3. Debunking 3 Common Myths That Make Nocturia Worse

Before we get to the action plan, we need to clear up some common misconceptions that are likely making your problem worse.

• Myth #1: “To avoid peeing at night, I should drink as little water as possible.”
  This is the most common and damaging mistake. By deliberately dehydrating yourself, you force your body into survival mode. It produces highly concentrated urine, which is extremely irritating to the lining of your bladder. This constant irritation makes your bladder hypersensitive, causing it to send false “go now!” signals even when it’s not full. Paradoxically, drinking too little during the day can condemn you to waking up more at night.
• Myth #2: “I just have a small bladder.”
  In the vast majority of nocturia cases, the problem isn’t the size of your bladder’s “storage tank.” The issue is the production rate of your kidneys at night and the return of fluid from your legs. You could have the largest bladder in the world, but if your kidneys are working overtime while you sleep, you’re still going to wake up.
• Myth #3: “A glass of wine or beer at night helps me relax and sleep.”
  This myth is particularly dangerous. Alcohol is a potent diuretic; it gives a direct order to your kidneys to produce urine as if there’s no tomorrow. Furthermore, alcohol actively blocks the release of your precious ADH, the hormone that’s supposed to be putting the brakes on urine production. So, you’re doing three things wrong at once: consuming liquid, taking a diuretic, and disabling the only natural brake your body has. Avoid alcohol completely, especially in the 3-4 hours before bedtime.
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