Frequent Urination | Bed Wetting

[zeedoss]

Hi Community, I'm a 33 year old male and as of 4 months ago my bladder started acting up. It became very hard to hold in urine, barely making it to the toilet most times and actually wetting myself on the way (this was never an issue). I also now wet the bed on occasion and am up many times in the night like clockwork to go to the bathrrom. My doctor simply said stop drinking so late. I don'tdrink a large amount before bed, maybe a glass of water, though not right before I sleep. I'm constantly thirsty also though have been tested multiple times for Diabetes (I put my thirst down to the amount of activity I perform). I now need to wear an adult diaper to bed, and at the age of 33 this does not feel normal and quite a hit to the ego and worry. I have read about balancing my sodium levels etc which I have tried and this may have helped, though it's odd it kind of came out of nowhere, I'm worried it's prostate related. Any help or guidance would be amazing! Thank you all.

[eliot7]

Getting up during the night to pee frequently can be caused by a UTI, whereby the bladder needs voided more regularly. Would need an STD or UTI test. If accompanied by any burning or cloudy smelly pee likely a UTI

[GuitarRox]

Hi, this is a good question. I'm surprised your doctor is satisfied with this just being the way it is for you now. I would consider a second opinion from someone else. You might get more help! What was the issue with your bladder? Tell us more as perhaps that is at play now. I also agree. You are way too young to have to wear an adult diaper. I'm sorry about that. There are different types of incontinence.
1. Stress incontinence (doesn't sound like you, it's like when you sneeze and you let out urine),
2.Urge incontinence ( You have a sudden, intense urge to urinate followed by an involuntary loss of urine. You may need to urinate often, including throughout the night. *THIS always has an underlying condition like infection, but also diabetes (you say you check for diabetes, are you over weight, showing high sugars?, but also neurological disorders),
3.Overflow incontinence (you have a constant drip of urine due to a bladder that doesn't empty itself completely. Doesn't sound like you).
4. Functional Incontinence (a physical or emotional issue keeps you from making it to the toilet in time. (like if you can't walk due to leg issue, etc. This doesn't sound like you.  with ONE exception I will ask about in a minute)
5. Mixed Incontinence. (more than one type, usually stress and urge).

Okay, so what about your pelvic floor muscles? Could they be damaged? This relates to incontinence type 4 but is usually more the dripping kind and not complete loss. It's something to look into though.  

Do you suffer constipation? This can contribute to incontinence.

A tumor anywhere along your urinary tract can result in incontinence. FYI. Things also to know, Multiple sclerosis, Parkinson's disease, a stroke, a brain tumor or a spinal injury can interfere with nerve signals involved in bladder control, causing urinary incontinence.

I am NOT trying to up your anxiety about this. I'm just trying to cover basis so you can get to what is going on here. We need to get you out of the diaper!  

[GuitarRox]

And I assume you've had your prostate checked? That's a biggie with men and incontinence.

https://www.webmd.com/urinary-incontinence-oab/ss/slideshow-male-incontinence This is a slide show that you can copy and paste on male specific incontinence. It does mention something to help treat it. Medication. They make medications that perhaps can help you. There are also surgical options. I bring these up because this is really a lifestyle issue for you, in my opinion.  

You need a doctor that will help you find out WHY this is happening and if there is any underlying causes and that is willing to aggressively address it so you can not have things like complete loss of urine on way to the bathroom or the diaper. It's impacting your sleep by having to go all night and that is not normal. Overactive bladder?

I did also find this:  Why can't I hold my pee all of a sudden as a male?
Overflow incontinence usually is caused by obstruction of the urethra from BPH or prostate cancer or when the bladder muscles contract weakly or don't contract when they should. Other causes include: Narrowing of the urethra (stricture). Medicines, such as antihistamines and decongestants..  Just another fyi.  (https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=zp1188)

You need a doctor to work with you here. Let me know what you think and keep me updated.

[zeedoss]

Hi @GuitarRox, thank you so so much for the great, detailed information here. I haven't had my prostate checked which is the big one I'm worried about here, which I'll get onto straight away.

I think number 2, Urge incontinence may be the nail on the head here.

All in all, this was a great read and thank you for extra links as well, I'm going to bring that slideshow to my doctor and also see another doctor for a second opinion on this, as it's been brushed away (though I have had every blood test under the sun, I think it's time for some scans or to be referred to a Urologist), like you said, this is a lifestyle issue now and the sleep part is really hindering my day-to-day. Even last night I wet myself, 2 nights in a row. I have been under a lot of stress, I don't know if this has anything to do with it, though again, I'll bring this all to the doctors attention.

Thank you again for taking the time out of your day to write all this for me and I'll keep you informed with any findings I may have :)

Best.

[zeedoss]

I also want to add my weight is fine (could possibly do with a kilo or two), sugars are probably low tbh though the neurological stuff like stressers and anxiety may be adding to it.

[GuitarRox]

Just wanted to say that I am happy to help. How is it going? Let me know any updates.