HOW MANY TIMES IS NORMAL TO WAKE UP AT NIGHT TO PEE? | NOCTURIA SYMPTOMS

Nocturia means a condition in which you are waking up in the middle of the night to pee or to urinate. Have you ever asked yourself the question why should you wake up in the middle of your sleep at night for nothing else but to urinate? Well, here you shall get what precisely the reasons are for waking up at night just to pass urine. 

Nocturia is defined as getting up more than once throughout the night for no other task but to pass urine, except urinating soon before going to bed or just after waking up in the morning. Regardless of this terminology, it seems quite distressing for many people to face sleep disorders especially to get up from their bed for nothing else but to urinate in the middle of their sleep merely once at night. Why do you wake up mid-sleep at night? Is it due to passing urine or it is something else that you are up and then afterward you decide to go to the toilet to urinate? There is a lot of difference between the two acts. In case your nighttime wakeup call is for something different and since after waking up you were doing something else but meanwhile after some time you go to the toilet to urinate. If this is the case then you should analyze your sleeping pattern and figure out why you can't sleep soundly at night. Peaceful sleep is quite essential for your urologic well-being as well as your overall well-being and various other aspects of your health conditions. (@ chhanno blogspot com 23012022).

If you find yourself waking up multiple times a night for the sole purpose of peeing at night, you should consider why this is occurring to you. It may very well be due to the reason that your bladder has shrunk and that’s why you can keep a smaller quantity of pee in your bladder during the night, or it could be due to a series of further factors. It might be because your bladder is hyperactive, and before it is full, it sends signals of fullness to your brain, causing you to feel the need to go to the bathroom and urinate. There are several reasons for peeing too many times at night. Aside from hyperactive bladder, this can also occur due to a hypertrophied prostate gland which hinders the flow of urine and thus develops a more hyper-bladder. In ladies, a sling around the urethra they have had in a medical procedure may induce narrowing of the urethra which your body interprets as a blockage of urine flow. It might also be related to a neurologic ailment, or due to old age, and other elements which may be responsible for the activeness of your bladder. The take-home is anything that is causing your bladder excessively active your first obligation is to address that cause before doing something else. 

There might be another reason why your bladder's compliance has altered. When the bladder fills it has a balloon-like expansion. It simply expands and increases in size without getting excessively great pressure. However, if you've had some kind of nerve damage or radiotherapy, it might modify bladder performance or responsiveness which makes it less flexible and it contains less pee. Another factor is an excessive amount of urine that can wake you up in the middle of the night. Strangely enough, the reason behind that is that beyond 65 years of age, around 30 percent of urine is produced at night. So, beyond the age of 65, the majority of people wake up ordinarily at least one time throughout the night, which is within the standard cutoff thresholds.

The increased peeing alot at night may be due to age-related changes or it may be an indication of certain ailments such as high blood sugar and polyuria, in which you take excessive amounts of water during the daytime due to abnormal performance of hormone system associated with thirstiness regulators. Clinical treatment can be used to address these conditions if you contact a specialist or a primary healthcare physician. In case you suffer from edema or swelling of your legs and feet due to conditions such as congestive cardiovascular disease and vein problems, that fluid can be triggered when you lie down, and thus the volume of your urine increases.  (@ chhanno blogspot com 23012022).

A disruption in your sleep is something that lists at the last due to which you may be making you wake up to pass urine at midnight. A discontinuity of sleep is most commonly due to obstructive sleep apnea (OSA) which may trigger urinary indications. If you do not feel fresh and relaxed in the mornings following a full night’s sleep, it also is an indication of OSA. Your spouse or someone else sharing the room with you may have observed that sometimes you stop breathing during sleep and after a while, making some noise or snoring, you fall back again to normal sleep. This condition is a possible indicator of having OSA. In case the circumference of your neck is larger than normal that can also be an indicator of OSA. As a result, if you believe you're waking up too much at night, don't feel rested at night, or in your opinion, have similar issues the best advice for you is to see a urologist or discuss your problems with your main health care provider. 

Finally, there are some final thoughts. If you are old enough or have disability challenges to moving like reaching the toilet, your greatest dread is falling while going to the toilet at night in the dark. So there must be some precautionary measures to safeguard your safety when using the restroom. You may set up and use the lamps which switch on when sensing a motion around. It can save you to switch the lamps on and trip over anything you did not notice. Furthermore, a urinal or a commode may also be used near your bed to save you from too much walking from your bed to the toilet. Also, please be certain that nothing is on the way between your bed and the toilet or commode and that it is clear of any obstacles. Before you finally lie down to sleep please practically take the few steps between the way from your bed to the toilet and ensure that the way is quite clear of any obstacle so that you may not stumble over or hit anything later at night. 

OK, God bless you and please take care everywhere and always. 

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@   https://www.chhanno.com/2022/03/what-is-nocturia-how-to-avoid-nocturia.html

(Updated on 25-03-2023)

COMMON MEN VS UROLOGISTS | MISCONCEPTIONS ABOUT HUMAN ANATOMY AND FACTS

A few people either do not know about men anatomy or pretend to. So they comment ignorantly or jokingly about female and male human anatomy. Sometimes people also start believing these comments as true. Here is a write-up about such incorrect concepts concerning urology which have been clarified and elaborated on by a urologist for men. You are requested please to read the following misconceptions and their clarifications a little bit humorously. 

The first comment refers to "there are three methods of passing urine: a sprinkler, a wetter, and a jet stream". Indeed, people study in medical science the methods of urinating to assess or diagnose a patient’s condition especially when he goes to see a physician. In case you have a problem with passing urine, you may be subjected to a test called uroflowmetry. Uroflowmetry, also known as a uroflow test, analyses the flow and force of your urine stream while you're urinating. It is a simple, painless urine test used to diagnose symptoms such as urinary incontinence or discomfort during urination. A small gadget is used to accomplish this test. There is a can at the top of this gadget into which the patient urinates. The gadget detects how quickly the can is filled with urine. The quantity of urine in the can is measured by time which allows for creating a graph of the quantity of urine versus time. There are generally three types of graphs indicating the flow of urine. The first one is known as a graph of a bell curve. It demonstrates typical urination, wherein it begins gradually, then quickens up, and finally stops with a sluggish stream. The next is a plateau curve graph of urine flow.  (@ chhanno blogspot com 13012022) 

This curve indicates a uniform stream during urinating from start to end and suggests a hindrance in the flow of urine stream due to some issue, or the bladder muscles are not fully capable to squeeze and void the bladder. Although it's not evident what may be the actual cause, surely there is some issue over there. 

A staccato graph is another type of graph we could encounter occasionally. It fluctuates from higher to lower points in the graph repeatedly and this might be due to a bladder issue or a blockage in the urethra causing slow urine flow, or maybe you are repeatedly pressing pelvic muscles and causing short bursts of the urine stream. All of these signs point to a problem with your urinary tract, which is required to be investigated. It might be due to an obstruction, a prostate enlargement, or something wrong with the bladder functions. 

The second comment says; "The prostate is situated in the knee as it is the highest degree sign of prostate cancer". A man’s ketch clutching his knee was shown in support". For many people, this gland is a somewhat perplexing organ. Dr. Mike prepared a film on this organ. He enquired several passersby on the road whether they have any information about this organ called the prostate and where it located is, what its functions are etc. A vast proportion of individuals were unaware. So here are some facts concerning this specific organ called the prostate. Well, its size is equal to walnut and it also resembles a walnut in shape. It is located just below the bladder where the urethra starts and there it encircles the urethra which means that the urethra passes through it. You may be well aware of the urethra which is a tube through which we urinate. It’s a male organ with a specific purpose. Many individuals sometimes think that their prostate has gone bigger thus creating urinary issues or cancer; however, the prostate does fulfill several specified duties. It truly produces a liquid that is expelled during ejaculation. It accounts for roughly thirty percent of the liquid that is expelled during one ejaculation. This liquid, which comprises a few enzymes, citric acid, or zinc, facilitates sperm movement. It aids in the survival of sperms in a variety of unusual environments, particularly at the moment it makes an entrance to the uterus and beyond in a female. The nature of the genital organs of a female is somewhat acid based while the properties of semen or male emission are either an alkali or a base. As a result, that environment is not harmful to the sperm. Moreover, the prostate produces an enzyme, which is an antigen that is specific to the prostate only, and it dilutes the sperm due to which it may go more easily and fast through the uterus or the ovary of females, such as the ovum, to get the female pregnant when necessary. At the time of male discharge, the prostate gland squeezes and it not only expels seminal liquid out rapidly but at the same time it stops the flow of urine to come out of the bladder and mix up with the semen which might be harmful to the sperm. 

The third comment is; "Penile length can be expanded by eating dates and bananas". Let's check if it is true or false. Generally, when you are a fully grown-up man your penile size seldom varies. Several factors play their role to contribute keep the penile size constant. For example, having a typically erect penis in the morning time after waking up has a role to keep penile size unchanged. Similarly, continuous and healthy blood streams in the penile veins can help avoid its shrinking. Thus, nothing can transform it larger. Those who say that these fruits are beneficial receive their motivation from Google, which claims that dates are good for your health and sexual well-being. Actually, according to medical papers, people have done surveys on date palm powder to assess its influence on sexual performance both in humans and animals. They conducted a few modest clinical trials on humans. They investigated 25 infertile guys who could not have a conception for a full year. These guys took 500 mg of date palm powder daily divided into two doses and then analyzed it for any improvement. It was observed that the sperm qualities, testosterone levels, and libido all showed considerable improvement. It may have boosted the conceivability of these guys, but their live birth rates or their amount of libido change was not analyzed and then it was discovered that they had got an improved libido out of nowhere. In actuality, it's a short research and the participant males were apparently in good health and were evaluated and believed to have everything OK. There are also no large-scale statistics available for analyzing whether it genuinely benefits those who take it regularly. Nonetheless, if you enjoy dates, you are welcome to consume them. So far as powdered dates palm is concerned it may be beneficial, however, you must ensure that it is obtained from a reputable source because there are no laws governing supplements available in stores without a prescription. 

The next fruit commented upon was bananas. It was commented that “bananas make a healthy heart, and that a healthy heart leads to enhance penile size”. The reality is that a healthy heart is extremely essential to run a healthy life. Most significantly, having physically fit with excellent body weight, it’s most likely that the fat on your tummy and pubic area is lesser making your penis appear comparatively much larger than it is in reality. Contrary to that if you are obese, more fat will be there in the male human body and pubic area, and thereby the penis below will appear to be smaller in size. Another explanation for this may be that when you have a healthy heart you may be eating too many fresh and organic foods, and you may be refraining from eating processed foods and fatty meats and a variety of other such eatables which may be responsible for your fitness and well-being. All shortcomings in these factors influence disorders such as high blood pressure, high blood sugar, and heart problems as well as alterations in angiography or erection ability. In case the erections do not remain the same as previously said, you may have some penis shortening. Maintaining usual erections and experiencing nighttime or morning time erection is an indication that helps maintain or keep a constant penile size and length. Thus, having a problem-free heart is usually significant for penile functions. 

There are three more different fruits that people point out to be beneficial to sexual well-being. One fascinating fruit was the watermelon. It contains an amino acid known as Citrulline that changes to Arginine or explicitly L-Arginine which enhances a compound called Nitric Oxide which is essential for penile erection. In reality, an erection cannot be obtained without it. Watermelon appears to assist it hypothetically, but there aren’t enough individual surveys to back it up. However, one thing is clear, it significantly enhances Arginine. A study was done on adults and the participants in this study were segregated into two categories. One was asked to drink 3 cups juice of watermelon daily while the second category was asked to drink 6 cups of juice. After three weeks of taking this juice, it was observed that the level of their Arginine has increased by 12 % for category-one participants and 22 % for the second-category participants. Thus, without a question, it could enhance Nitric Oxide, but it's unclear whether it would also help with further enhancing one's sexual abilities or erections. (@ chhanno blogspot com 13012022) 

Pomegranate is included in the list as well. It contains anti-oxidative agents that increase the absorption of Nitric Oxide. Again, while it may potentially play its role to improve erections, certain research surveys have shown that it does not. As a result, pomegranate may not be as effective as considered. 

The final fruit is called the avocado. It contains a particular fat molecule. It can help with infertility or improve sperm parameters. Avocado may be effective in improving sperm qualities if you are experiencing reproductive concerns. There isn't much research on this topic, but if an avocado is your favorite, you could find it useful. 

"Passing urine shrinks it, so, despite not giving up coffee, how can I keep a large one?" said another comment. This comment was posted in a topic captioned "avoid foolish queries," thus we saw no foolish queries in that thread!!! Whoever made this statement was either trying to be funny or thinking that because coffee increases the quantity of pee, it may enhance penile size. Here it just requires some clarification and it is that urine is produced in the organs called kidneys which are located on the left and right flanks of the back spine below the ribs. They separate urine from the blood. The urine then goes into the bladder via the ureters, which are two small tubes used to empty the kidneys. Men urine doesn’t increase the size of the penis or make it larger. In actuality, coffee has nothing to do with increasing the size of your penis. It’s the bladder that keeps or stores urine. When it is full or when we need to pee, certain muscles called sphincter in the bladder loosens, contracting the bladder and the urine is allowed to enter and travel through the urethra which is a tube inside the penis used to expel the urine out of the body. Thus, drinking coffee has nothing to do with the increase or decrease in penile length. Therefore, do what you like and don’t do what you dislike so far as drinking coffee is concerned but don't be concerned about your penile length. It will retain its current size. 

Well, then. "Unrealistic (penis) body norms;" states the last comment 
(1). Extra short = less than 6" 
(2). Small = up to 6" in size 
(3). Medium (6" to 7") 
(4). Large = 7" to 8" in size 
(5). Cup = Mashed 
(6). "Extra big" means 9" or more." ….

It is just a humorous comment; however, the factual position is that an average size in an erect position is not less than 5” and not more than 6” and this measurement is taken in fully stretched condition up to the tip. However, this measurement depends on different races. In some races, it is 3.5 inches while in some further races, this length is equal to 6.5 inches. So there are some stupid preconceptions about males. Many guys may be uncomfortable knowing this fact however it should not be. You might have quite a normal type size if you are satisfied with your performance.

Alright readers, God bless you. Take care everywhere and always. 

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(Updated on 11-03-2023)

HILARIOUS AND FUNNY MEDICAL STORIES | PART 1

 

Medically speaking, urethral sounding refers to inserting an object like a catheter, optical cable, or similar instruments into the urethra for urological surgery. The process helps to dilate inside strictures to provide access through the urethra and to the bladder. Medical experts use sterile metal or plastic dilators in this process. 

 

According to urologists, the following are some of the disturbing cases of persons who inserted certain peculiar objects into their bladder through the urethra and came to the trauma center for their removal. We will also address the hazards of inserting objects into the urethra. Finally, in case you must do it, even though it is never suggested in all circumstances, we will show you how to do it properly to avoid visiting a trauma center in an emergency.

 

1. Lady with a Necklace: 

The first tale concerns a lady who was accompanying her spouse on a date outstation. She was wearing a very small vibrator around her neck in a necklace giving her ease of use in time of need. While lying down intimately they played with the device but during playing with it they misplaced it and it was lost. However, she was feeling it in her belly, vibrating. Then they came to the trauma center, where the doctors took her X-rays and discovered that the vibrator was visible in the X-ray. As a result, they had to get it removed through surgery. They couldn't remove it without surgery since it had been overturned the opposite way. All of this occurred while they were playing with it but the vibrator was very thin with a width of perhaps less than a quarter of an inch, and most likely it entered into the bladder passing through the urethra. It's impossible to establish if it all happened accidentally or intentionally.  (@ chhanno blogspot com 02012022) 

2. Phone Charger Cable:

It's an Indian man. He went to the healthcare physicians and informed them that he had eaten some earbuds. As a result, the physicians kept him under observation and waited to expect the earbuds would pass through his stool. Some purgatives were also given to him, but they didn’t prove successful and the man was still complaining of pain. Doctors next performed his colon endoscopy. It is a method of looking down inside of the large intestine using a fiber optic cable and a small camera attached to it. They were still unable to locate anything strange over there. Finally, they took his abdominal X-ray which revealed the true situation. He had placed a cell phone cable into his bladder through the urethra. It had coiled up and trapped over there. As a result, he had to undergo a surgical procedure to get it removed. This all took longer since that man was ashamed to inform the physicians what he had done. 

 

It is critical to remember that you should tell your healthcare physician everything that happened to you or committed by you or you know about it and it concerns your problem despite how humiliated you feel about telling it. You may be adding to the problem by not telling the physician what you have done. You must inform your doctor so that he can assist you. You must trust him because he will neither disgrace nor humiliate, nor criticize but simply look after you.

 

There is another similar account of a high school student who was conducting some experiments. He withdrew a mobile phone charging cable and put it in his urethra, where it was entangled within the bladder. In the trauma center, the surgeons succeeded to pull it out without his visiting the OT by using lubricating agents and cautious handling, avoiding medical procedures. 

 

3. Magnetic Metal Beads: 

Another account has been published in various journals. It describes a guy responsible for placing small metal beads which were also magnetic, inside his urethra. He continued placing these metal beads in his pee hole until he placed nearly 40 or 50 droplets in his urethra but when he attempted to withdraw them he realized that it was not possible since they were attracted to one another forming a magnetized cluster in the bladder. Since it was a very difficult instance for a specialist doctor, it was reported in the medical literature. There are nearly fifteen more similar instances found in medical journals wherein people got small magnetic steal beads trapped in their bladder or urethra. It’s quite a challenging situation for a specialist doctor since each steal bead is required to be removed separately and not all at once. Being a steal magnet they are strongly attracted to one another. In the bladder, they can form a large cluster of magnetic beads and cannot be pulled out as they did with the above-mentioned guy. Thus, it's quite difficult when a similar object is trapped in the bladder or urethra. To reach the bladder, an incision in the abdomen may be required. Furthermore, in such a case, it may become necessary sometimes to insert a camera into the urethra or to make a cut into the perineum which means the region between the anus and scrotum, for reaching the device that might have been stuck in the bladder. 

 

4. Urethral Sounding, The Reasons: 

The most common causes people put certain objects in their urethra is to gain a kind of enjoyment associated with sex. Psychological excitement may also be involved while they insert an object into the urethra however in all cases they are enjoying this practice. You might be thinking how normal this is. The answer is in the following two main studies on this topic. In one study nearly two thousand males took part. They had been having sexual interactions only with guys. They were asked about their interest in putting anything in their urethra ever in life. It was discovered that nearly ten percent of those men had attempted urethral sounding in the past. In another research, nearly four hundred guys were examined who had done body piercing of their genitalia and had sexual relations with either females or males or both. It was discovered that nearly twenty-four percent of the participants had sometimes in the past attempted to put an object in their urethra. A Reddit group is also there with twenty-two thousand members and its topic is about urethral sounding. So it's pretty natural, and individuals utilize a variety of objects, stuff, creams, or liquids for putting them in the urethra.  (@ chhanno blogspot com 02012022) 

 

5. The Dangers: 

There are undoubtedly hazards associated with urethral sounding. They include the danger of developing a UTI or bladder infection, which can be caused by any unhygienic impurities placed inside the pee hole. Additionally, if passing a gadget or anything into the pee hole causes severe rubbing of inside tissues it might lead to permanent damage or narrowing of the urethra. A urethral injury or stricture can induce shrinkage of the urethra, which might lead to difficulty peeing after some time. Consequently, you will be having a decreased stream of urine, need to urinate many times in a day, and find it very difficult to get your bladder fully voided and all these things may necessitate more medical procedures in the future. Finally, any object that is placed into the urethra may be trapped there and may have to be removed surgically, which may need another trip to the trauma center.

 

6. How to do it Safely: 

In general, the urethral sounding is not advisable, but if it is to be done under some compulsion or need, it must be done carefully. For this purpose, you must employ urethral sounds or equipment specifically designed for it. These equipment are designed in particular for insertion in the urethra. Their use is harmless since there is a proper system set up to keep them safe from becoming entangled or trapped in the urethra or bladder. Aside from that, you must also confirm and verify that these equipment are disinfected through hot water of not less than 100 degrees Celsius or boiling and afterward insert them only when they are cold enough. You should also use newly manufactured lubes and apply them to this equipment before use. You should not use lubes which have been left open on your bedside table for an extended period since they may have accumulated a large number of germs and microbes. Normally small pack of lubes which are available only for one-time use may be a better option.

Alright, and please take care everywhere and always. 

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(Updated on 28-02-2023)