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About urine
Doctor, I’ve been dealing with a distressing issue that I’m struggling to understand, and I’m not sure if it’s physical or psychological. As an adult, I am experiencing involuntary bedwetting whenever I fall asleep at night. For some reason, my brain just doesn't get the message about urine at night, and I don't feel the sensation of needing to urinate while I'm sleeping. Because of this, I've developed a strong anxiety around bedtime, and I actively try to stay awake at night to avoid sleeping just so it won't happen. It's affecting me every single day, and I'd like to figure out what might be causing this—whether it's an underlying physical condition with my bladder, nerves, or sleep, or if it's connected to stress—and what we can do to treat it.
Answers (7)
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Leaking urine without waking up is called nocturnal enuresis. In an adult, it usually means your bladder fills faster than normal at night, or your brain isn't waking fully to the sensation, rather than anything wrong with your kidneys. The anxiety you're feeling about it can make your sleep lighter and the problem feel worse, not better.
Next Steps
Please see a gynaecologist or urologist for a bladder and pelvic floor check. They may ask for a bladder diary, a urine test, and sometimes a sleep review, since poor sleep depth and nighttime urine production both play a role. Limiting fluids a few hours before bed can help meanwhile.
Health Tips
Try not to force yourself to stay awake to prevent it. That disrupts your sleep further and won't fix the underlying cause.
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