Chronic nocturia: Advice?
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Hey, I've been experiencing nocturia for a few years now. I wake up around 1-5 times a night (average 2) to urinate. I was previously hypothyroid due to a low salt low carb diet, and cured that by following a lot of peats principles, and knowledge gained from the forum.
Fixing my thyroid didn't seem to have an effect on this issue though. I get extremely dehydrated through the night with dry eyes, sore throat, peeling skin occasionally and it all immediately goes away after drinking/eating in the morning. If anyone has any advice I'd appreciate it.
Things I have tried to no avail:
Salt tablets before bed
White sugar/honey before bed
Ceasing liquid consumption up to 4 hours before bedI'm 16 and weigh 78kg (171lbs)
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I think cortisol plays a role, so anything that lowers it may help.
If you've ever tried cyproheptadine, you know what I mean. Higher doses completely knock me out and I can sleep for 10 hours.
Taurine before bed induces deeper sleep (and vivid dreams) and consequently I wake up less during the night.
Glycine in higher doses (10g+) is worth trying also. It increases water retention when I take it but also helps sleep.
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@revenant Great, thankyou. I have pure taurine powder that I usually put in my coffee in the morning, I'll have that at night instead with some gelatine for the glycine and see how I do.
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@mavuue My experience would say adrenaline is too high. Salt is the first to try. When I was very ill I used several grams spread over the day, so it may be difficult to pinpoint the amount you need. I've found T3 to be better for adrenaline, but perhaps you don't have access to that, and it is prudent to cover the basics first.
How much salt do you get in a day? How much coffee do you drink? How many carbs do you get in a day and from what?
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Were you peeing a lot, meaning from a full bladder, enough to fill a cup or more each time?
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@NotShanalotte I salt every meal I have, thoroughly. I drink 6g instant coffee every morning and occasionally 200mg in caffeine tabs, carbs are 300-500 ED, 50% fruit, 20% root veg, 20% honey 10% dairy sugars.
@yerrag Yes, felt like I got rid of all the liquids I had consumed on the day before the night, leaving me very dehydrated.
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@mavuue Considering you're peeing out a ton of liquid, I'd say even more salt, or try something like cyproheptadine or diphenhydramine to see if serotonin is more the issue. My wife had a similar issue and between the antihistamines and salt, things worked out. In any case, the idea would be to get things under control and not necessarily use anything long-term.
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I had peed a lot also, waking up every hour of my sleep. But I never got to feel dehydrated nor felt my throat soar.
Have you taped your mouth to see if you would lose the feeling of dehydration sleeping with an open mouth?
You said you fixed your thyroid, or did you mean you took T3 and felt better? But is your thyroid really fixed?
Maybe you are still hypothyroid, and your low CO2 makes you sleep with an open mouth, and that makes your mouth dry and throat soar?
And all these are separate issues from your frequent high volume urination, which is already a separate discussion.
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@yerrag I used to have high TSH, low t3 t4, now all in the average range.
The sore throat is just one symptom of dehydration, my eyes get extremely dry too and I desperately crave liquids as soon as I wake up. I am almost certain I don't breathe through my mouth at night, however I can try the tape and see.
@NotShanalotte Yesterday I went all in on the salt, a few grams at every feeding, I did not wake up at night to use the bathroom!! Which is great, though I have to try again today because I was sleeping in a different bed than I usually do. I still felt dehydrated on awakening and my urine was extremely dark in color this morning. I can also feel the water retention, slightly heavier today.
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@mavuue It can take up to a week for the kidneys to adapt to the different salt levels. If need be, note the amounts you had before and after my advice, and escalate towards the higher value to make the transition easier.
