Kenneth Kee

A Simple Guide To Nocturia, (Excessive Night Urination) Diagnosis, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

This book describes Nocturia (Excessive Night Urination), Diagnosis and Treatment and Related Diseases

Nocturia or nocturnal polyuria is the medical term for the symptom of excessive urination at night.

During sleep time, the body produces less urine that is more concentrated.

This indicates that most people do not need to wake up during the night to urinate and can sleep uninterrupted for 6 to 8 hours.

If the patient needs to wake up 2 times or more per night to urinate, the patient may have nocturia.

A period of sleep must happen before and follow the urinary event to count as a nocturia episode.

This indicates the first-morning void is not regarded as a nocturia episode.

Nocturnal frequency is the same as nocturia except that in nocturia the voiding episodes each occurred and followed by sleep periods.

Besides being disruptive to the sleep, nocturia can also be a sign of an underlying medical disorder.

Nocturia is the passage of greater urine output during the night, waking the patient up from sleep.

The urine output equals more than 20% of the daily total in younger persons and more than 33% in elderly persons.

It is important to keep in mind that persons with nocturnal polyuria syndrome have normal 24 hour urinary output not exceeding 40 ml/kg body weight.

A measurement devised to standardize the medical diagnosis of nocturnal polyuria syndrome is the
nocturnal polyuria index (NPi) i.e. the nocturnal urine amount produced as a percentage of the 24-hour urine output.

Persons with NPi higher than 35 percent are said to have nocturnal polyuria.

It is one of the underlying causes of nocturia, which is defined as the greater passage of urine during night, waking the patient up from sleep.

Nocturia is a disorder that causes the patient to wake up during the night to urinate.

This can be thought of as nocturnal urinary frequency having to urinate more often at night.

This disorder becomes more frequent as people age and happens in both men and women, occasionally for different reasons.

It can be frequent for most people to wake up once during the night to urinate, but urinating more often may be a sign of something else going on.

Nocturia can be linked with daytime urinary frequency or happen by itself.

It is important to differentiate nocturia (urinating too frequently) from polyuria (urinating too much volume).

Nocturia has a total of 4 major underlying causes -

1. Global polyuria
Urine output rises throughout the day, and the total 24 hour urine output surpasses 40 ml/kg body weight.

2. Nocturnal polyuria
Urine output rises at night with proportional reduction in daytime urine output.
The total 24 hour urine output hence stays normal.

3. Bladder storage disorders that decrease the bladder capacity
a.enlarged prostate
b. Neurogenic bladder
c. Drugs,
d. Anxiety, stress, restlessness

4. Mixed causes-hormonal and bladder disorders
The first two disorders are linked with abnormal levels of arginine vasopressin (AVP) or atrial natriuretic hormone (ANH).
The third disorder is a bladder disorder.

Symptoms of nocturia can be:
1. Getting up more than once a night to urinate.
2. Urinating more volume (if polyuria is present).
3. Fatigue, sleepiness even after waking up.

The main diagnostic tool for nocturia is the voiding bladder diary.

Timing of voids, number of voidings, and volume of urine voided at day and night should be recorded in the diary.

Based on information recorded in the diary, a doctor can identify whether the patient is having polyuria, nocturnal polyuria, or bladder storage problems.

Treatment normally is directed toward the underlying cause.

TABLE OF CONTENT
Introduction
Chapt...

---

Dieser Download kann aus rechtlichen Gründen nur mit Rechnungsadresse in A, B, CY, CZ, D, DK, EW, E, FIN, F, GR, H, IRL, I, LT, L, LR, M, NL, PL, P, R, S, SLO, SK ausgeliefert werden.

Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 1. März 2021
• Englisch
• ISBN-13: 9781005231644
• Artikelnr.: 75904989

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...