HOW MANY TIMES IS NORMAL TO WAKE UP AT NIGHT TO PEE? | NOCTURIA SYMPTOMS

Nocturia means a condition in which you are waking up in the middle of the night to pee or to urinate. Have you ever asked yourself the question why should you wake up in the middle of your sleep at night for nothing else but to urinate? Well, here you shall get what precisely the reasons are for waking up at night just to pass urine. 

Nocturia is defined as getting up more than once throughout the night for no other task but to pass urine, except urinating soon before going to bed or just after waking up in the morning. Regardless of this terminology, it seems quite distressing for many people to face sleep disorders especially to get up from their bed for nothing else but to urinate in the middle of their sleep merely once at night. Why do you wake up mid-sleep at night? Is it due to passing urine or it is something else that you are up and then afterward you decide to go to the toilet to urinate? There is a lot of difference between the two acts. In case your nighttime wakeup call is for something different and since after waking up you were doing something else but meanwhile after some time you go to the toilet to urinate. If this is the case then you should analyze your sleeping pattern and figure out why you can't sleep soundly at night. Peaceful sleep is quite essential for your urologic well-being as well as your overall well-being and various other aspects of your health conditions. (@ chhanno blogspot com 23012022).

If you find yourself waking up multiple times a night for the sole purpose of peeing at night, you should consider why this is occurring to you. It may very well be due to the reason that your bladder has shrunk and that’s why you can keep a smaller quantity of pee in your bladder during the night, or it could be due to a series of further factors. It might be because your bladder is hyperactive, and before it is full, it sends signals of fullness to your brain, causing you to feel the need to go to the bathroom and urinate. There are several reasons for peeing too many times at night. Aside from hyperactive bladder, this can also occur due to a hypertrophied prostate gland which hinders the flow of urine and thus develops a more hyper-bladder. In ladies, a sling around the urethra they have had in a medical procedure may induce narrowing of the urethra which your body interprets as a blockage of urine flow. It might also be related to a neurologic ailment, or due to old age, and other elements which may be responsible for the activeness of your bladder. The take-home is anything that is causing your bladder excessively active your first obligation is to address that cause before doing something else. 

There might be another reason why your bladder's compliance has altered. When the bladder fills it has a balloon-like expansion. It simply expands and increases in size without getting excessively great pressure. However, if you've had some kind of nerve damage or radiotherapy, it might modify bladder performance or responsiveness which makes it less flexible and it contains less pee. Another factor is an excessive amount of urine that can wake you up in the middle of the night. Strangely enough, the reason behind that is that beyond 65 years of age, around 30 percent of urine is produced at night. So, beyond the age of 65, the majority of people wake up ordinarily at least one time throughout the night, which is within the standard cutoff thresholds.

The increased peeing alot at night may be due to age-related changes or it may be an indication of certain ailments such as high blood sugar and polyuria, in which you take excessive amounts of water during the daytime due to abnormal performance of hormone system associated with thirstiness regulators. Clinical treatment can be used to address these conditions if you contact a specialist or a primary healthcare physician. In case you suffer from edema or swelling of your legs and feet due to conditions such as congestive cardiovascular disease and vein problems, that fluid can be triggered when you lie down, and thus the volume of your urine increases.  (@ chhanno blogspot com 23012022).

A disruption in your sleep is something that lists at the last due to which you may be making you wake up to pass urine at midnight. A discontinuity of sleep is most commonly due to obstructive sleep apnea (OSA) which may trigger urinary indications. If you do not feel fresh and relaxed in the mornings following a full night’s sleep, it also is an indication of OSA. Your spouse or someone else sharing the room with you may have observed that sometimes you stop breathing during sleep and after a while, making some noise or snoring, you fall back again to normal sleep. This condition is a possible indicator of having OSA. In case the circumference of your neck is larger than normal that can also be an indicator of OSA. As a result, if you believe you're waking up too much at night, don't feel rested at night, or in your opinion, have similar issues the best advice for you is to see a urologist or discuss your problems with your main health care provider. 

Finally, there are some final thoughts. If you are old enough or have disability challenges to moving like reaching the toilet, your greatest dread is falling while going to the toilet at night in the dark. So there must be some precautionary measures to safeguard your safety when using the restroom. You may set up and use the lamps which switch on when sensing a motion around. It can save you to switch the lamps on and trip over anything you did not notice. Furthermore, a urinal or a commode may also be used near your bed to save you from too much walking from your bed to the toilet. Also, please be certain that nothing is on the way between your bed and the toilet or commode and that it is clear of any obstacles. Before you finally lie down to sleep please practically take the few steps between the way from your bed to the toilet and ensure that the way is quite clear of any obstacle so that you may not stumble over or hit anything later at night. 

OK, God bless you and please take care everywhere and always. 

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@   https://www.chhanno.com/2022/03/what-is-nocturia-how-to-avoid-nocturia.html

(Updated on 25-03-2023)

WHAT SUPPLEMENTS ARE GOOD FOR ERECTILE DYSFUNCTION? | WHAT ABOUT FOLIC ACID?

Could nutrients help you have better erections? A study has been conducted on the purpose of whether the use of a specific vitamin has certain advantages for facilitating erections. The name of that vitamin is folic acid and it is typically utilized as a supplement for women during pregnancy. It may also be beneficial for men since folic acid plays an important part to make nitric oxide which is the basic compound behind erection processes. It’s primarily similar to the first spark that starts the erection. 

Of late a study regarding folic acid and erection problems has been released in a medical journal that investigated numerous earlier research works by consolidating their statistics to discover a correlation between folic acid and erection problems. Before this study, it was not obvious whether getting erectile dysfunction is curable with folic acid or not. Let's see these statistics and discover what the reality is. 

Statistics about persons from various walks of life who enlisted in this survey were investigated. This survey was done in two parts. In the first part, healthy men or men with ordinary qualities of erection were compared with men with erection problems based on the folic acid in their blood level. In the second part of the survey men who took folic acid as a supplement were compared with the men who did not take it. It was done with the help of a verified survey. (@ chhanno blogspot com 21012022) 

A verified survey is an opinion poll of the people that are verified to be in a distinct category of patients based on the seriousness of their problems. If someone has completed a survey, he will receive a mark or grade that will indicate the intensity of his erection problem. The number of surveys investigating the relationship between erection problems and folic acid was compacted to nine such surveys. Six surveys out of nine considered the men with good physic and men with some erection problems and tested or analyzed the level of folic acid in their blood. There were a little less than one thousand individuals having erection problems and approximately 850 healthy men in the study. The whole statistics were analyzed collectively and it was discovered that the level of folic acid in the blood of males with erection problems was lower as compared to the other people with a high level of folic acid in their blood. Their erection problem worsened when their folic acid level remarkably declined. 

In two more surveys, the individuals with this disorder were administered the nutrient, folic acid for 12 weeks and then analyzed what difference occurred to its level in their blood as compared to the severity of their erection problem during that period of 12 weeks. There were approximately one hundred and forty individuals who participated in the survey, and it was discovered that the seriousness of their erection problems reduced considerably after taking folic acid for three months continuously. It was discovered for instance that the seriousness of their erection problem improved from severe to gentle one. Furthermore, the condition of their erection shifted to a better position so far as its stiffness and formation were concerned. 

The final study explicitly targeted diabetic males. These guys were administered Tadalafil, one of the widely recommended erection pills or medicine to get erection for patients with erection disorders. They were given 10 mg of it on alternate days. After that, they were separated into two groups. Patients in one group were also given 5 mg of folic acid daily, whereas patients in the second group were given a fake sugar tablet. A dosage of 5 mg of folic acid is more than the normal usual dosage administered to folic acid-deficient patients. The diabetic patients were picked explicitly since men with diabetes are inclined to respond quite poorly to most of the drugs used for the treatment of erection disorders. They have a lower chance of obtaining an adequate erection necessary to penetrate at the time of intercourse and it is difficult for them to participate in sexual encounters using just tablets only. The goal was to see if supplementing with folic acid had any impact. On comparison between the two groups, it was discovered that these guys scored much better on the nature of their problem than those who were not given additional folic acid as erection supplements. As pointed out earlier, a larger quantity of this nutrient was administered to the patients yet they did not experience any negative symptoms, and neither anyone dropped out of the survey as a result of the folic acid intake. However, the side effects which came out occasionally were minor skin rash, backache, or slight headache.  (@ chhanno blogspot com 21012022)

As a result of all of this discussion, it is most likely that people normally would not take the supplement folic acid abruptly for the treatment of erection disorder. This is so because we do not yet know exactly the appropriate quantity of a daily dose and for how much time that dosage would remain effective. It is not possible to say with certainty as of today that you can feel free to use this supplement in any quantity right now. Please consult your primary healthcare physician first in case you have the intention to use thes supplements to help with erections since it can interact with some of the medicines you are using already. Some of the medicines are specifically restricted to be used with folic acid including some medicines for seizures as well as a large range of other medicines. So you should be cautious in this regard, please. 

In any case, you should eat folate-rich foods for erectile dysfunction in men which include fresh fruit and vegetables as well as some specific meat. You can Google about the folate-rich item and the exact amount of folate they contain. In case your favorite food is folate-rich, you should include it in your regular diet. The most fundamental things you can do are to follow a good food pattern, be energetic, and don’t get overweight and that will help you a lot with your erection problems to a great deal. All such things will certainly assist you with maintaining your erectile functions more powerfully and be available at the time you require them. 

So that’s it. God bless you and please take care everywhere and always.

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(Updated on 21-03-2023)

HOW MUCH IS SHE HAPPY WITH HIS PENILE SIZE?

People seldom, but occasionally, search Google to find out the techniques to enhance penile size, but the question is whether it makes any difference to your partner. 

Here something is required to be clarified and that is the answer to the question; "what is urology?" As defined in medical literature, actually urology is a part of health care that deals with diseases of the male and female urinary tract (e.g., kidneys, ureters, bladder, and urethra). It also deals with the male organs that can make babies (penis, testes, scrotum, prostate, etc.). Doctors and professionals discuss the whole of these topics in urology. They routinely discuss sex, bladder disorders, urine system disorders, malignant growth in this system, kidney problems, and a variety of other topics, but in this article, you will get a reply to a specific query viz., "Is it a matter of concern for your spouse about what the size of or how big or small your male organ is?"

An interesting survey was conducted a couple of years ago wherein all 300 participants were ladies and it was published in a medical paper on sexual medicines. Although the ladies who took part in this survey do not portray the whole female populace in the country however it's an adequately large group, and amongst other questions asked in the survey, one question was whether they have any concern about the measure of their spouse’s penis or otherwise as far as their fulfillment of sexual pleasure is concerned.  (@ chhanno blogspot com 19012022)

The main question that was placed before these ladies, was whether they consider the length of their spouse’s penis pleasing. Eighty-nine percent of these ladies or nearly all of them replied in affirmation. As a result, a vast majority of the participants of this survey with their spouses were most likely within a typical spectrum. The size of the penis is usually approximately five inches. In case a male penile size is simply average, he has nothing to worry about since it may already be agreeable for his spouse. 

Another question was that in their opinion whether the size has any bearing on their sexual fulfillment. Nearly half of them, or forty-three percent, to be exact, replied with a yes. It's still fairly substantial however it's far from being perfect. Another intriguing reaction came from these ladies when questioned if having a larger penis with their spouses will boost their sexual enjoyment. Just twenty-nine percent replied with a yes while fifty-one percent thought that it would make no difference. 

This last piece of information has been shared since it may be quite amusing for the readers. When asked, what do you think is the most enthusiastic supporter of orgasm? More than sixty percent said vaginal intercourse was the most important factor if it was followed by external vaginal arousal from the partner. It may be noted that a partner's clitoral stimulation causes external vaginal arousal. Surprisingly, external vaginal arousal was the quickest trigger to climax. Thus, if you want to bring your spouse at that point in the shortest possible time you should be very good at doing that.  (@ chhanno blogspot com 19012022). 

In the end, there is an alert about this survey wherein 300 ladies had an opportunity for taking part to answer certain queries for one time only. Therefore, this survey possibly isn’t a suitable instance to be generalized or be a delegate of the whole community. Nevertheless, this survey represents the best gesture because of the grounds that there is no need for you to fret about too much since your spouse is pretty much content with it, as nearly ninety percent of the ladies were quite delighted and several tactics are there that you and your companion can employ to a satiable climax. 

Time to leave, God bless you and please take care everywhere and always. 

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(Updated on 16-03-2023)

HOW TO INCREASE SPERM QUANTITY NATURALLY | BY CHANGING LIFESTYLE

 

The most well-known inquiries from urology patients are “how might I increase my semen volume?” Therefore this article has been written with the purpose to give you some of the information you should know concerning sperm. What about the accuracy of your body's performance to create sperm? After the emission of seminal fluid what precisely happens and what is the reason that the volume of your sperm or seminal fluid gets reduced sometimes? Can it cause problems for your spouse, and how to increase seminal fluid or how to ejaculate more or how to increase ejaculate volume?

What is seminal fluid or semen? Semen is made up of several distinct components. Everyone is familiar with spermatozoa (sperm). It is produced in the testicles. Sperms volume is just 5% of the total volume of seminal fluid. Many people may assume that having semen volume which is not as high as others’ implies that either their sperm are not of good quality or their fertility is not equivalent to others whose seminal volume is higher. It is simply incorrect. Another factor of the semen is the prostate gland which produces some discharges that functions to nourish and assist the spermatozoa to move more readily, and it comprises nearly twenty-five percent of total seminal fluid. Seminal vesicles are a couple of tiny glands located beneath the prostate that contains the fluid that turns into semen. This fluid contributes the most part, up to nearly seventy percent of the total volume of the seminal fluid. Finally, at the time of seminal discharge, a little quantity of fluid is produced by the bulbourethral glands, which are two tiny little structures located beneath the prostate gland at the beginning of the internal portion of the urethra. 

Likewise, there are surely some causes due to which certain individuals have a more forceful ejaculation while certain other individuals may see just dribbling. This happens because of the pair of bulbocavernosus muscles of the perineum, which is located around the base of the penis surrounding the urethra. The major function of these muscles is to act as a pump that forcefully propels sperm out of the body from the prostatic urethra to the urethral meatus in rhythmic contractions during the expulsion phase of ejaculation. They might be more powerful in a few individuals while more fragile in others. That is the reason due to which the seminal fluid comes out with different forces for different individuals. Now that you are familiar with the way of typical functions of your body, you could be asking yourself why are you damaging your romance in case you have a weak push out of ejaculate or low in volume. A survey wherein more than two hundred ladies participated was conducted nearly five years ago. A lot of inquiries were made to them concerning how they felt about the ejaculation of their spouse and does it have a role in the joy they feel during intercourse. It was observed that so many ladies didn't mind at all about either the volume or the power of their spouse’s ejaculation. In case their spouse’s climax was same way perceptibly intense, just seventeen percent of them felt their climax was truly more forceful. A far smaller proportion, thirteen percent believed that they might not be much appealing due to which reason their spouse didn't have a greater ejaculation. As a result of their partner's low ejaculate volume; they did have some self-confidence issues. As a general rule, please don't be concerned about it. The vast majority of people are pleased with their seminal fluid, especially when the two participants are in orgasm and there is nothing to complain about. (@ chhanno blogspot com 18012022) 

According to several studies, the most powerful and ample seminal fluid possessed by a man may be when he is in his 30s. Thereafter it gradually declines as he ages. Several things contribute to this decline. It can involve muscular frailty besides poor nutritional habits. A person's manner of life, such as drugs or cigarettes, or various healthcare concerns can also play a role. The volume of sperm might amusingly change from day to day owing to a variety of factors such as your water consumption, psychological pressure, and medications you're taking. People may experience an unexpected drop in sperm volume that lasts for several days. Its cause might be a blockage in the ejaculatory duct, through which sperm moves to the pee tube or the level of your testosterone could be inadequate. Several drugs may also induce this discomfort. Tamsulosin, also known as Flomax, is a well-known medication, and it is regularly prescribed to individuals with prostate enlargement, or some bladder disorders. This produces retrogressive movement of seminal fluid, which means that at the time of climax, the ejaculate goes in the reverse direction to the bladder instead of forwards. Afterward, it comes out when you urinate later. It’s either due to adverse reactions to some drugs or high blood sugar or neurologic disorders or an injury of the spinal cord. Therefore, in case you have an abrupt shift, please ensure to consult a specialist doctor to confirm that there is nothing such a disorder that you may be experiencing. 

There might be the following four different ways through which you can increase your semen volume. The first three methods may be beneficial, however, only the last one has been shown to improve sperm volume.

1. Stop Smoking: It’s an awful thing to do. It is linked to a variety of lung problems in addition to lung cancer. Similarly, it is linked to bladder cancer and the resultant erection disorder. Thus stop smoking for the sake of powerful erections. Theoretically speaking, smoking is accountable to destroy the nerves which lower the seminal fluids produced in the prostate gland and that is simply one more justification to do away with that horrible addiction. 

2. Hydrate: Much like any other thing our bodies produce in the presence of fluids our bodies also require excessive liquid to guarantee it is producing a lot of healthy sperm. Therefore you must please ensure to receive sufficient water, juice, coffee, and other such liquids. How to verify at home how sufficient your fluid intake is, please take a peek at your pee. You're fully hydrated if the color of your pee resembles lemonade pale yellow.

3. Do Kegel Exercises: There are certain conditions under which kegel exercises are beneficial for you. These are not suitable to do by all unless there are bladder symptoms, pain in the pelvis, and erection problems for a very young guy. In such cases, these workouts may be quite beneficial. These exercises reinforce the muscles of your pelvic floor, particularly the muscles of bulbocavernosus, making climax more powerful and fully void of the seminal vesicle. Hence, although nothing is being produced extra yet it's all yours from whatever was left behind. 

Before reading about the fourth method, you should be aware of certain products which do not require approval from the FDA. It includes products that claim to improve the quantity of sperm. Although the claim of some of the products is based on reality yet there are no authentic statistics available to prove this claim for specific, miraculous or natural supplements to increase seminal fluid and which can accomplish that for you. (@ chhanno blogspot com 18012022)

4. Lesser Ejaculations: If you do not make love too frequently it will give you a reliable method of having ample sperm volume. The rationale behind this is that if you wait longer from one ejaculation to the other, your semen sack will get more chances to fill up again. This topic has been well-researched. This study included 27 males whose sperm samples were taken and examined on monthly basis for nearly one and a half years, and several questions were asked to them about how many times they had delayed or refrained to ejaculate. The obtained statistics in respect of changes in the volume of seminal fluid were evaluated. It was discovered that if an individual abstained or avoided discharging semen for only one day, his volume of sperm increased by ten percent. Similarly, the volume of semen fluid was increased by twelve percent for those who hung tight for less than five days. Furthermore, this increase was for each day they remained abstinent. However, it had dropped to roughly seven to eight percent for the days with no ejaculation were higher than four. So the conclusion was that abstaining for two or more days increases the volume of seminal fluid on ultimate ejaculation. 

OK. God bless you and please take care everywhere and always. 

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(Updated on 14-03-2023) 

WHAT IS THE NORMAL URINE OUTPUT PER DAY FOR ADULTS? | A UROLOGIST EXPLAINS!

How many times does an ordinary healthy man or woman usually pass urine per day or how often people are generally required to pass urine in one day or what is the normal urine output in 24 hours for adults? According to urological terms passing urine up to eight times or higher in a day is defined as unusual or irregular however is it true explicitly for men and women of various races? Let’s see what a urologist does answer to all these queries in this article. 

In a study, more than four thousand women were asked in a questionnaire about the number of times they have to go to the toilet to pass urine in one day while they are awake. On analyzing the study data it was observed that 6 percent of them go to the toilet after each interval of 6 hours or more. That comes out to be less than 4 times a day. Similarly, 16% of them go to the toilet after each interval of 5 or 6 hours. A great majority of them i.e., 51% go to the toilet after every 3 to 4 hours and 23% go to the toilet after every 1 to 2 hours and which means after every one or two hours during the day time when they are awake. It’s quite a large percentage of people for such high-frequency urination because it could be from 12 to 16 times each day in case you are going to pass urine after each hour. Lastly, 3% of people go more than sixteen times a day which means after each hour or lesser time which is too much urine output. Now, what is normal? The answer is that for a day of sixteen waking hours, a normal individual is usually passing urine after each 3 to 4 hours. Most likely a vast majority of people go to the washroom from 5 to 6 times in 24 hours. (@ chhanno blogspot com 15012022). 

However, we should examine it in the light of male-female categories. A study was conducted for both sexes and they have no issues with their urinary system implying that they don't have an issue with their bladder and their urinary system was working all right as usual. The participants of this study were mostly young people which looks somewhat fascinating since they did not represent the whole populace of the country in general. So far as their origin is concerned a little bit higher than 50 percent were black people, 30 percent were white people and nearly 7 percent belonged of Asia or Spanish origin. The statistics collected from this group were analyzed and several attributes concerning men were compared with those of women. It was found that men urinated normally 7 times daily while women passed urine almost 8 times a day. Furthermore, it was also observed that there is a distinction between males and females in respect of the volume of their urine. It was observed that the average volume of urine per urination for women was nearly 205 MLs which is equal to nearly 7 ounces in a day. On the other hand, men had nearly 230 MLs that’s equal to nearly 8 ounces in 24 hours. Thus, the normal urine frequency in men is lower than women but the normal urine output per hour for adults is higher for men which means that the volume of urine they are passing is bigger.

It was also examined how frequently men and women, taken separately, void in 24 hours. It was observed that men go to the restroom 6 times each day, but women go 7 to 8 times per day inclusive of going to the restroom at night. Amusingly this frequency goes up to 21 times in a day. Now that's too much compared to a normal urination per day. Indeed, certain individuals do pass urine for so many times but that is not regarded as something usual. A number of people are unsure whether their routine of passing urine is excessive or appropriate. For example, someone who has a urinary issue may use the toilet only two times per day which is not good for him. Individuals who have a high level of urinary urgency should use the toilet more often. Since a large amount of urine is there in their bladder it’s not healthy to keep it there and the bladder may be voided with a regular frequency. Furthermore, many individuals who do not pass urine intentionally and hold it while they are at their workplace are most likely to face such a situation of urinary urgency. Many persons who are physicians, and medical caretakers, who are standing most of the time during the day dealing with other people, such as hairdressers, salesmen, saleswomen, etc., may believe that they have little chance to use the restroom. As a result, their bladder develops differently and becomes in the habit of storing a large amount of more urine and they are used to keep their urine in the bladder for a longer time. Therefore, they must adhere to a timetable so that they do not experience the constant feeling of passing urine urgently. (@ chhanno blogspot com 15012022). 

Suppose a person is used to passing urine after every five or six hours during the day time but presently he is passing urine after every three hours a day he must see a physician if he is worried about it however, there is nothing to be anxious about since it's just a normal thing. In case someone's average urine output per day is six to eight times or he is passing urine after every two to three hours in the daytime and it bothers him very much he should visit a physician or a specialist. In case the high frequency of passing urine does not disturb you or you take too much water and other liquids and that is the reason for your passing large volume of urine frequently, you need not worry about it since you're just fine.

Okay. Take care everywhere and always.

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 (Updated on 21-12-2022)