How many times do you go to the
bathroom, at night, to pee? If it’s more than one, this may be a big deal. Nocturia, (“Noct-” meaning night, and “urea” meaning urination)
In fact, it’s (believe it or not) a significant issue for your health and
we’re going to talk about that too in this video. This is from the Sleep Apnea
Organization, American Sleep Apnea Association (ASAA) I’ll put a link under
the video, but this is an interesting article regarding this issue. Night time urination is so prevalent in sleep apnea patients, it’s becoming
– become a screening tool. In fact, one of the top screening tools for it. One study
showed that over 84% of patients with sleep apnea reported
frequent nighttime urination; 82% of those acknowledged snoring; How many
bathroom trips do you make per night? If it’s more – 1 is normal but if it’s
more than that, more than twice, you really need to start thinking about this.
I have sleep disorder breathing or sleep apnea and – and and it is obstructive and
I’ve – I don’t think I’ve ever gone six times per night but I tend to go three
or four. Now people assume that this disruption of sleep and having a small
bladder is what causes the trip to the bathroom. In fact, most of these – these
people that are presenting with this usually end up going to the gynecologist
(if it’s a woman) or to the urologist (if it’s a man) and it oft- and if the – they may
find something else going on and it goes down that path. Now, sleep researchers
know that nocturia is a sign of sleep apnea because of underlying mechanisms linking the two. Nocturia can be defined as awakening from sleep to voluntary
urinate and that’s different from urinating during your sleep which
would be enuresis. Again, a little bit different term and a different issue. How
does sleep apnea cause nocturia? Well, it – during these episodes of sleep apnea, the
soft structures in the throat relax. They close off the airway that sets into
motion a chain of physiological events, the oxygen decreases, carbon dioxide
increases, the blood becomes more acidic, heart rate drops, blood vessels in the
lung constrict, the body’s alerted that there’s something wrong. The sleeper has
to wake up enough to reopen the airway. By this time, you’re starting to get the
harsh heart racing. There’s catecholamines, adrenaline. Catecholamines are the adrenaline fight-or-flight type of hormones. Those part of the hormones. Some of the hormones that are excreted or cause the body to urinate more. So you actually do get a diuresis. Diuresis
means a physiologic increase in urination. You get a diuresis from these
hormones. Now, the good news is that people with nocturia – once they get treated and get on CPAP or a device, start having a much better
experience including decreased trips to the bathroom. So if you’re going to the
bathroom a lot, you get this checked out, Now, skeptical about that impact of
hormone release? Well, let’s just look at that for a second. This is a pic
associated just with the impact of good sleep on hormones. They help influence
your – good sleep helps influence hunger hormones; it decreases it; it
affects the hormone that affects fat storage. Youth – Juventud (J-U or Juventud) that’s a word that you see Valter Longo use a lot in his aging research. What we’re trying – what they’re trying to do is improve and
prolong the episodes of our lives or the stage of our life when we are youthful,
instead of trying to fight one old AIDS disease at a time. Sleep impacts stress
hormones. So, again, that’s all about sleep. That’s – that’s not about actual sleep
apnea. Sleep apnea is different and it has a significant worse effect, as we
mentioned. You get decreased parasympathetic activity. Parasympathetic is the opposite of sympathetic. It helps you slow down, sleep, and relax; you get
increased our heart rate; you get arousal; Sympathetic – increased sympathetic
activity, again, the fight-or-flight principles, The catecholamines that I
mentioned before include increased blood pressure, reduced arterial oxygen,
increased arterial carbon dioxide, high blood pressure, atherosclerosis,
myocardial ischemia, left ventricular hypertrophy, left ventricular dysfunction –
meaning significant remodeling and impact of these – this issue, chronically,
on the major pump function of the heart. Cardiac arrhythmias, like atrial fib,
oxidative stress, inflammation, and endothelial dysfunction. You ever heard
of anything like that on this channel? So, again, you got cute pictures – most people
don’t think it’s a big deal, think again. Thank you very much for your

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