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Nocturia in Elderly Male

Urology
KurianGender: MaleAge: 78 years (Elderly) Chronicity: 5 years

Presenting Complaints & History

  • Waking up 6-7 times a night to pass urine
  • Severe sleep fragmentation leading to daytime fatigue and memory issues
  • Weak, dribbling urinary stream at night
  • Risk of falls during nighttime visits to the bathroom

Clinical Assessment

Suffered from chronic nocturia for years, which severely disrupted his sleep and left him exhausted during the day. Desired a non-sedative treatment option.

Diagnostic Investigations: Urological exam confirming mild prostate enlargement (30 cc) and age-related nocturnal polyuria.

Homeopathic Therapeutics & Management

Constitutional therapy focusing on prostate tone, renal concentrate mechanism at night, and soothing bladder sensitivity.

Selected Constitutional Remedies: Sabal Serrulata and Staphysagria

Lifestyle & Nutritional Support

Strict fluid restriction 4 hours before bedtime, elevating legs in the evening to reduce fluid pooling, and installing night lights for safety.

Clinical Outcome

Follow-up Period: 8 months
  • Nocturia episodes reduced to 2 times per night
  • Significant improvement in sleep quality and daytime energy
  • Urinary stream at night became stronger with no dribbling
  • Sustained improvement during follow-up with reduced fall risk
Medically reviewed by Dr. Navaneeth K. Unni
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#Nocturia#ElderlyHealth#SleepFragmentation#Prostate#Sabal
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