Why You Need to Pee at 3 AM - The Most Ignored Reason by Doctors For Nighttime Urination

[@hugabee2580]

Since I stopped eating 4 hours before sleeping I slept better lost weight blood pressure lower ac1c is back to normal cholesterol levels is good Arthritis pain diminished, What a big difference just a little change do. Thanks for your time and effort

[@mjremy2605]

Thank you, Dr Park. This has helped me understand so much. Eating before bed = Insulin rise = Sleep Apnea = Nocturia, Bed wetting, lack of focus, ADHD, Weight gain around belly. Solution: Don't eat 3-4 hrs before sleeping. Intermittent fasting. This makes a lot of sense. Thank you! This fits with what Dr Eric Berg (chiropractor/nutritionist) was saying too. It is the Insulin that is doing it.

[@doctorstevenpark]

And untreated sleep-breathing problems will raise your glucose and insulin levels. A lot of people stop breathing at night who don't meet the official criteria for sleep apnea. And even if you're skinny and don't snore, you can still have lots of breathing interruptions. This is the main concept that I talk about on my channel.

[@mjremy2605]

@@doctorstevenpark Thank you Dr Park! This is why I have a belly even though I don't eat much and why my insulin levels are high. I have bad sleep issues, hard to sleep, no energy in daytime. I used to workout very hard was very lean with a BMI of 19. Now I gained weight and cannot get it off. It is the sleep and nothing else. I thought my insulin was hurting the sleep but its the lack of sleep raising the insulin. I have to fix my hormones. There is a new class of hormones called bio identical hormones and I used to take them, but lost my doctor when I moved. The lack of Progesterone has affected my sleep. Got to get back on those. These hormones will not hurt you. The conventional ones will give you cancer. Thank you for your insights! You are the best.

[@holynight1653]

@@doctorstevenparkThis is my problem , I doubted this for so long and now I am clearly understand . Oh God , Thank you so much ❤

[@MisterMooster]

Easier said than done- not eating within three hours of going to bed leaves me hungry at bedtime, and then i don't sleep well if I try to go to bed hungry. As a diabetic I should do this, but I need to get good sleep.

[@cuppatea4551]

​@@MisterMoosterI can relate to this. I only eat protein if I need to eat before bed. I stay away from carbs and sugar and I no longer get woken by my blood sugar levels crashing.

[@ransomdaniels8395]

I was a sleep therapist for 20 years, a respiratory therapist for 30 years before that, an# a paramedic for 40 years. I also had a CVA 5 years ago, which ended my career; 3 years ago i had shingles cor the first time. Now, the point of all this is that i already knew about the sleep apnea and the peptide and the dynamics of UARS, but until i read this commentary, i had forgotten it. Completely. As in, "well, I'll be, how about that..." and then it flooded back in. So thank you, from the bottom of my heart, for taking the time to do this video and answering quesfions about why i, after the stroke, suddenly need to get up 5 times a night now, when i never had to, pre-stroke. Applause, Applause, sir!!!😅😅😅😅❤❤❤❤❤

[@bahaar2825]

God bless your health!

[@bobboscarato1313]

I feel truly sorry for your past patients. lol

[@paulsanderson8804]

So you are over ,90 years of age

[@pjschmid2251]

@@paulsanderson8804 No he’d have to be closer to 110 unless he started working at the age of zero

[@seralynn7286]

@@pjschmid2251 Technically, paramedics don't have to work full time; they can be volunteer or they can work a few night/weekend shifts. Some med students will do that early on to help pay off their debt more quickly. So it is possible that some or all of the years claimed as a paramedic were at the same time as being a full-time sleep or respiratory therapist :P. Not saying it's true of course lol; just that it is possible.

[@mbrochh82]

Here's a ChatGPT summary: - Waking up to pee at night is a common problem, but the reasons for it are often not discussed. - Dr. Steven Park, ENT surgeon and sleep medicine doctor, explains that a sleep breathing problem is the most common cause of this condition. - Obstructed sleep apnea is one of the most undiagnosed conditions where you stop breathing many times every night because your throat closes off when you breathe in. - Every time you stop breathing at night during sleep, your heart makes a hormone called atrial naturality peptide or ANP which goes to your kidneys to squeeze out more urine. - Typically apnea is happening more often during periods of REM sleep when you're dreaming and also when your muscles are completely relaxed. - The longest period of REM sleep happens around 3 a.m. in the morning, which is why most people wake up around this time. - If you wake up more than once per night, it'll usually be about 90 minutes apart, which is one sleep cycle. - Studies have shown that the more times you wake up to pee at night, the higher your rate of dying from any reason. - After treating for sleep apnea, the nighttime urination goes away completely or is not as severe. - Dr. Park suggests not eating anything within three to four hours of bedtime, breathing well through your nose, and taping your mouth at night to help with this condition. I do indeed wake up at 3am sharp every single night... god damnit...

[@ofiewahyudi]

Thank you. Well, i woke up like every 90 minutes for pee. I guess i have a big problem!

[@tinydancer-dw2gb]

I wake up 3am to pee, 4am to breastfeed and 5am to pee again. fml. 😂

[@gregvanpaassen]

Thanks! I think my problem is more likely to be the three glasses of water or soda water and two cups of coffee that I have before going to bed. Along with the soup...

[@nirmalakutty9416]

Avoid liquid completely or limit into to barest minimum in order to control peeing at bedtime and beyond

[@lauriepuckett2756]

Good information

[@danmyshrall]

I wake up at 2:00AM every day. It doesn't help that I go to bed at 7:00PM. Those early morning hours are my favorite part of my day, for reading, catching up on the news, and coffee just tastes better when everybody else is sleeping... the dogs too.

[@ldeadpirate9432]

*Watched this a couple months ago. Thank you, it completely changed my life, and inspired me to go on a months long hiking-camping adventure.* I am an actual new person because of this.

[@evasanz3466]

Waking up in the middle of the night has been widely described since centuries. In fact, there was something called first sleep and second sleep. Not everyone needs to sleep 8 hours straight, some people need to sleep more through the day and other people need less time. The 8 hours sleep at night began to be imposed with the industrial revolution, the use of electricity and the massive amount of people that migrated from the country to cities to find jobs in factories.

[@donnathompson739]

I do first and second sleep fairly often.

[@TNT-km2eg]

Something is wrong

[@Cricket2731]

This is known as bi-phasic sleep. Totally natural & normal. Also can be aggravating!

[@jaelepke]

This was my natural routine when I was younger, ironically as I age I feel like I'm more likely to sleep a "normal" 8 hours

[@Plainsimple67]

SOME BODIES DO NOT REQUIRE 8 HOURS STRAIGHT SLEEP, ESPECIALLY IF YOU ARE NOT ACTIVE!🤷‍♂️

[@Rest_and_reset]

I see so many people in my clinic who were being treated for prostate issues for years. We finally get them on a CPAP or treated for their sleep apnea, and bam nighttime urination improves drastically! sleep apnea can cause so many other symptoms that impact your day to day life!

[@zulthor8453]

I go to bed at 8:30 and every night I awake between 11:30- 12:30 and then again between 3:00-3:30. Even if I do not feel the urgency to go to the bathroom I have to go, otherwise I will not fall sleep again.

[@dm5129]

There are so many reasons. I do drink more before going to bed because I exercise before bed. I hope I do not have sleep apnea. I don't have to go urgently during the night, it is just more of a comfy sleep after going to the bathroom. It does not bother me at all as long as I can go back to sleep.

[@sidstovell2177]

I do intermittent fasting. My last food and water are at 3:30 in the afternoon. No problem waking at 3. By 5:30 a.m. I'm ready to drink 16 oz of water and then coffee. And hydrate every couple of hours until 3:30. 88 years, female, 5'7", 130lbs.

[@beccismith4454]

And when do you eat? I’ve been doing intermittent fasting for some months, too. 😊

[@noorgonzalez1076]

😮🙇🏻‍♀️ Like king David Said I am wonderfully Made

[@noorgonzalez1076]

Thank you

[@noorgonzalez1076]

Psalms 138:14

[@laurab972]

👏🏻👏🏻👏🏻🎉🎉🎉love to hear this! Good for you!❤

[@djmerchant]

It beats the hell out of NOT waking up and peeing at 3am.

[@marynoonan6111]

😂 hahaha - true!

[@shadowlouise]

dj, You don't KNOW that. I suggest you are biased.

[@djmerchant]

@@shadowlouise Unfortunately I DO know it. *SIGH*

[@shadowlouise]

@@djmerchant 😳 I don't think we are talking about the same thing! I hadn't even considered your very sensible thought. Reminds me of the old joke about the elderly man who complained to his doctor that he had a BM every morning at 7am. When the doc asked why he was upset about that, the old gentleman said, "I don't wake up until 8!"

[@djmerchant]

@@shadowlouise That was EXACTLY my point!

[@shinnam]

I wake up because my hot flashes wake me up, then I have to pee. I can't do HRT. With all the responses here just pass on something my Swedish doctor prescribed oxybutynin, for excessive sweating. It has made a big difference. It is almost like it "trains" my body not to have hot flashes, I can take 5mg at night for 3 days, and then for about 10 days I only get a "wake up it's morning" hot flash.

[@TheRomMom]

Teach the chirn!!! 😊😂

[@laurab972]

Same!!!

[@agds91078]

Oh Lordy same for me too

[@chelewoo6530]

Same

[@JohnLee-db9zt]

TMI!

[@Pontiacman1964]

I have a CPAP machine that I wasn't using. I have lost a little weight and wasn't snoring nearly as loud, and sometimes not at all. However, I was getting up, just as what is talked about here, about every two and a half hours. Especially around 3:30 in the morning. I had my prostate removed a year ago so that's not an issue. I watched your video, used the CPAP again, and slept through the night! Thanks! You have a new subscriber.

[@doctorstevenpark]

Great to hear! Your example just goes to show that you don't need a prostate to have nighttime urination. There's actually a study showing that sleep apnea severity is related to prostate size, especially for men under 40 years old. Here's the study: link.springer.com/article/10.1007/s11325-022-02617-y

[@Pontiacman1964]

@@doctorstevenpark thanks again!

[@andrewemery4272]

You helped me get the sleep I need! I watched your video and fell asleep 5 minutes into it...

[@rkorsberg]

As soon as I took a sleep study test and started using a Cpap machine, I stopped waking up every 2-3 hours...I mean I was back to sleeping 8 hours/night the first night using the cpap machine....TAKING A SLEEP STUDY TEST IS THE MOST IMPORTANT THING PEOPLE CAN DO FOR THEIR HEALTH....Cpap also fixed my kidney issue...Out of the blue, my kidney test dropped to 30, border line for dialyis....After 30 days on cpap machine my kidneys went from 30 to 42 and within 90 days they were back up to 60, a normal level.....TAKE A SLEEP STUDY TEST.

[@bharghavasagarmandadi5360]

can you please tell me do you have overactive baldder

[@draimajtheconceptualpreneur]

Thank You for this significant information. Interestingly, this has enlightened Me about My sleep interruption to urinate between 2-3 times nightly. additionally, waking up at 3 2:30 OR 3:00 AM. Presently, it is 1:00 AM and 4:30 AM . Be healthy All, and live in ease. Blessings!

[@Brenzzy]

I’m an RN watching from Hawaii. This is a fascinating video and I highly recommend sharing this with your healthcare provider. A sleep study, properly administered and evaluated, can have life changing consequences. I Thanks for making this vid Doc. Aloha from the Big Island. 🌴

[@gjmarin2004]

Yeah right a doctor entertaining your thoughts about your health 😂😂😂

[@dorkeboye]

You literally diagnosed me from home thank you.

[@madsencc]

"As it turns out, biphasic sleep never vanished entirely - it lives on in pockets of the world today." Biphasic sleep, meaning that each nighttime sleep was divided into two periods. This was the pattern for most of the time modern humans have existed. It still must be taken into account for the fact that many people naturally still do this. Biphasic sleep may be the norm and a continuous 8-hour sleep is a modern construct.

[@alsaunders7805]

Yes, I have read about biphasic sleep before and how it seems to be the evolutionary norm. It's actually what I do naturally but it does cause some problems nowadays. 😢🤔🤓🍻

[@jaiprakashagrawal3580]

Agree.😊👍❤️

[@TimeSurfer206]

For those who get confused easy, "Biphasic Sleep" just means taking a nap at some time during the day.

[@yaduthammineni7916]

I read about it - in Newyorker book review, got the book which explains how we slept during pre industrial era. it's very interesting phenomenon which existed among all pre industrial societies who were tuned to sun for their energy needs. Advent of electrictiry changed everything - we lost one precious habit - when days are earmarked for work and nights obviously for sleep , as they goto bed around sunset , it is natural for them to get up during the night, to take care of few chores (for example make sure cattle has something to eat and drink ) and even more. Straight 8 Hours sleep is new norm established during industrial revolution like remote work which is new norm established during Covid outbreak. Scientists are trying to understand effects of straight 8 hours sleep on humans - is there any relation between new sleep norm and flood of chronic and auto immune diseases.

[@aubo4060]

People used to wake up in the middle of the night and go back to sleep 1hr later. I'm not sure why we are expected to sleep +8hrs without peeing.

[@LemonThyme1933]

Wow!! I had already begun taping my mouth at night. I never imagined that was a legit way to deal with the problem.

[@kimmeee1]

I changed my diet 5 yrs ago to low carb, no sugar. I never get up at night. Before this change I had always been up at night, sometimes twice. I drink a lot more water on this diet and take water to bed with me, so it's not liquids. I used to snore (so did my husband) we both don't snore anymore. I used to have terrible sleep and now I get good quality sleep. Just because I eat a healthy diet.

[@Saldivinorum]

Not saying you're wrong, whatever works for you. However I eat hella carbs, and eat/drink a substantial amount of sugar, but I never eat or drink within 2 hours of bedtime. It's literally one of the worst eating habits because your body has no need for calories or water while sleeping. If I must put something in my belly late at night, it's milk nothing else, and only to quiet the grumble.

[@mukhtarahmed2529]

I take sleeping pill low dose since 10 years and now I am 70 I am diabetic And HT patient and leading normal life with medication and physicians advice

[@saraswatkin9226]

@@Saldivinorum Worst night drink for people with cows milk or dairy products allergy causing excessive gas, bloating etc

[@Saldivinorum]

@@saraswatkin9226 well I figured that went without saying considering anyone who's lactose intolerant or allergic to dairy would know not to drink milk. You might as well tag the person below my first comment too and tell them that sleeping pills won't be a good recommendation to someone allergic to whatever sleeping pills they take. But hey, the gesture isn't lost on me even if it's hidden behind sarcasm and the assumption that most people have a modicum of sense lol

[@memphisflashfan1]

This was highly informative and captured the problems I’ve been having for some time with waking up at 3:00 am to pee. I’m on bipap. Complicating my situation in addition to what you described is that I’m on 2 seizure medications which impact a person’s sleep arousal level. I’m under the care of a sleep specialist. Your video was really informative. Thank you.

[@DavidMcNaught-rx7je]

O

[@cr528]

Im glad i found this! Every 2 hours like clockwork & exhausted daily

[@septemberamyx]

Thank you, as an RN I'm glad you addressed the 90 min cycles. I'll try sleep tape, because I've noticed so much dry mouth problems from mouth breathing for no reason at all. I tried cpap and it just made my fibro so much worse. Various reasons why my chronic issues are related to my military career, but I'm finally getting down to the last few problems needing to be addressed.

[@JohnHoranzy]

I had been using disposable masks to keep my mouth from drying out. Prior to that I buried my face partly in my blanket to keep rebreathing some of my moist exhaled air. Maybe this could help.

[@MaryE.Cadillac]

@@JohnHoranzy m

[@velvetindigonight]

Vitamin C Slow Release 2,000 mg has resolved my ‘aches and pains’ and Ive read it helps with Fibromyalgia? Worth a try? Go well.

[@dannwing4224]

@@JohnHoranzy I sometimes try that too - burying my mouth in the blanket/covering my mouth w/ a dry towel. Now I may try w/ a Covid mask.

[@dannwing4224]

I have dry mouth problem too. I might try Sleep Tape.

[@suzymoroka297]

Such valuable insights into my early morning waking up to go pee. ADHD, snoring but no apnea, tonsils. Thank you Dr!

[@mariemaier5630]

A few years ago I wrote up every night nearly every hour extremly thirsty and needed to urinate. I then started to silence with vitamin B5. It fixed the issue. I only took the supplemental for about a month. Never had the issue again.

[@elowishusmirkatroid4898]

Keep taking a complete B Vitamin complex daily,as B Vits are water soluable and not stored in the body. Your overall health will improve.

[@mettejensen8653]

Good to know. Sounds like it might have fixed a cortisol problem

[@velcroman11]

I have sleep apnea and this bloke hits the nail on the head. If I don’t use my CPAP machine I am up at, yes, 3:30 am every night, and yes, I’m back up at 5:00. I always wondered why this was so. Cure, use my CPAP.

[@namelessjones8178]

Though not mentioned in the title, this video contains a comprehensive yet succinct explanation of sleep apnea, it’s effect on the heart, production of the APN hormone and in turn, it’s effect on the bladder. I’ve never heard this from my own sleep specialist, or in any of the casual online research I’ve done. Thank you for that information!

[@noorgonzalez1076]

😮🎉

[@twokatmew]

I asked my own pulmonologist/sleep specialist why sleep apnea goes with nighttime urination. He said because apneas wake us up, and so we think we have to pee. 🙄 Obviously he didn’t know. 😞

[@annedymock2850]

​​​​@@twokatmewell it is a very small part of the reason. I think certain sleep stages, (not just lower sleep drive), does suppress conscious awareness of many sensations, including the feeling the you need to pee. So if sleep apnea means you can't stay long in those deep sleep stages were sensory perceptions are muted, you would be more often aware of signals from your bladder that you need to pee. However most is likely due to more urine being made. Consistent synchronising of the muting and activation of sensation perception with dream states is not precise for everyone. For me it seems neurologically my whole brain doesn't always all wake up at the same time. In my case probably something to do with epilepsy, I am more likely to have seizures in my sleep (or during changes between sleep stages). Sometimes when I wake in the morning, and I am conscious and aware of my surroundings, not everything is switched back on. I used to experience sleep paralysis a lot in my twenties, where you wake up, but can't move or talk (call for help or scream lol), for a few minutes. Normally the brain suppresses muscle movement during REM sleep, so you don't act out your dreams... so with sleep paralysis, there is a delay turning this off and you can remain paralysed a short while after you awake. It often happened to me at night likely between sleep cycles, so it was followed by more sleep, rather than first thing in the morning, so it felt like a recurring nightmare, and effected my mood the next day. For many years even into my 40s my hearing often didn't switch on or was severely dampened until I had my eyes open for a while... so in the morning, I could look and see the electric fan spinning but not hear it..., then all of sudden a short while later start hearing it. Lastly, and most relevant to this conversation, I can wake up in the morning and be lazing, pleasantly groggy in bed, then a bit later have a desparate urge bad enough to rush to get to the loo out of nowhere, bad enough that sometimes I do not make it in time. During waking hours that sort of urge doesn't normally come without prior warning or sensation of bladder fullness. I suspect it is another example of my brain not waking up all at once, and that sensations from your bladder warning you it is full are also normally suppressed during some stages of sleep. So your sleep doctor is probably right about this being one reason you feel the need to get up and pee during the night. I had many years in my twenties and thirties were I did not have overt seizures. Now in my fifties I am on a higher dose of anticonvulsants, and rarely get most of these sleep/awake quirks. The biggest factor though is that more urine is produced because of pressure changes in the chest that occur when you try to breathe against an obstructed airway. I can't remember the exact hormonal mechanism, but the same pressure changes often eventually lead to hypertension (high blood pressure) even when you are awake, as well as kidney problems, pulmonary hypertension and right heart failure, which is why CPAP therapy is life saving. A high sleep drive, (eg from sleep deprivation), may let you continue to sleep through stimuli that would wake you when your sleep drive isn't as high. On occaasion my brain has even found a way around that. When I become sick overnight, or I'm in quite a bit of pain, or even have a really full bladder, those sensations sometimes weave themselves into my dreams. In my dream I can have an injury at the location of the pain, that explains the pain without waking me. The first time I remember realising this was as a 7 year old child I had a dream where I had a sore jaw, and woke up with that side of my face swollen from the mumps! Embarassingly, several times as a child and once or twice as an adult, I was going to the toilet in my dream, only to start wetting the bed and abruptly wake when I felt the warm sensation of urine flowing between my legs... woke me because that sensation was incongruent with the dream. So my brain found a way to explain the sensation of a very full bladder by incorporating it into my dream

[@donnaml8776]

@@annedymock2850 ​​⁠ wow! Thank you for explaining all of this. I have had similar things happen just maybe not to the same degree. Especially, the thing about pain showing up as an injury in my dream. I too have had those urges to pee in my sleep. I’ve even being sitting on the toilet in my dream, but in my dream I couldn’t go or something would distract me. I’m always grateful when I wake up that I didn’t go of course, lol. All of this has given me food for thought. Thanks!

[@stevenburkhardt1963]

I’m glad I ran across this video. I too wake up in the middle of the night having to urinate. And it has been suggested to me in the past to do a sleep study. I may have to consider it

[@brianbennett2397]

This is very helpful. I do have moderate Sleep Apnea going on for 15 years. Also diabetes, high blood pressure, and a "massive" prostate (urologist's comment). I'll pee 4-6 times a night, or more. I'm 69. Thank you for this video.

[@allykatharvey]

My husband was getting up 4-6 times a night until he had his prostate reduced (a TURPS operation). He is so much better now.

[@donmchattie226]

I noticed that I wake up at 3 AM, not necessarily to urinate. I am going to be studying and considering what you are teaching. Thank you for the surprising and fascinating video.

[@donmchattie226]

When I was providing elderly care for my 90+ year old Mother who had broken her hip, I realized that she would do an allergy cough, a string of several sneezes, about five hours after eating cheese or ice cream. It is the same for me. It is a moderate allergy to dairy. When I am careful to not each dairy for a day, I apparently do not awake at 5 am. That is not enough experience to be certain. Maybe it is helpful.

[@nancyk-ms3pc]

Several years ago, in college, I had this one class, only held in the summer. This nun came in from the mountains of Colorado to teach this class in spirituality. She did this one meditation with the entire class. She took us through this journey to imagine our death. She led us, but did not tell us what to think or see. I've never feared death since that class. I literally have a greater fear of doctors who become too invasive and want me to take shots and pills I'd rather not. I try to take good care of myself, but I do not wish to make my life about living in order to avoid death.

[@bahaar2825]

Wow that is amazing!

[@acavsdbfdbdb744]

Tolkien nos enseñó que a la muerte no hay que temerle pero tampoco desearla.

[@yvettebeyely7064]

Well said 👍👍👍

[@lovemesomeslippers]

Well I don’t fear death but I fear the illness and pain that often precede death. So I listen to those ho know more about medicine than I do.

[@Godblessed2]

We are sinners needing a Savior and to be saved by grace through Him. When we stand before the Lord, we will not be able to rely on our own goodness just as any good a criminal does will not be acknowledged in a court of law. We’ve broken the Ten Commandments called “The Moral Law.” Jesus paid our fine upon the cross. In a court of law, the judge can legally let us go if someone else pays our fine. Believing in the Lord Jesus, repenting (which is not a work) of our sins is the most important thing we can do. Make no mistake, it is written “Do you not know that the unrighteous will not inherit the kingdom of God? Do not be deceived. Neither fornicators, nor idolaters, nor adulterers, nor homosexuals, nor sodomites, nor thieves, nor covetous, nor drunkards, nor revilers, nor extortioners will inherit the kingdom of God. And such were some of you. But you were washed, but you were sanctified, but you were justified in the name of the Lord Jesus and by the Spirit of our God.” ‭‭I Corinthians‬ ‭6‬:‭9‬-‭11‬ ‭NKJV‬‬

[@JerryBear59]

Excellent. I have taken part in sleep studies, but have been told that ," your breathing stoppages are within normal parameters" !!!

[@SamShank175]

I've been mouth taping for 3 years now, I rarely ever get up in the middle of the night now. I use the gentle paper tape from CVS, sticky enough to stay, but doesn't feel like it's ripping you're skin off.

[@minaleyrits9240]

Yes, mouth taping works for me... I sleep well at night and no more peeing until I wake up at 5 a. m. Also, my husband is happy when he sees me taping my mouth before bed.. 😷😝😂

[@susannahfox7188]

So, I just started mouth taping a week ago, my sleep has improved, but I am still getting up 2-3 times per night. How long did it take you to stop getting up at night once you started taping? Immediately? Or did it happen over a period of time? Thanks.

[@SamShank175]

@@susannahfox7188 it was pretty immediate for me, but I wasn't getting up every night or multiple times a night. I don't eat for at least 3 hours before bed, I also try to drink the bulk of my water before then. There are other causes too, it might be something else.

[@rchrdgrn]

I had associated Getting up to pee with dreaming. And I have since been diagnosed with Obstructive sleep Apnea. Informative video, Thanks.

[@mariankeller5852]

I sometimes get up anywhere from 1am to 4 am..it depends on the amount of fluid intake before bedtime..many nights I sleep straight through...not sure I believe this

[@BCSTS]

You are very lucky!! But there are sooooo many people who are not you....and not so lucky!

[@JamesRobert805]

I have been suffering from acid reflux with stomach pain and chest pain for the past 9 months! I go through pain every day! I do not know what else to do! I've been taking so many antibiotics and nothing... I wasn't going to work anymore, until I came across Dr. Emovon on KZbin. Thank you for doing everything that you do and helping me during a hard time. I'll definitely spread this to the whole world, I'm totally free from acid reflux..🙌🙌🙌

[@nightskyimaging]

You have just described me! I am a 78 year old male andI was diagnosed with Sleep Apnea 10 years ago.....I have been on C-Pap since. I went from 3 to 5 times to rarely having to get up to urinate. I do not remember what times I got up.....but every 90 minutes sounds about right. For the record, my sleep study showed that I averaged 90 events per hour lasting more than 10 seconds with some events lasting as long as 90 seconds. When they told me those results, I was floored! Great video that I know will help many!

[@lynngrant3068]

Good for you getting past the CPAP challenges and sounds like successfully treating your sleep apnea! You have saved your life! I have also been learning that my diet causing GERD could actually be contributing to my sleep apnea as well ! It totally all makes sense to me now! Dr. Janice Kaufman is the author. Fantastic research if anyone is interested!

[@pa2jonah]

This is 100% true! After I started CPAP treatment, I NEVER wake up to urinate! I used to wake up 2-4 times.

[@CateB66]

All my life, without exaggeration, I would wake to ‘wee’ anywhere from 5 to 13 times every night, despite barely needing to wee. I just had the sensation. Every day, I’d wake desperately tired with awful headaches. Having asked my various doctors over the course of 50 odd years to PLEASE help, my last doctor sent me for a sleep test. Not for the urinating, he sent me for the dreadful headaches and exhaustion so I had the sleep test and it showed I was stopped breathing 357 times so off I went to buy a CPAP machine. When there, the lady was telling me that subliminally, my head/body was telling me I needed to breathe and the only it could it could was to trick me into thinking I needed to ‘wee’, hence waking so many times, which of course then made me breathe. The strength of the mind is very powerful. From the moment I started on my CPAP at the aged of 52, I’d go to the toilet, at best, twice which has remained the same to this day, now 57. Only took most of my life to finally discover it and I no longer wake with headaches. Don’t wait like I did!

[@GabriellaDiSantAngelo]

What is CPAP?

[@CateB66]

@@GabriellaDiSantAngelo Caught me…..was just about to log out 😊. It’s a machine that helps regulate your breathing. It stands for Continuous Positive Airway Pressure. You should be able to google it and it’ll give you images of the machines and all the information on it. They’re life changing.

[@lorilxn1597]

I'm overweight, have sleep apnea, on about 10 meds and I usually have to go to the bathroom about every hour at night. I had a stroke and have some other health issues. Working with my doctors for my health.

[@michellejade3272]

I’ve been peeing multiple times a night ever since pregnancy. It just never stopped. Love my babies, they’re worth it.😂💕

[@utethornburg7715]

Me too, and my daughter will be 39 this year

[@MsWatchdog]

OMG this is so factual! I am so glad I have come across this channel! notes taken!

[@wintersprite]

I’ve also heard that your bladder is one of the last organs to “fall asleep” and one of the first to “wake up”.

[@lenorapalminteri1002]

Wintersprite, give it a sleeping pill for its insomnia! LOL! All joking aside, I don't think our organs actually "fall asleep". They still perform their functions while we sleep.

[@cynthiawagstaff2185]

the best information I have read lately makes so much sense

[@Swearengen1980]

You mentioned the mouth guard for sleep disruptions in a comment. The mandibular advancement device is brutal for me. I grind my teeth at night and grinding with the mouth piece in is more painful and disruptful at night than grinding without it (even if it protects my teeth). CPAP didn't work for me either. 2 years into it, I still sleep like shit. Despite a healthy diet and good exercise, I still sleep terribly. I'm high strung and have no doubt my cortisol levels are jacked, but meditation and all that don't do a thing to get my circadian rhythms in check. It's maddening.

[@acavsdbfdbdb744]

Que tal si experimentas con los ejercicios Kegel para fortalecer el piso pelvico me han servido.

[@junechristie2497]

You need the peace of God which no man understands. Pray to Him in faith and His peace will guard your heart and thoughts in Christ Jesus . You have nothing to lose and everything to gain. Just call on His namevand He will save you. Just say "OH LORD JESUS SAVE ME"

[@janeplane9]

Try magnesium

[@FantaLain]

Not sure if it will help, but it helped my sister and it's an easy thing to try - she asked her dentist to switch her to a softer nightguard (she described it as sort of chewy). Though she has to replace it more often then a hard nightguard it's both way cheaper and she's actually comfortable sleeping now.

[@LathropLdST]

​@@acavsdbfdbdb744 ¿eres €$tμp¡d¤ o no sabes leer? Pretendes curar problemas de cortisol con gimnasia de piso pélvico. ¿Qué clase de Rita eres? 😂😂😂🤡

[@yaduthammineni7916]

According to Ayurveda - 2AM - 6AM time known as Vata time - during that time window everything moves down - Brahma Muhurta ( creative time )- recommended for meditation occurs during that window. Today May 29th - sunrise in New Jersey , USA is at 5: 29 -Brahma Muhurta( 48 minutes window) starts at 96 minutes before Sunrise ie 3:53AM ends at 4:41 ; For what ever reason one gets up early in the morning, can make use of that time. en.wikipedia.org/wiki/Brahmamuhurtha

[@DonaOfelllia]

Possible reasons why you need to pee at 3 AM: Drinking lot of water right before bedtime, pre-diabetes/diabetes, congestive heart failure, liver problems, circadian rhythm problems, enlarged prostate (for men), overactive bladder for women, kidney stones, apnea (rare)

[@realpandit874]

Mystery of a common problem explained superbly. Great.

[@zeeace]

God bless and thank you doctor for such clear and smooth fear relieving diagnostic...

[@TimeSurfer206]

For those who get confused easy, "Biphasic Sleep" just means taking a nap at some time during the day.

[@Laughandsong]

Everything said here is true. I have been using a CPAP for 19 years and it saved my life.

[@RaymondBastien-li6co]

I wake up every 2 hours to pee. However, I put this down to the 10 or so cups of instant coffee I drink every day.

[@apollonia-ava]

Yep .. me too 😂only 😊i am with Diet Coke (caffeine free in the evening tho) 😂😂

[@youtuber3328]

it's nice to meet you and i DON'T start drinking caffeine any later than 1:47 pm

[@apollonia-ava]

Nice to meet you too 🎉😂i am simply a Diet Coke addict .. lol love my caffeine 🎉

[@youtuber3328]

@@apollonia-avathanks and you make sense

[@RaymondBastien-li6co]

@@apollonia-ava I drink our complements cola. Around 1 glass everyday or so.

[@loiswidmer6434]

I was diagnosed with severe obstructive sleep apnea. Since using a cpap I rarely get up to pee at night. Before I was getting up many times during the night.

[@elizabethgavin1349]

I have been asking for help to get a full nights sleep and always dismissed with bed time routine etc. I now havehigh blood pressure and prediabetic. Thanks to other youtube doctors I have been fasting after 7pm till 11am and my sleep/frequent night time peeing has improved. Thanks for posting this advice. It really does help.

[@DGQ1Q2]

Very good, Brilliant. I had sleep apnea. Your explain very well, it has sense the rem cycles etc.

[@vanderpoolfarmsl.l.c.9983]

I have woken up at about 3:00am most of my life. At that time, I'm about ready for a glass of water as well. I don't see what the big deal is.

[@sadijal8267]

👎🏾👎🏾

[@BCSTS]

Waking up only 1x sounds like heaven....but 2-3x is a big deal cuz you never get into the restoring your body systems sleep cycle......which is very necessary!

[@frostflower5555]

I have been waking up more than once in the night to go to the bathroom and I could never feel refreshed in the morning.

[@patstats1]

This definitely got my attention. I awake anywhere between 3:00am and 3:30am. I don’t eat after 6:30pm. But I do breathe through my mouth when sleeping. Not because I want to but involuntarily. I guess I’ll watch the mouth taping video.

[@dave_by_day7632]

Interstitial Cystiti (bladder pain syndrome) is probably the reason I have to wake up to pee 2-4 times a night. I tested negative for urinary tract infections. If I don't eat or drink anything after like 7 or 8pm then I usually only wake up 1-2 times a night

[@doctorstevenpark]

Yes, interstitial cystitis can cause nighttime urination, but at least rule out obstructive sleep apnea, since it's such a common disorder. Sleep apnea is also linked to daytime urinary frequency as well, since it irritates the bladder.

[@susannahfox7188]

@@doctorstevenpark Question: I have started to use mouth tape for the last week. I am no longer waking up during the night for 1-2 hours before falling back asleep as a result so far. However, I am still having to pee 2-3 x per night. I am wondering how long does it take after starting the mouth tape (and improving breathing as a result) to see results with needing to get up during the night to urinate? If it is due to interstitial cystitis, what can be done for that condition to ameliorate frequent urination during the night?

[@Amal-zg2kd]

Thank you so mutch for sharing you information .God bless you. 🙏🏾🙏🏾🙏🏾🤲🤲🤲

[@frappelover6213]

I was diagnosed with both obstructive and central sleep apnea years ago. My CPAP was a life saver, literally. I noticed when I fell asleep and forget to put it on or somehow winds up off while I'm sleeping I will get up to pee, otherwise I sleep soundly throughout the night; that always puzzled me.

[@karenackerman7751]

You should see if you can get a machines that sends off an alarm when your mask is off. Its not good that it comes off. My friends father died because his came off. So please check into it. Id hate for this to happen to anyone if it is preventable. God Bless!

[@annedymock2850]

​@@karenackerman7751I don't know a CPAP machine that does that.

[@ydakda7233]

Wow! Totally new information. So valuable. Love this Doc❤

[@enemanozzle]

From 1 AM to 3 AM it's the liver-time, from 5 AM to 7 AM it's the colon-time. So waking up at 3 AM you should take your tablespoon (= 15 ml) castor oil in order to cleanse your liver in an optimal manner, later it will be the correct time for the large intestine to get activated by the ricinoleic acid.

[@elizabethG633]

Thank you, I am an anomaly compared to many with Sleep Apnea, I am 95 lbs and 5ft nothing. But I can tell all of you, I have to stick with the therapy or one day I will not wake up. I have been on CPAP therapy since 2009, and I cannot look back.

[@GabriellaDiSantAngelo]

What is CPAP therapy ?

[@neumoi3324]

I’m 70 years old. I don’t indulge too much in tea or coffee. I am non alcoholic. I drink only moderate amounts of fluids during the day time, none before going to bed. I do not eat dinner too. I had a bypass surgery recently but I’ve recovered very well and am following a strict regime of diet and exercise. I’m also not fat, yet I have these peeing interruptions of sleep during the night. The bladder pressure wakes me up at 11.30 p.m. and 2.30 a.m. (+/- 30 mins). These waking episodes started only after the bypass surgery, before that I never woke up to pee in the middle of night.

[@nutritionprepperssister4865]

Wow! This is me - I've been waking at 3:00 am regularly for years often joking that if I were a man, I'd be worried (prostate). Not laughing now. Thank you for the information. I need to have a conversation with my doctor asap.

[@georgesmith3022]

I wake up at 3.00am and I don't need to urine. I think it's because of stress and high cortisol levels

[@colinmccarthy7921]

I myself is a Diabetic Type I on Insulin.Peeing is a natural thing,in which everybody does.If,I should wake up through the night,ie.,at any time to use the bathroom,I shall use the bathroom.This is Life.

[@Antoinettescloset]

I actually had a hunch about this and am glad I watched this video. I have been tested twice now for sleep apnea but b/c I don't do it enough in the time frame, I have not been diagnosed with it. I had a bought in February where my throat collapsed on itself making me wake up gasping for breath. When I finally could breathe normal after that, almost an hour later I went to the ER b/c my heart rhythm wasn't right. Was diagnosed with AFib. However, had all the tests a heart Dr has you go thru and all were fine. It is very rare that I ever sleep thru the night. I ALWAYS wake up at least once during the night and it's around 2:30/4:30 AM. I use to wake up several times during the night and now it's only once. I atribute that to eating better and not letting stress take over my body like I use to. But I am fearful I will die in my sleep one night, it's always in the back of my mind anyways.

[@bobboscarato1313]

Don't you worry; Jesus will take you to heaven!

[@lynngrant3068]

I can so relate ! Look up Laryngospasm which I have found as the culprit to my what feels like “near death” experience of gasping for air I have changed my diet significantly and that has helped tremendously! Todays foods are definitely not what they used to be ! For me a Whole Foods diet approach was key to completely eliminating the spasms that would happen without any warning ! Terrifying is the only word that comes to mind!

[@Antoinettescloset]

@@lynngrant3068 Thank you so much! I really appreciate your story and yes, I will look up Laryngospasm.

[@doctorstevenpark]

Thanks for pointing this out. Acid reflux is a common consequence of obstructed breathing. So anything that helps to address acid reflux and slow stomach emptying will help with various throat symptoms including laryngospasm, post-nasal drip, throat clearing and hoarseness. What comes up is not only acid, but also bile, digestive enzymes and bacteria. They've actually found the stomach enzyme pepsin in the sinuses and middle ears, and in the lungs in people with chronic lung disease, along with lipid-laden macrophages.

[@heavenlymilano]

That is amazing explanation. Thank you Dr.

[@artfx9]

That's why I go to bed at 3. Genious.

[@Eruptionvr2000]

Thanks very good information, and thanks for making the effort for not dragging it out for a 12 minute video 👍

[@archietyler6759]

Thank you Dr. park!!!

[@getraptureready777]

“Before I came here I was confused about this subject. Having listened to your lecture I am still confused. But on a higher level.” Enrico Fermi

[@meagiesmuse2334]

I have fibromyalgia aka FMS and 60% of us have hypopnea. At least 90% of us also have a sleep disorder called the alpha-delta sleep anomaly, where alpha waves overlay our delta waves and arouse us. In some cases, like mine, delta sleep is absent entirely. I used a CPAP for 17 years but there was no change in my waking up every 90 minutes. Then a study came out showing CPAP does not help people with FMS very much. All I got from CPAP was a nasty problem with my sinuses on one side that will not go away. I also have edema from a drug I must take, and was told that lying down at night will cause that fluid to go back to my core to be eliminated, so that is one reason why I must pee 3-4 times per night. It makes total sense to me that this would cause earlier death, but researchers keep insisting that FMS does not shorten life span....all very confusing.

[@sleepinglioness5754]

Totally agree...I'm the same way, up 1-4 times per night (but I don't get to sleep until 3am!). This has made me make the connection, however, that when I, on occasion, use a very mild THC (marijuana gummy) for bad days/pain, etc., it relaxes my body enough that I sleep through the night. I must eat more of those!! I'll keep you in my thoughts, Meagie.

[@meagiesmuse2334]

@@sleepinglioness5754 - That doesn't help me either but I hope raising the amount works for you.

[@vaska1999]

Thank you for this information! I have both fibromyalgia and sleep apnea and have steadfastly refused to use a CPAP machine. Now I can tell my doctor why.

[@meagiesmuse2334]

@@vaska1999 - If you are in the severe category (more than 30 apneas per hour) they still recommend it, since it is so serious. People with Fibro are 10 times more likely to have OSA. If you don't have TMJ, a device that moves your jaw forward while sleeping can help a lot. I've found great improvement by sleeping with the upper half of my body elevated, and only sleeping on my side. I also lost 42 lbs. on the Paleo diet. All of that got me down to 5 apneas per night. So much of dealing with Fibro is a Catch-22. I wish you success.

[@saraswatkin9226]

@@meagiesmuse2334 abbreviations reference?

[@jobiet]

You are so intelligent, just brilliant as you put the pieces together for your audience! I can't thank you enough. You've got another new subscriber here. Thank you so much!

[@johnnypenso9574]

I used to drink 3-4 12 oz coffees a day for many years. I was also waking up 2-3x a night to pee. I tried not drinking coffee past 2 or 3 and no water after 7 but it didn't change much. I never thought coffee affected me but a couple of weeks ago I quit cold turkey and started sleeping through the night most nights.

[@devincurrie4145]

Does it help to drink decaffinated coffee? I drink about 2-3 12 oz regular coffee in the morning and if I drink in the evening, I would either drink the (regular) coffee early in the evening like around 6-7 pm at the latest; or drink decaffinated coffee anytime in evening. This approach seems to help me feel better before/when sleeping. Also, I notice that it's important to drink aklaine (e.g. lemon with water) to balance out the acidity from coffee.

[@Saldivinorum]

I drink 2 to 3 pots of coffee a day, which is over 200 oz's of coffee a day and have no such problem. It causes me to urinate quickly after finishing a few cups, but definitely not hours afterwards. Caffeine effects some differently obviously, but regardless caffeine isn't going to effect a regular coffee drinker much more than 4 or 5 hours after your last cup. And if you've replaced the caffeine you got from coffee with something else I can almost guarantee coffee in and of itself was a not factor in your night time urination or trouble sleeping. Everyone's different, can't say that enough, but coffee helps me sleep thanks to the crash. I'm also a lifelong insomniac.

[@Plainsimple67]

​@@devincurrie4145 ITS BEST TO HAVE YOUR COFFEE AT AROUND 9:00 OR 10:00, WA5CH DR. BERG'S VIDEO ON THIS.

[@johnnypenso9574]

@@Saldivinorum Your "almost guarantee is hilarious. It worked bro, that's proof enough or me. Your results are not my results. Don't generalize.

[@CalliNightmare]

​@@Saldivinorum Jesus dude. How are you still alive? 😐

[@daniellestockdale4888]

I just found out I have sleep apnea but my doc didn't mention it also explains my recent need to get up and pee every night! thank you so much, this helped so much!

[@mom2mmpt]

I've been complaining about waking up at 2:30am and 5:30am every night. I think it has affected my ability to fight off infections. I used to use a CPAP but stopped after I had sinus surgery. I use a sleep app and noticed that I am not snoring very often, but maybe once or twice a night, shortly before I am woken up. I am notorious about eating too close to bedtime. I really appreciate this video. I'm going to change my eating habits first. If that doesn't help, then I am going to drag out the CPAP and start using it again.

[@lisakulp4639]

This is spot on!

[@Emy53]

I definitely do not have sleep apnea. I drink a lot of water before bed and throughout the day. I get up at least once or twice nightly.

[@sawong8685]

No mention of your age, which is a factor - Aging decreases the amount of the anti-diuretic hormone, so it is easier for younger adults to sleep through the night, and the first morning pee will be condensed and darker;

[@frostflower5555]

I get up 2 - 4 times, but that could be because I drink coffee. I think I was getting up once when I was younger. But I am not happy about this as I don't feel refreshed. I also have noisy neighbours and a noisy street so that doesn't help either.

[@artchem1]

Thank you, Dr Park, very enlightening for Sleep Apena - conversation with one's Dr. Well Done 🌟🌟🌟🌟🌟

[@saliving1]

Thank you for sharing this info. I am an 80 year old female who awakens almost every night around 3 to urinate -- as do most of my friends and my husband. I also use a CPAP. A couple of weeks ago, I noticed a notification from my iwatch the next morning, telling me that my pulse was below 40 bpm for about 10 minutes around 2:45 am. (Right before I got up to urinate.) I then associated this with the reason I woke up everynight??????

[@Qrayon]

Yes, you associated this with the reason you woke up every night.

[@SR-iy4gg]

Apparently, yes, you made this association.

[@jesusramon2459]

What cause to pee 4to5 time at night

[@louisaklimentos7583]

I have been urinating at night since a child . Since I have been doing meditation and and it has reduced my night time peeing .

[@lindajam8202]

It isn't having to pee that wakes me up. It is something else...but I dont know what. After I open my eyes then I have to pee. I know this because when I do pee my bladder isn't full. I wonder what it is that actually wakes me up.

[@uptick888]

Liver at 3 is what my acupuncturist tells me and treats with me

[@ASpectacular3777]

Thank you Dr! You are a genius! Why aren’t my doctors at Northwestern (Chicago) this smart?? Thank you! New sub. Will watch all your videos.

[@anitahaviland3036]

Thank you!!! Yes, sleep apnea is wicked! Thank you for putting all of this together.

[@roserosa8276]

This video is very informative. I have to mention to my doctor. I wake up at 3:00am. There are my symptoms.

[@susiedalon8263]

Thank You..This is eye opening as l was recently diagnosed with sleep apnea when l had a sinus checkup.. l was surprised as I'm thin and l don't snore, yet l do wake up at least 3 to 4 times to pee through the night . So does this mean I'll have a heart attack?. My blood pressure is also on the low side. You explained so much in this video for me to understand what's going on. My profound gratitude ❤

[@steveh5882]

Try doing intermittent fasting. Eat within a 6 hour window. I used to have to pee throughout the night, but when I searched online for help, I found that intermittent fasting helps. Search intermittent fasting on youtube here and do it. You won't regret it. It will completely cure you of frequent urination and you'll sleep like a baby at night. I sleep very well these days.

[@goamerica9115]

Bother thank You 🙏 You gave me all the information I was looking for. You made this so easy to understand. Bliss you

[@debwright3190]

👨🏾‍⚕️🥼thanks! Dr. Park very informative video.

[@calj01]

I noticed that for all I drink during the day I hardly have to pee. It’s like as soon as I go to sleep my body relaxes and then I wake up to go pee. Is there a reason why my body would hold on to fluids until I sleep?

[@mareemartin507]

He is so correct l never snored but l stopped breathing 128 times in 1hour since l have been using my CPAP l don’t get up every hour on the hour but now l get to sleep through to morning

[@howardkerr8174]

While I consider myself a candidate for several potential reasons for urination during the night, I figured with my advanced age it was probably prostate related. I have tried eating at least 4 hours before sleep and limiting my fluid intake. Both of those helped but I was still waking at 3 a.m., even if I didn't have to urgently urinate. Thanks to this video I will explore sleep apnea as a potential cause. I would imagine sleeping on my side aggravates this condition. Never had it until I reached about 50-60 years old.

[@publicserviceannouncement4777]

Side sleeping is actually the best position for sleep apnea. Sleeping on your back can cause snoring and sleeping on your stomach can cause neck problems.

[@walsh5238]

that’s why our parents told us not to drink a lot before bed.

[@Plainsimple67]

​@Just Peachy CUT OUT CARBS AND SUGARS, #1 FOODS FOR ANY CANCER CELLS AND TUMORS IN YOUR BODY.

[@joannestark3023]

Ask your primary care doctor to refer you to a sleep medicine doctor who will order the sleep study. I hope you can get some answers.

[@slalomking]

Dude your just getting old. I’m 61 and have to get up at least once with age. Drink to much too late and maybe 3 times in one night.

[@Rocio36800]

Thanks 🙏 Dr. i do wake up at 3am every night

[@derekhobbs1102]

My wife went from 80 episodes per hour to less than 1 after starting CPAP therapy .

[@Gengh13]

Unfortunately it is really hard to convince family members to take their health seriously.

[@joyb5525]

Fantastic advice. Thanks Dr. Park from Ireland 🇮🇪

[@Stephen_Jabs]

I always pee at night depending on my water intake

[@chrisparis8628]

I liked your advice, thank you so much 😊