of the last organs to “fall asleep” and one of the first to “wake up”.
Wintersprite, give it a sleeping pill for its insomnia! LOL! All joking aside, I don't think our organs actually "fall asleep". They still perform their functions while we sleep.
I always wake up to pee after 5 hours of sleep.
I don't drink water before going to bed I still wake up to pee.
I always pee at night depending on my water intake
Thank You..This is eye opening as l was recently diagnosed with sleep apnea when l had a sinus checkup.. l was surprised as I'm thin and l don't snore, yet l do wake up at least 3 to 4 times to pee through the night . So does this mean I'll have a heart attack?. My blood pressure is also on the low side. You explained so much in this video for me to understand what's going on. My profound gratitude ❤
Try doing intermittent fasting. Eat within a 6 hour window. I used to have to pee throughout the night, but when I searched online for help, I found that intermittent fasting helps. Search intermittent fasting on youtube here and do it. You won't regret it. It will completely cure you of frequent urination and you'll sleep like a baby at night. I sleep very well these days.
I wake up every 2 hours to pee. However, I put this down to the 10 or so cups of instant coffee I drink every day.
Yep .. me too 😂only 😊i am with Diet Coke (caffeine free in the evening tho) 😂😂
it's nice to meet you and i DON'T start drinking caffeine any later than 1:47 pm
Nice to meet you too 🎉😂i am simply a Diet Coke addict .. lol love my caffeine 🎉
@@apollonia-avathanks and you make sense
@@apollonia-ava I drink our complements cola. Around 1 glass everyday or so.
Possible reasons why you need to pee at 3 AM: Drinking lot of water right before bedtime, pre-diabetes/diabetes, congestive heart failure, liver problems, circadian rhythm problems, enlarged prostate (for men), overactive bladder for women, kidney stones, apnea (rare)
you mentioned ice cream so I will chime in with elevated blood sugar as a cause for frequent pee breaks. Those who drink beer are already familiar. IOW, it's not just the volume of liquid, but the body trying to get rid of the excess blood sugar, which takes 6-12 hours to settle down. It's slower as you age, even though you may not be diabetic.
Yeah, cutting out sugar seems to be the logical explanation to not peeing all the time. That's what usually does it for me. I can tell if I have a day with tons of sugar, I'm peeing constantly throughout the night and even up until I go to bed. If I go even one day with little or no added sugar, I'm waking up maybe once to pee, if at all. I think people underestimate just how much sugar we consume throughout the course of a day and what affect that has on our urine production. After watching this video, I'm not even sure what this guy was trying to claim as the reason for nighttime urination. I think he was more or less explaining what affects, but not necessarily the cause. Probably because it can be different for everyone and there's no catchall.
@@gatolibero8329 ... also consider that carbs turn to sugar in the blood so that morning bagel and mid-day sandwich are in there too. IOW, not just the coffee cake and cookies.
I started having this problem while I was on a very low carb diet. Which also gave me boils on my skin and the inability to sleep due to high cortisol. I added back in healthy carbs, and can now sleep better than when on low carb, but it seems to have left me with the nasty gift of having to pee nocturnally. It's a royal pain. The mouth taping has helped a lot with my sleep quality, even when I still have to get up 2-3 times to urinate - I can fall back asleep much easier.
Whenever I consumed marijuana via smoke or edibles, I never get up at 3:00am to go pee and I sleep so well.
Why wife noticed that I have symptoms of sleep apnea whenever I do not consume marijuana, and I do get up at 3:00 am every time to go pee.
I wonder if there is any research out there about effects of Marijuana in sleep apnea.
I should do a sleep study with marijuana and without marijuana. That would be interesting results.
Either I drank too much liquid or didn't have enough salt.
If you would stop telling us to drink 3 L of water everyday we wouldn't have to wake up 3:30 in the morning to pee.
Also helps children newborn through 4 years old to stop bothering their parents in the middle of the night.
For those who get confused easy, "Biphasic Sleep" just means taking a nap at some time during the day.
3 AM is the devil’s hour😮 but thank you for posting this video
Not too coincidentally, around 3 AM is when you enter a long period of REM sleep, when you're dreaming, with complete muscle relaxation except for the diaphragm and the eye muscles. But REM is also when you're most likely to stop breathing and have an apnea. This is also the time that people have heart attacks if they have sleep apnea.
I wake up at 3 am so I can see ghosts.😈
This is very helpful. I do have moderate Sleep Apnea going on for 15 years. Also diabetes, high blood pressure, and a "massive" prostate (urologist's comment). I'll pee 4-6 times a night, or more. I'm 69. Thank you for this video.
My husband was getting up 4-6 times a night until he had his prostate reduced (a TURPS operation). He is so much better now.
I wake up at 5am like clock work.
I’ve started having chest pain while I’m laying down while I’m wide awake.
I’m a 44 year old woman , who found out 1 year ago that I’ve got coeliac disease- dunno if this has anything to do with it
I have fibromyalgia aka FMS and 60% of us have hypopnea. At least 90% of us also have a sleep disorder called the alpha-delta sleep anomaly, where alpha waves overlay our delta waves and arouse us. In some cases, like mine, delta sleep is absent entirely. I used a CPAP for 17 years but there was no change in my waking up every 90 minutes. Then a study came out showing CPAP does not help people with FMS very much. All I got from CPAP was a nasty problem with my sinuses on one side that will not go away. I also have edema from a drug I must take, and was told that lying down at night will cause that fluid to go back to my core to be eliminated, so that is one reason why I must pee 3-4 times per night. It makes total sense to me that this would cause earlier death, but researchers keep insisting that FMS does not shorten life span....all very confusing.
Totally agree...I'm the same way, up 1-4 times per night (but I don't get to sleep until 3am!). This has made me make the connection, however, that when I, on occasion, use a very mild THC (marijuana gummy) for bad days/pain, etc., it relaxes my body enough that I sleep through the night. I must eat more of those!!
I'll keep you in my thoughts, Meagie.
@@sleepinglioness5754 - That doesn't help me either but I hope raising the amount works for you.
Thank you for this information! I have both fibromyalgia and sleep apnea and have steadfastly refused to use a CPAP machine. Now I can tell my doctor why.
@@vaska1999 - If you are in the severe category (more than 30 apneas per hour) they still recommend it, since it is so serious. People with Fibro are 10 times more likely to have OSA. If you don't have TMJ, a device that moves your jaw forward while sleeping can help a lot. I've found great improvement by sleeping with the upper half of my body elevated, and only sleeping on my side. I also lost 42 lbs. on the Paleo diet. All of that got me down to 5 apneas per night. So much of dealing with Fibro is a Catch-22. I wish you success.
@@meagiesmuse2334 abbreviations reference?
Well I'm thoroughly scared to go to sleep now appreciate that 😂
My wife went from 80 episodes per hour to less than 1 after starting CPAP therapy .
I have known many people that have had sleep study test or evaluation and every single person was recommended a CPAP machine. CPAP machines for many, have caused other issues.
One thing that I noticed in my 10 years working as a nighttime PSG tech was that most patients, roughly 90 %, had an arousal at 3 AM. We dubbed it 'the 3 AM flip', and it happens regardless of the patients condition.
Please tell me that this isn't because the 3 AM timeslot has been designated as the 'everyone go pee' time.
#SemperGumby
Always Flexible
The bewitching hour!
I wake up at 3 not needing to pee, but to go outside.. fifteen minutes or so, then go back to bed.
Been most of my life, any season. IDK why. But I'm not sleep walking , I'm fully awake and aware.
Got to say Ive encountered odd goings on when all are sleeping out there.. that likely woke me up. Like vibrations underground, light sky where there are no streetlights over a particular direction from my house that's all forest.
Military jets, spray planes, cows "moaning" ,non nocturnal animals on the run. Forest animals that appear scared .. ominous Hums. And frequencies.
I have fibro, so not only can I hear it, but I can feel it and often a smell like an ozone machine.
@@candygarfield1479 Do you smoke? Most smokers wake up and go outside.
Here's my hypothesis: After you fall asleep, your sleep drive goes down (lower adenosine). As you go through your sleep cycles with longer deep sleep periods in the beginning and longer REM periods in the latter part of the night, you get the perfect condition ~ 3 AM where you have much less drowsiness and the longest period of REM, when you're more likely to have an apnea. If you're been making more urine throughout the night, then you'll wake up to pee. I remember one study showing that people wake up due to obstruction and not due to bladder distension.
Agree many people pee at 3:00 am no problem ifyousleep from 8pm then 3/..am you have to pee
I have a liver problem and take medication. So I know why I get up most nights to pee...!
Several years ago, in college, I had this one class, only held in the summer. This nun came in from the mountains of Colorado to teach this class in spirituality. She did this one meditation with the entire class. She took us through this journey to imagine our death. She led us, but did not tell us what to think or see. I've never feared death since that class. I literally have a greater fear of doctors who become too invasive and want me to take shots and pills I'd rather not. I try to take good care of myself, but I do not wish to make my life about living in order to avoid death.
Wow that is amazing!
Tolkien nos enseñó que a la muerte no hay que temerle pero tampoco desearla.
Well said 👍👍👍
Well I don’t fear death but I fear the illness and pain that often precede death. So I listen to those ho know more about medicine than I do.
We are sinners needing a Savior and to be saved by grace through Him. When we stand before the Lord, we will not be able to rely on our own goodness just as any good a criminal does will not be acknowledged in a court of law. We’ve broken the Ten Commandments called “The Moral Law.” Jesus paid our fine upon the cross. In a court of law, the judge can legally let us go if someone else pays our fine. Believing in the Lord Jesus, repenting (which is not a work) of our sins is the most important thing we can do.
Make no mistake, it is written “Do you not know that the unrighteous will not inherit the kingdom of God? Do not be deceived. Neither fornicators, nor idolaters, nor adulterers, nor homosexuals, nor sodomites, nor thieves, nor covetous, nor drunkards, nor revilers, nor extortioners will inherit the kingdom of God. And such were some of you. But you were washed, but you were sanctified, but you were justified in the name of the Lord Jesus and by the Spirit of our God.”
I Corinthians 6:9-11 NKJV
I was diagnosed with severe obstructive sleep apnea. Since using a cpap I rarely get up to pee at night. Before I was getting up many times during the night.
Thank you Dr. park!!!
Thank you so mutch for sharing you information .God bless you. 🙏🏾🙏🏾🙏🏾🤲🤲🤲
Though not mentioned in the title, this video contains a comprehensive yet succinct explanation of sleep apnea, it’s effect on the heart, production of the APN hormone and in turn, it’s effect on the bladder. I’ve never heard this from my own sleep specialist, or in any of the casual online research I’ve done. Thank you for that information!
😮🎉
I asked my own pulmonologist/sleep specialist why sleep apnea goes with nighttime urination. He said because apneas wake us up, and so we think we have to pee. 🙄 Obviously he didn’t know. 😞
@@twokatmewell
it is a very small part of the reason. I think certain sleep stages, (not just lower sleep drive), does suppress conscious awareness of many sensations, including the feeling the you need to pee. So if sleep apnea means you can't stay long in those deep sleep stages were sensory perceptions are muted, you would be more often aware of signals from your bladder that you need to pee. However most is likely due to more urine being made.
Consistent synchronising of the muting and activation of sensation perception with dream states is not precise for everyone. For me it seems neurologically my whole brain doesn't always all wake up at the same time. In my case probably something to do with epilepsy, I am more likely to have seizures in my sleep (or during changes between sleep stages).
Sometimes when I wake in the morning, and I am conscious and aware of my surroundings, not everything is switched back on.
I used to experience sleep paralysis a lot in my twenties, where you wake up, but can't move or talk (call for help or scream lol), for a few minutes. Normally the brain suppresses muscle movement during REM sleep, so you don't act out your dreams... so with sleep paralysis, there is a delay turning this off and you can remain paralysed a short while after you awake. It often happened to me at night likely between sleep cycles, so it was followed by more sleep, rather than first thing in the morning, so it felt like a recurring nightmare, and effected my mood the next day.
For many years even into my 40s my hearing often didn't switch on or was severely dampened until I had my eyes open for a while... so in the morning, I could look and see the electric fan spinning but not hear it..., then all of sudden a short while later start hearing it.
Lastly, and most relevant to this conversation, I can wake up in the morning and be lazing, pleasantly groggy in bed, then a bit later have a desparate urge bad enough to rush to get to the loo out of nowhere, bad enough that sometimes I do not make it in time. During waking hours that sort of urge doesn't normally come without prior warning or sensation of bladder fullness. I suspect it is another example of my brain not waking up all at once, and that sensations from your bladder warning you it is full are also normally suppressed during some stages of sleep. So your sleep doctor is probably right about this being one reason you feel the need to get up and pee during the night.
I had many years in my twenties and thirties were I did not have overt seizures. Now in my fifties I am on a higher dose of anticonvulsants, and rarely get most of these sleep/awake quirks.
The biggest factor though is that more urine is produced because of pressure changes in the chest that occur when you try to breathe against an obstructed airway. I can't remember the exact hormonal mechanism, but the same pressure changes often eventually lead to hypertension (high blood pressure) even when you are awake, as well as kidney problems, pulmonary hypertension and right heart failure, which is why CPAP therapy is life saving.
A high sleep drive, (eg from sleep deprivation), may let you continue to sleep through stimuli that would wake you when your sleep drive isn't as high.
On occaasion my brain has even found a way around that. When I become sick overnight, or I'm in quite a bit of pain, or even have a really full bladder, those sensations sometimes weave themselves into my dreams. In my dream I can have an injury at the location of the pain, that explains the pain without waking me. The first time I remember realising this was as a 7 year old child I had a dream where I had a sore jaw, and woke up with that side of my face swollen from the mumps! Embarassingly, several times as a child and once or twice as an adult, I was going to the toilet in my dream, only to start wetting the bed and abruptly wake when I felt the warm sensation of urine flowing between my legs... woke me because that sensation was incongruent with the dream. So my brain found a way to explain the sensation of a very full bladder by incorporating it into my dream
@@annedymock2850 wow! Thank you for explaining all of this. I have had similar things happen just maybe not to the same degree. Especially, the thing about pain showing up as an injury in my dream. I too have had those urges to pee in my sleep. I’ve even being sitting on the toilet in my dream, but in my dream I couldn’t go or something would distract me. I’m always grateful when I wake up that I didn’t go of course, lol. All of this has given me food for thought. Thanks!
I tried the cpap machine but I started to feel claustrophobic when I had it on. I did the trial test for few months and just couldn't get used to the mask. They need to make better masks that people can feel comfortable using.
An alternate option is a mandibular advancement device. You'll have to see a dentist that specializes in these devices. Good luck!
Interstitial Cystiti (bladder pain syndrome) is probably the reason I have to wake up to pee 2-4 times a night. I tested negative for urinary tract infections. If I don't eat or drink anything after like 7 or 8pm then I usually only wake up 1-2 times a night
Yes, interstitial cystitis can cause nighttime urination, but at least rule out obstructive sleep apnea, since it's such a common disorder. Sleep apnea is also linked to daytime urinary frequency as well, since it irritates the bladder.
@@doctorstevenpark Question: I have started to use mouth tape for the last week. I am no longer waking up during the night for 1-2 hours before falling back asleep as a result so far. However, I am still having to pee 2-3 x per night. I am wondering how long does it take after starting the mouth tape (and improving breathing as a result) to see results with needing to get up during the night to urinate? If it is due to interstitial cystitis, what can be done for that condition to ameliorate frequent urination during the night?
We call it the 3 Pee. Dogs need to and so do I. 69, been doing it for 30 years.
I actually had a hunch about this and am glad I watched this video. I have been tested twice now for sleep apnea but b/c I don't do it enough in the time frame, I have not been diagnosed with it. I had a bought in February where my throat collapsed on itself making me wake up gasping for breath. When I finally could breathe normal after that, almost an hour later I went to the ER b/c my heart rhythm wasn't right. Was diagnosed with AFib. However, had all the tests a heart Dr has you go thru and all were fine. It is very rare that I ever sleep thru the night. I ALWAYS wake up at least once during the night and it's around 2:30/4:30 AM. I use to wake up several times during the night and now it's only once. I atribute that to eating better and not letting stress take over my body like I use to. But I am fearful I will die in my sleep one night, it's always in the back of my mind anyways.
Don't you worry; Jesus will take you to heaven!
I can so relate ! Look up Laryngospasm which I have found as the culprit to my what feels like “near death” experience of gasping for air I have changed my diet significantly and that has helped tremendously! Todays foods are definitely not what they used to be ! For me a Whole Foods diet approach was key to completely eliminating the spasms that would happen without any warning ! Terrifying is the only word that comes to mind!
@@lynngrant3068 Thank you so much! I really appreciate your story and yes, I will look up Laryngospasm.
Thanks for pointing this out. Acid reflux is a common consequence of obstructed breathing. So anything that helps to address acid reflux and slow stomach emptying will help with various throat symptoms including laryngospasm, post-nasal drip, throat clearing and hoarseness. What comes up is not only acid, but also bile, digestive enzymes and bacteria. They've actually found the stomach enzyme pepsin in the sinuses and middle ears, and in the lungs in people with chronic lung disease, along with lipid-laden macrophages.
EXCUSE ME!
We will all die sometime, some day, some year!
Unfortunately it is really hard to convince family members to take their health seriously.
God bless and thank you doctor for such clear and smooth fear relieving diagnostic...
Mystery of a common problem explained superbly. Great.
Duh... how about drinking too much beer.
Stop drinking an hour or more before bed.
You’ll need to go before bed, and you will be able to make it through the night without a problem.
Also, the first thing to do in the morning is drink “ 500 ml of water”, becuase your body will be dehydrated.
Obviously.....just not drinking water....does not work for many many people....glad it worked for you.
Thank you Dr! You are a genius! Why aren’t my doctors at Northwestern (Chicago) this smart?? Thank you! New sub. Will watch all your videos.
I noticed that I wake up at 3 AM, not necessarily to urinate. I am going to be studying and considering what you are teaching. Thank you for the surprising and fascinating video.
When I was providing elderly care for my 90+ year old Mother who had broken her hip, I realized that she would do an allergy cough, a string of several sneezes, about five hours after eating cheese or ice cream. It is the same for me. It is a moderate allergy to dairy. When I am careful to not each dairy for a day, I apparently do not awake at 5 am. That is not enough experience to be certain. Maybe it is helpful.
Interesting. I wet the bed when I was young and my parents rented a device. It was a heavy rubber Matt with sensors in it that went under the fitted sheet. If it got went a very loud buzzer went off that woke me. After a couple of weeks I no longer wet the bed.
Are there advantages/disadvantages to the sleeping position (on back, on side, on stomach)?
If you lay on your stomach your weight is on your chest which will cause very shallow breathing and low oxygen availability. This is why its bad for babies. Arms under the upper chest helps. On your back it creates tension across your diaphragm, and your chest weight has to rise against gravity once again causing shallow breathing, and apnea. For full chest expansion your side is better as expansion is not constricted so you can breath deeply for easy full lung oxygen tissue utilization backing up bodily function. Much easier if you are lean by eating only whole foods. Weight is your enemy here.
@@DavidRose-m8s I have always had sinus issues, allergies etc. I have never been able to sleep on my back. Belly or side, as I get older side is more comfy. 🤔🤓🍻
@@alsaunders7805 I am over 60 now myself and carry one copy of the cystic fibrosis gene. Phlegm and sinus issues have haunted me till I cut out High Glycemic foods. So much better now.
25/5/23 Thank you for the very necerrary video Well presented new thing to seriously consider Peace
I was diagnosed with both obstructive and central sleep apnea years ago. My CPAP was a life saver, literally. I noticed when I fell asleep and forget to put it on or somehow winds up off while I'm sleeping I will get up to pee, otherwise I sleep soundly throughout the night; that always puzzled me.
You should see if you can get a machines that sends off an alarm when your mask is off. Its not good that it comes off. My friends father died because his came off. So please check into it. Id hate for this to happen to anyone if it is preventable. God Bless!
@@karenackerman7751I don't know a CPAP machine that does that.
I wake to pee every two hours or so because I drink water before bed. Not everyone has a illness. It literally is something I am doing to myself. My husband was in the military and he told me that that is how they wake themselves up to stand watch. We have a puppy and if I don't get up to pee around three am I will have a puddle in the floor as she will pee right next to the piddle pad not on it. So I am saving myself work.
Yes, as with many of other commenters, drinking water or alcohol before bedtime will definitely raise your chances of waking up to pee at night, but many people know this already, but still wake up to urinate even if they stop drinking close to bedtime. I describe why this happens in this video.
I definitely do not have sleep apnea. I drink a lot of water before bed and throughout the day. I get up at least once or twice nightly.
No mention of your age, which is a factor - Aging decreases the amount of the anti-diuretic hormone, so it is easier for younger adults to sleep through the night, and the first morning pee will be condensed and darker;
I get up 2 - 4 times, but that could be because I drink coffee. I think I was getting up once when I was younger. But I am not happy about this as I don't feel refreshed. I also have noisy neighbours and a noisy street so that doesn't help either.
Thank you, Dr Park, very enlightening for Sleep Apena - conversation with one's Dr. Well Done 🌟🌟🌟🌟🌟
Interesting. I'm a 49 year old female and I've woken up every 2 hours to pee for my entire adult life. The sleep study ruled out sleep apnea and I don't snore.
You don't have to have sleep apnea to have significant obstructed breathing. This is called upper airway resistance syndrome. For example, you can stop breathing 25 times an hour and not have sleep apnea. This is because the threshold for an apnea is 10 seconds or longer. So if you stop breathing 25 times every hour for 9 seconds each, your score on a sleep study is 0. But each time you stop breathing, your heart muscle gets stretched, producing atrial natriuretic peptide, which goes to the kidneys to make more urine.
I have a cpap and I still get up at night. Even though I restrict liquids in the hour or so before bed.
Me, too but only for about the last 5 years. What a pain, but I know if I don't get up I'm not going back to sleep.
3am would depend on what time you go to sleep. I'm usually still awake at 3am. In fact it's 3:12 right now.
You have just described me! I am a 78 year old male andI was diagnosed with Sleep Apnea 10 years ago.....I have been on C-Pap since. I went from 3 to 5 times to rarely having to get up to urinate. I do not remember what times I got up.....but every 90 minutes sounds about right. For the record, my sleep study showed that I averaged 90 events per hour lasting more than 10 seconds with some events lasting as long as 90 seconds. When they told me those results, I was floored! Great video that I know will help many!
Good for you getting past the CPAP challenges and sounds like successfully treating your sleep apnea! You have saved your life! I have also been learning that my diet causing GERD could actually be contributing to my sleep apnea as well ! It totally all makes sense to me now! Dr. Janice Kaufman is the author. Fantastic research if anyone is interested!
A friend checked his vitamin D3 level, it was low, started taking Vitamin D3. And now whenever he wakes up to go to toilet, he easily goes back to sleep.
Thanks! Vitamin D is an important thing to address, since it's actually a hormone. It helps with sleep in general, as as well sleep apnea to some degree. I'm currently working on a video on the multiple health benefits of vitamin D.
I used to drink 3-4 12 oz coffees a day for many years. I was also waking up 2-3x a night to pee. I tried not drinking coffee past 2 or 3 and no water after 7 but it didn't change much. I never thought coffee affected me but a couple of weeks ago I quit cold turkey and started sleeping through the night most nights.
Does it help to drink decaffinated coffee? I drink about 2-3 12 oz regular coffee in the morning and if I drink in the evening, I would either drink the (regular) coffee early in the evening like around 6-7 pm at the latest; or drink decaffinated coffee anytime in evening. This approach seems to help me feel better before/when sleeping. Also, I notice that it's important to drink aklaine (e.g. lemon with water) to balance out the acidity from coffee.
I drink 2 to 3 pots of coffee a day, which is over 200 oz's of coffee a day and have no such problem. It causes me to urinate quickly after finishing a few cups, but definitely not hours afterwards. Caffeine effects some differently obviously, but regardless caffeine isn't going to effect a regular coffee drinker much more than 4 or 5 hours after your last cup. And if you've replaced the caffeine you got from coffee with something else I can almost guarantee coffee in and of itself was a not factor in your night time urination or trouble sleeping. Everyone's different, can't say that enough, but coffee helps me sleep thanks to the crash. I'm also a lifelong insomniac.
@@devincurrie4145 ITS BEST TO HAVE YOUR COFFEE AT AROUND 9:00 OR 10:00, WA5CH DR. BERG'S VIDEO ON THIS.
@@Saldivinorum Your "almost guarantee is hilarious. It worked bro, that's proof enough or me. Your results are not my results. Don't generalize.
@@Saldivinorum Jesus dude. How are you still alive? 😐
Not eating 3-4h before bed is an easy thing to try.
The main reason is "When you gotta go you gotta go" .
Not so - after a lifetime of waking up at night to pee, I decided to train myself to stay asleep, and now I sleep through every night. Oh and I’m an 80 year old woman 😊
@@sarah2go Congratulations but us, insomniacs, would very much like to know how you achieve this great feat.
It's 3:22 a.m. and I'm watching this 🤦
From 1 AM to 3 AM it's the liver-time, from 5 AM to 7 AM it's the colon-time. So waking up at 3 AM you should take your tablespoon (= 15 ml) castor oil in order to cleanse your liver in an optimal manner, later it will be the correct time for the large intestine to get activated by the ricinoleic acid.
sleep aptiea can also be caused by low iodine levels. all glands will swell if there is not sufficient iodine in the glands. there are glands in the back of the throat called atnoid glands, and your tonsils. they swell when displaced with fluoried or bromine then when you relax they restrict your air way. I had this situation.
The problem is complex. Fluoride, Bromide, and Iodine are called Halogen elements and are in the same columb in the periodic chart and have similar behavviors.
the Body wants and needs iodine for its glands, all of them. the entire endocrine system needs iodine, so very importand for your body to function. Today's American diet is extremely sparce in iodine typically. the body can not make it.
So the body gets very low in iodine.
but the food industry had presented fluoride and bromine in plenty. these elements will fit in to the iodine receptors and keep the glands functional but sickly causing the endocrine system to function really bad. hormones will be made too late at the wrong amount or not at all. This is basically the cause of so many American illnesses from diabetes, insomnia, snoring, ovarian cists, painful breasts, erection disfunction, weight gain, brain fog even will bring on cancer.
What you have to do is take 12.5 mg of iodine daily and stop using fluoride toothpaste and stop eating bread. you must also supplement with selenium with the iodine.
The food industry started putting potassium bromate in flour, with the FDA approval in the 1980s. Terrible stuff. American bread is illegal everywhere else in the world. This is the why Americans can be pegged in an international crowd by their wide adomins. fatty livers.
I speak the truth, I hope you look into this further and take action.
I’m 70 years old. I don’t indulge too much in tea or coffee. I am non alcoholic. I drink only moderate amounts of fluids during the day time, none before going to bed. I do not eat dinner too. I had a bypass surgery recently but I’ve recovered very well and am following a strict regime of diet and exercise. I’m also not fat, yet I have these peeing interruptions of sleep during the night. The bladder pressure wakes me up at 11.30 p.m. and 2.30 a.m. (+/- 30 mins). These waking episodes started only after the bypass surgery, before that I never woke up to pee in the middle of night.
You literally diagnosed me from home thank you.
While I consider myself a candidate for several potential reasons for urination during the night, I figured with my advanced age it was probably prostate related. I have tried eating at least 4 hours before sleep and limiting my fluid intake. Both of those helped but I was still waking at 3 a.m., even if I didn't have to urgently urinate. Thanks to this video I will explore sleep apnea as a potential cause. I would imagine sleeping on my side aggravates this condition. Never had it until I reached about 50-60 years old.
Side sleeping is actually the best position for sleep apnea. Sleeping on your back can cause snoring and sleeping on your stomach can cause neck problems.
that’s why our parents told us not to drink a lot before bed.
@Just Peachy CUT OUT CARBS AND SUGARS, #1 FOODS FOR ANY CANCER CELLS AND TUMORS IN YOUR BODY.
Ask your primary care doctor to refer you to a sleep medicine doctor who will order the sleep study. I hope you can get some answers.
Dude your just getting old. I’m 61 and have to get up at least once with age. Drink to much too late and maybe 3 times in one night.
My husband wakes me up 😑😒. When i slept alone, I slept all night… 😊
I have read the 3am wake is spiritual 🙏
So you pray while you pee? Do you believe everything you hear?
Thanks for scaring me now to not want to go to sleep! 😮
I've been complaining about waking up at 2:30am and 5:30am every night. I think it has affected my ability to fight off infections. I used to use a CPAP but stopped after I had sinus surgery. I use a sleep app and noticed that I am not snoring very often, but maybe once or twice a night, shortly before I am woken up. I am notorious about eating too close to bedtime. I really appreciate this video. I'm going to change my eating habits first. If that doesn't help, then I am going to drag out the CPAP and start using it again.
My husband has sleep apnoea. I sleep in a separate room as the snoring is so loud and i still hear it in the next room, so I don't really have a sleep cycle as I just grab sleep when I can. Interesting I survive on about 6 hours sleep a night, he gets about 10 hours and Is tired all the time. Hopefully he will get an appointment at the sleep clinic soon. I am rarely tired during the day thank goodness☺☺
This happens to me almost every night, but I thought it was something supernatural--lol. No need for an exorcist now! 😂