Overactive Bladder At Night

It’s great.  You’re in a deep relaxing asleep.  You are dreaming sweet thoughts. Suddenly, that tingling sensation awakens you and you know you must get to the toilette, or your morning will include loads of laundry… lots of laundry.  

 So, you contact your physician (good idea) and say, “The detrusor muscles in my bladder wall are contracting spasmodically, can we discuss this in the near future?” Wow, you get right to the point!  Of course, you could say, “Frequent trips to the bathroom at night, some urgent, are interrupting my sleep, what should I do?”  Or, “Hey, what’s going on! I need to get up at night with an urgent need to pee. I hate laundry and the only person I want to pee on is a politician.” 

If you need to urinate more than one time while sleeping, you may have an overactive bladder at night. Nocturia, or nocturnal polyuria, is the medical term for frequent urination during the night.  Nocturia is not uncommon, especially as you age and it is possible to have nocturia along with overactive bladder at night.  “Overactive bladder" or "spastic bladder" is an involuntary loss of urine that by definition occurs when “involuntary leakage is accompanied by or immediately preceded by urgency.” A more clinical term used to describe the condition is “Urge Incontinence.”

The muscles that make up the walls of the bladder are arranged in a very efficient way to hold urine in the bladder and contract when necessary to empty the bladder. These muscles of the bladder work in concert with the trigonal muscles at the bladder neck and the striated slow-twitch fiber muscles of urogenital sphincter of the urethra. 

Understanding the causes of for overactive bladder and how the muscles respond will help you understand your situation and your solution to your overactive bladder at night.  So, you should consult your physician because some forms of incontinence can be the outcome of neurological or muscle tissue damage.

Birthing and surgery can damage the prudential nerve which can release the natural tension in pelvic floor muscle tissues. Atrophied muscles can contract spasmodically (cramp) while sleeping causing you to suffer from an overactive bladder at night. 

Often, you will learn in conversation with your physician, muscle re-education is perhaps the most efficient path to successful control of your leakage. Dr. Kegel, for whom the exercises are named observed, “sexual feeling within the vagina is closely related to muscle tone, and can be improved through muscle education and resistance exercise.”

Most women think of sexual performance when they hear Kegels. This is true because the muscles that contract in orgasm are those same pelvic floor muscles that are strained or lose their tone often causing urge, stress or mixed incontinence.

Women from college age (particularly athletes in high impact sports), young post-partum mothers to mature active women experience occasional to frequent urine leakage are often advised to try Kegel exercises.

Unfortunately, most women who try to tone their pelvic floor muscles with Kegel exercises find it difficult to determine if they have performed the exercise correctly. As with any exercise, the benefit gained from the exercise is significantly diminished if the Kegel exercise protocol is poorly executed. 

When we exercise naturally, our mind sends a mild electrical impulse to the muscles to work. Electroceutical Muscle Stim differs only in that a device communicates the exact correct instructions to your muscles through your skin. 

In as little as 20 min a day you can have a comfortable clinically proven effective work-out with an FDA Cleared Electroceutical.  For more on Electroceuticals, see Yarlap, FDA Cleared and the first of its type for personal use for that “in and up feeling” for effective muscle tone. Plus, the Yarlap® has three pre-set clinically proven programs for pelvic floor muscle massage.

The Yarlap® does all the work for you and allows you to be doing something else, like watching television while working out! You should start to see results in as little as two to three weeks, but outcomes vary from person to person.