Why do people with cerebellar atrophy have increased urine output in the later stages?

This article discusses the reasons why individuals with cerebellar atrophy may experience increased urination in the later stages of the condition. It is hoped that this information will be helpful to you. Let's begin the formal explanation! Cerebellar atrophy and urination: Hello, cerebellar atrophy can be seen in some genetic and degenerative diseases, as well as in certain acute conditions such as the later stages of acute cerebellitis and certain drug toxicities. There is no specific treatment for cerebellar atrophy, but medication options include phosphatidylcholine, diphosphocholine, and butyrophthalein. Rehabilitation therapy under the guidance of a doctor and maintaining a good mental state are also important.

What is the cause and treatment for frequent urination at night in patients with cerebral atrophy? Cerebral atrophy and frequent urination at night are not related. Frequent urination at night may be related to the cold weather. It is recommended to take some golden grass infusion and consume nutritional supplements to improve the body.

Is cerebral atrophy associated with increased nighttime urination? Frequent nighttime urination is common in older adults, but it is different from what is clinically referred to as polyuria. Polyuria refers to daily urine output exceeding 2500 milliliters, even reaching 8000-10000 milliliters or more. On the other hand, frequent nighttime urination refers to increased frequency and volume of urination during the night, without an overall increase in 24-hour urine output.

The causes of frequent nighttime urination can be physiological, such as habits of consuming large amounts of water before sleep, drinking concentrated tea or coffee, or taking diuretics. It can also be psychogenic, related to high levels of stress or neurotic patients, poor sleep quality leading to frequent urination even with a mildly filled bladder (less than 300 milliliters), resulting in habitual nighttime urination. Other causes may include heart failure or certain endocrine disorders, such as chronic adrenal insufficiency, which can lead to nighttime urination. Renal-related causes include glomerular diseases, chronic tubulointerstitial diseases, and decreased renal concentrating ability, which initially manifest as increased nighttime urination and can progress to renal polyuria or even renal diabetes insipidus. In elderly individuals, especially those with hypertension or diabetes, nighttime urination is more common due to renal artery sclerosis and decreased renal concentrating ability.

What are the consequences of cerebellar atrophy? Cerebellar atrophy mainly affects body balance, posture and gait control, muscle tone regulation, and coordination of voluntary movement and accuracy. The main symptom of cerebellar lesions is cerebellar ataxia. Diffuse cerebellar lesions can cause truncal and speech ataxia. Cerebellar lesions do not affect lifespan. However, attention should be paid to secondary injuries.

Why do people urinate more at night when they get older? Nocturia, or frequent urination at night, is a major problem that troubles a large majority of elderly people. In normal individuals, the frequency of nighttime urination is around 0-1 times, but it tends to increase in older individuals. I have an uncle who used to be a special police officer when he was young. He was brave and strong, and had a very fit body. However, now that he is older, he has to go to the toilet four or five times every night. Whenever his heroic deeds from his younger days are mentioned at the dinner table, he self-deprecatingly says, "Now I'm just an old man who has to get up to use the toilet four or five times every night. I'm useless."

As age increases, no matter how healthy you were when young, no matter what occupation you have, no matter how wealthy and prosperous you are, it seems that you cannot escape this fate, only that some people experience it later, while others experience it earlier. Some experiences are normal physiological phenomena, but some are diseases. Let me introduce it to you.

Firstly, let's take a look at how our body produces and stores urine, which will help us further understand why elderly people urinate frequently at night. After the blood reaches the kidneys, it first undergoes filtration in the renal glomerulus to form the primary urine. The renal glomerulus prevents larger substances in the blood, such as red blood cells, from entering the primary urine. However, when there is renal inflammation, the filtration system of the renal glomerulus may malfunction, leading to the presence of red blood cells in the urine, known as hematuria.

Next, the renal tubules in the kidneys process the primary urine and reabsorb 99% of the water and some substances back into the body. After concentration, the primary urine becomes urine. The urine is then transported to the bladder through the ureters. The bladder, also known colloquially as the "urine bag," is a hollow structure that stores urine. Our body produces urine constantly, but we do not need to urinate at all times and in all places because we have a bladder.

The bladder has a muscle called the bladder sphincter, which acts like a faucet. It remains closed most of the time, but opens when we need to urinate. The bladder can generally store several hundred milliliters of urine. Additionally, there is a detrusor muscle on the bladder, which, when contracted, squeezes and expels urine. In males, there is an additional prostate gland.

Okay, let's now talk about why older adults experience increased nocturia. First, let's look at the physiological reasons for increased nocturia in older adults. 1. They consumed a large amount of water before bed, drank a lot of tea or alcohol, or ate foods with high water content, such as porridge or watermelon.

This doesn't require much explanation. For normal individuals, regardless of age, if they drink a lot of water before bed, they will experience increased nocturia. 2. Although the kidneys of elderly people may not have any diseases, they definitely do not function as well as they did when they were young. Therefore, their ability to reabsorb fluids will also decline, leading to increased urine production and more frequent urination at night.

3. The bladder sphincter muscles of elderly people are not as strong, so they are unable to hold as much urine. Additionally, the muscles that contract to empty the bladder will also weaken, causing incomplete emptying of urine and leaving some residual urine in the bladder. 4. Older men are basically unable to escape the fate of prostate enlargement. When the prostate enlarges, there is difficulty in urination, and a portion of urine will remain in the bladder after each urination. It won't be long before it happens again.

Now let's look at the pathological reasons: 1. Inflammation of the urinary system can cause increased nocturia. In addition, patients may also experience symptoms such as frequent urination, urgency, and pain, with a small amount of urine each time. 2. Renal disease, early renal failure, the patient's urine volume increases first and then decreases. Patients may also experience symptoms such as swelling, lower back pain, nausea, and loss of appetite. Especially for patients with persistent hypertension, diabetes, and urinary tract stones, they should be cautious because these diseases can lead to complications of renal damage, causing renal failure. Once the above symptoms appear, be cautious about whether the kidneys are damaged.

3. Diabetes can cause increased nocturnal urination. One characteristic of diabetes is excessive thirst and frequent urination. 4. There may be space-occupying lesions in the bladder, or it could be bladder tuberculosis, leading to a decrease in bladder capacity and inability to store urine. Bladder cancer patients may have painless hematuria. Patients with bladder tuberculosis may have pyuria and fever symptoms.

5. Prostate diseases, as previously mentioned, can cause difficulties in urination and incomplete emptying of the bladder. Elderly people need to pay attention to the following points when getting up at night: 1. After waking up, do not rush to sit up immediately. Take a few seconds to stretch and slowly sit up to prevent sudden standing up and causing insufficient blood supply to the brain, leading to dizziness.

2. The path from the bedroom to the toilet should be kept clear to avoid tripping. 3. It is best to have lighting. 4. Pay attention to keeping warm when getting up at night to avoid catching a cold, especially in winter. In addition, when you're young, try not to hold in your urine and do more kegel exercises. If you have an infection in the urinary tract, seek treatment early.

As people age, it is not necessarily because they use the restroom more frequently at night or because they are too old! First of all, just because you go to the bathroom more often at night doesn't necessarily mean you have nocturia; sometimes it may be because you have been drinking too much water before going to bed recently.

In clinical practice, there is a specific definition for nocturia: going to the toilet more than twice at night, with a total urine volume exceeding 700ml, which accounts for more than one-third of your 24-hour urine output, but the total urine output within 24 hours is not increased. Therefore, if you urinate excessively throughout the day and night, regardless of whether the total volume exceeds the normal range during the day or night, it cannot be simply attributed to nocturia.

Secondly, increased nocturia is often considered a sign of renal function decline in Western medicine. In normal circumstances, just like not buying an Apple phone, everyone has two kidneys. The evaluation of renal function is often reflected by millions of renal glomeruli, renal tubules, and other renal units inside the kidneys. However, as we age, especially after the age of 40, even if we do not have any other specific kidney diseases, our renal function will gradually decline. This is manifested by degenerative changes in the renal glomeruli and renal tubules, a decrease in their quantity, vascular sclerosis within the kidneys, and shrinkage of the kidneys.

Once you reach the age of 65, this degenerative change will become more apparent, especially when the renal tubules cannot effectively reabsorb the water filtered by the glomerulus into the blood. This disrupts the urination pattern of older people and leads to increased nocturia. However, it does not mean that everyone will experience increased nocturia after reaching the age of 65. This also depends on individual physical conditions. For example, some people may already suffer from prostatitis, benign prostatic hyperplasia, and other diseases, which increases the likelihood of experiencing nocturia. Of course, Dr. Chen has also encountered people in their 70s with good renal function, and even some who reported regular sexual activity!

Finally, let's analyze the topic that everyone may be most concerned about: is nocturia a disease? This needs to be analyzed based on specific circumstances because nocturia is not necessarily caused by a disease! In clinical practice, there are indeed some elderly people who experience increased nocturia due to conditions such as benign prostatic hyperplasia, chronic pyelonephritis, cystitis, chronic interstitial nephritis, and diabetes. Therefore, we suggest that if elderly individuals experience an increase in nocturia, they should take it seriously and seek medical diagnosis. If it is indeed nocturia, the possibility of it being caused by a disease must be ruled out.

If excluding specific diseases, improper diet, high mental stress, and urethral relaxation can also cause increased nighttime urination in the elderly. Therefore, increased nighttime urination may not necessarily be a disease! Increased nighttime urination caused by non-disease factors can be adjusted by trying the following methods!

The prostate is a male-specific reproductive organ and can be said to be the second lifeline for men. So why do men experience increased nighttime urination in old age? After male urine is generated from the kidneys, it is stored in the bladder. When there is a urination action, the urine will be transported from the bladder to the prostate through the urethra, and then discharged from the body through the urethra. A healthy prostate is elastic and sensitive to nerves, which allows for good control of ejaculation and urination. If the elasticity decreases and the nerves are damaged, it can result in uncontrollable frequent urination.

In modern society, the incidence of prostate diseases is very high. Common causes include long-term masturbation, staying up late, prolonged sitting, holding urine, and alcohol consumption. If these unhealthy habits persist, as one ages and the physical condition declines, a series of prostate problems will naturally occur.

As one ages, the prostate naturally undergoes aging as well. At this time, it may grow slightly to compensate for the lost function. After the age of 45, for every year that passes, it will grow by 1mm to compensate for the lost function. This situation is generally within the normal range and does not cause any problems. However, if excessive growth occurs, it can affect urination and lead to symptoms such as frequent urination and nocturia.

Suggestion: If elderly men experience frequent nighttime urination, they should consider undergoing a prostate ultrasound and urine analysis, followed by further treatment if necessary. Why do elderly people often experience increased nighttime urination? In traditional Chinese medicine, it is often believed that elderly people have deficient kidney qi and insufficient gas transformation, leading to increased nighttime urination. This time, we will analyze it from the perspective of modern medicine:

As people age, they may experience the following physiological changes: 1. Decreased kidney function We know that the water we drink is eventually excreted through the kidneys. The kidneys consist of glomeruli and renal tubules. The glomeruli filter out most of the water in the blood that passes through the kidneys, while the renal tubules reabsorb useful substances and water from the filtered water back into the blood, leaving a small amount of waste and excess water, which then flows into the bladder through the ureters to form urine. When a person reaches the age of 30 or 40, the kidneys begin to age. The glomeruli and renal tubules undergo degenerative changes, their numbers decrease, and the blood vessels passing through the kidneys also start to harden, resulting in a decline in kidney function. For people over 65 years old, the degradation of the renal tubules is particularly noticeable. At this time, the renal tubules are unable to effectively reabsorb the filtered water from the glomeruli back into the blood, resulting in a decrease in the concentration function of urine and the symptom of increased urination, especially at night, in elderly individuals.

2. Disorder of Antidiuretic Hormone Secretion Antidiuretic hormone (also known as vasopressin in clinical terms) is responsible for reducing the formation and excretion of urine. In healthy adults, the secretion of antidiuretic hormone follows a circadian rhythm, with lower levels during daytime activity and higher levels during nighttime sleep. As one ages, the circadian rhythm of antidiuretic hormone secretion gradually changes, from being twice as high at night as during the day in younger individuals, to being relatively similar between day and night in older individuals. The reduction in nighttime secretion of antidiuretic hormone in older adults leads to an increase in urine formation at night.

3. Decrease in bladder storage capacity The bladder is a "reservoir" for storing urine. In youth, the bladder has flexible tension and strong contraction force of the sphincter muscle, allowing for strong urine storage capacity. However, as one ages, the bladder wall becomes stiff, the contraction function weakens, and the volume for storing urine gradually decreases. When the urine reaches halfway, the urge to urinate arises and immediately sends a signal to the brain. Due to shallow sleep in the elderly, the brain is easily awakened, and upon waking, they can only empty their bladder in the restroom.

In addition to physiological changes that occur with age, there are also many diseases that can cause nocturia, such as diabetes, kidney diseases, etc. One condition closely related to urology in elderly men is nocturia caused by prostate enlargement. Due to the enlargement of the prostate, the urethra becomes narrower, increasing urinary resistance and leading to increased residual urine after bladder emptying. This, combined with the already reduced bladder capacity, causes the bladder to generate the urge to urinate. In addition, elderly individuals have lower immune function and may neglect personal hygiene, often leading to urinary tract infections, which can also cause increased nocturia.

Article: Andrology Department of Sino-Japanese Friendship Hospital, Master's student Wang Haohao, Professor Wang Chuanhang. For 65-year-old elderly individuals, nocturia is defined as nighttime voiding that accounts for 33% of the total urine output in 24 hours. The following reasons are generally considered: 1. Low bladder capacity, such as decreased bladder capacity or impaired bladder function: as age increases, excessive detrusor muscle activity and prostate hypertrophy can lead to bladder outlet obstruction. 2. Increased nighttime voiding: such as decreased secretion of arginine vasopressin leading to increased urine production. 3. Sleep disorders: as seen in individuals with obstructive sleep apnea.

Some diseases and high-risk factors can cause increased nocturia: obesity, hypertension, use of diuretics, benign prostatic hyperplasia, prostate cancer, snoring, diabetes, kidney disease, congestive heart failure, restless legs syndrome, etc. Also, whether or not there is a habit of drinking alcohol or coffee.

Increased nocturia may be a signal of bodily illness, or it may be a manifestation of functional degradation with age, such as overactive detrusor muscle in our bladder and decreased secretion of hormones like arginine vasopressin. Also, a reminder for elderly men: pay attention to safety when urinating at night, try to squat on the toilet as much as possible, and avoid standing for too long. Otherwise, post-micturition hypotension may occur, leading to fainting and other complications.

I am 68 years old and have prostate enlargement. I wake up two to three times at night to urinate, which greatly affects my sleep. I have visited many hospitals, but the treatments have not been satisfactory. Recently, I have been doing pelvic floor exercises to improve prostate function. It has been a month, and the swelling sensation has somewhat relieved, and the frequency of urination has also decreased. I will continue for some time and see the results.

As a urologist specializing in urinary control at a top-tier hospital, I can attempt to answer this question. Many elderly people believe that it is normal to have frequent nighttime urination as they age. Of course, there are certain factors to consider because this is related to the natural aging process of the body. As individuals get older, they may experience varying degrees of comorbidities that can cause damage to bladder and nerve function. Prior to addressing these factors, we should first exclude the normal circumstances of nighttime drinking, alcohol consumption, and consumption of stimulant beverages and foods.

The definition from the International Continence Society is that the number of nighttime urinations is 1, while in the Chinese expert consensus, this number is defined at 2. Therefore, when the number of nighttime urinations in elderly people increases more than twice, it is defined as nocturia! Prostatic hyperplasia is one of the common causes of urinary obstruction in elderly men. With increasing age, the incidence of urinary problems caused by prostatic hyperplasia will gradually increase, exceeding 50% after the age of 50. By the age of 80, this proportion will exceed 83%!

Unlike men, women do not have a prostate gland. Therefore, the increased nocturia in many elderly women has been overlooked by both patients and doctors. In fact, there are quite a number of women who experience increased nocturia as they age, especially those who may have stress urinary incontinence and uterine prolapse.

In addition to gender-specific organs that may cause increased nocturia, there are many other diseases that can cause increased nocturia in the elderly. The more common diseases include the following: [Translation incomplete] Neurological diseases: For elderly individuals, the occurrence of stroke and cerebral hemorrhage can lead to an increase in nocturia, as well as conditions such as Parkinson's disease, multiple system atrophy, and cerebellar atrophy. Although these neurological diseases do not directly affect the bladder or urinary system, they can impact the nerves related to urination, resulting in an increase in nocturia. Due to age-related issues, many patients do not consider the correlation between these conditions, and as a result, the effectiveness of surgeries or various treatment methods is often unsatisfactory.

To summarize, it is very common for older adults to experience an increase in nighttime urination. Aside from ruling out normal triggers, if the frequency of nocturia increases, it is necessary to be vigilant about the possibility of diseases. Although older adults consume less water before bed, they still experience nocturia. In my opinion, this can be attributed to two reasons from the perspective of traditional Chinese medicine: first, kidney and spleen deficiency, resulting in insufficient yang qi. Poor sleep quality naturally leads to increased nocturia. Second, from a Western medical analysis, relaxation of the bladder sphincter can cause incomplete urination and a sense of urgency. Some older males may experience urinary urgency due to prostatic hyperplasia or enlargement, which puts pressure on the bladder.

The above is my opinion, please correct any inaccuracies. There are many reasons for increased nocturia in the elderly. Due to a significant decrease in bladder capacity compared to when they were younger, it can lead to an increase in nocturia. Additionally, the elderly are more prone to developing diseases such as diabetes, heart failure, and hypertension, all of which can also cause increased nocturia.

In addition, there is another important point, which is the issue of the prostate. When the age reaches above 50, the prostate gland will undergo varying degrees of hyperplasia. Therefore, the prostate of elderly individuals will experience more obvious hyperplasia. When certain long-term factors (such as alcohol consumption, fatigue, prolonged sitting) have an influence, it can exacerbate prostate hyperplasia, resulting in an increased frequency of nocturia. As prostate hyperplasia progresses to later stages, symptoms such as urgency, difficulty urinating, and even urinary retention may occur.

Secondly, due to the weakened resistance of the elderly, some elderly people in remote and impoverished areas do not pay attention to hygiene, which can lead to bacterial infections in the urinary system, resulting in frequent urination and increased nocturia in patients. Regarding the issue of increased nocturia in the elderly, attention should be paid to actively identifying the underlying causes and initiating treatment early. If it is diabetes, early use of hypoglycemic drugs is recommended. If it is prostate hyperplasia, early use of drugs such as terazosin, tamsulosin, and tadalafil can effectively alleviate the symptoms of increased nocturia. However, if the development of prostate hyperplasia is severe, with urgency, difficulty urinating, and urinary retention, early surgical treatment, such as prostate vaporization resection, should be considered.

If the phenomenon of nocturia in the elderly is not taken seriously, it can easily worsen the primary diseases in the elderly, and it can also cause colds or falls, leading to injuries such as fractures and colds. In the morning, I said to my wife, "I will cook dinner myself in the evening from now on." I got up twice last night. When people get old, they tend to have more nocturia. It is not only troublesome, but it can also lead to symptoms of prostate hyperplasia in the long run. Of course, I said this to scare her, without any medical basis.

Elderly people have nocturia. I have tried it myself. The decline in the function of the urinary system in older people is one aspect, but not the main reason. The amount of water consumed in the afternoon and the taste of dinner are closely related to the amount of nocturia. As people age, they tend to eat light meals for dinner, such as noodles or porridge with a few side dishes. They also drink tea in the afternoon. Since elderly people don't have many things to do, whether they are thirsty or not, drinking tea is a habit. They continue to drink tea until before dinner. Dinner is also light, so the body's ability to retain water is limited. Some elderly people also have a habit of drinking water after dinner and go to bed early. Two to three hours later, excess water is expelled from the body, which inevitably leads to nocturia.

The frequency of urination at night has increased, but the amount of urine each time is not much. Soon after urinating, there is a feeling of needing to go again. What could be the reason for this? When younger, you could hold your bladder for a long time, but as you age, it becomes difficult. Your body feels uncomfortable if you can't have a bowel movement. The function of the bladder has weakened, and there are also mild symptoms of prostate issues.

Why do people with cerebellar atrophy have increased urine output in the later stages? Let's stop here for the introduction, thank you for taking the time to read the content on this site. Don't forget to search for more information about why people with cerebellar atrophy have increased urine output in the later stages on this site.