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Frequent urination during night. Having uterine fibroids. What to do?

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Practicing since : 1999
Answered : 1587 Questions
Why do I have to urinate five or six times at night, but only have a regular schedule during the day? It is severely interrupting my sleep! I am female, 50 years old, 220 pounds, smoke about 7 cigarettes per day, have first stage (145 over 88) hypertension which is somewhat controlled with once-daily calcium-blocker medication (amlodipine besylate, 5mg); the nocturnal urination has been getting slowly worse over the last seven or eight months. I also have uterine fibroids and have been anemic all my life (blood count 9.9), but again my urination schedule is regular during the day. At night the urine seems much paler yellow, almost no color. YYYY@YYYY
Posted Wed, 12 Jun 2013 in Women's Health
Answered by Dr. Timothy Raichle 22 minutes later
Hello, I would be happy to help you with your question.

Probably what is happening is that during the day, when you are up and active, you are progressively retaining fluid. At night when you lie down, your body "mobilizes" this fluid and it is excreted in the form of urine. This is also why your urine looks so dilute or water-like.

Instead of looking at the problem, it might be useful for you to look at the underlying cause. Perhaps this is an early sign of underlying heart disease or diabetes. You have several health issues that absolutely need to be addressed as they are apparently just not in good control:
1. You are overweight
2. You have high blood pressure
3. You smoke
4. You are chronically anemic

I am just being honest. You need evaluation by a good XXXXXXX Medicine doctor. You are describing something we call 'Metabolic Syndrome'. You can educate yourself online about this, but some realistic life changes are in order over the next year so that you can live a healthier and high quality of life.

I hope that this helps. Please ask if you have additional questions.
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Follow-up: Frequent urination during night. Having uterine fibroids. What to do? 2 days later
thank you. Dr. Raichle,
I am trying to muster the will to do any of these changes. It doesn't help that I am terrified and depressed over these health markers. Now it is up to me... YIKES!!!
Answered by Dr. Timothy Raichle 2 hours later
If you take them as a whole, it seems overwhelming. You just cannot tackle them all at once. You need to make small steps and then things will start falling into place. How about starting with a GYN to help you deal with the fibroid uterus. If you were less anemic, then you might be more inclined to be more active. With activity comes weight loss, lower blood pressure, etc.

Good luck- remember one thing at a time and set realistic goals and stick to them!!
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