Wednesday, 26 November 2014
Why do some men faint when they urinate at night?
Fainting while urinating standing up,
particularly just after waking, is quite common
for men.
The medical term is micturition syncope.
Micturition is the tecnical term for "emptying
the bladder" and syncope the term used for
fainting as a result of reduced blood flow to the
brain.
When you sleep you have a lower than normal
blood pressure because your veins are dilated
due to lowered nerve activity. When you get up
at night to pass water, the nerves should "kick
in" and cause the veins to contract and push up
your blood pressure.
When you pass water, the nerve stimulation
involved in relaxing the bladder sphincter and
contracting the bladder may lead to a fall in
blood pressure, even in "normal" people.
In micturition syncope the blood pressure
doesn't normalise fully when the person gets
up, and when that person then starts to pass
water he passes out.
The best would be to have your blood pressure
taken, to make sure that you don't have an
irregular heartbeat and that you aren't anaemic
and that there are no underlying diseases.
Other factors that could cause micturition
syncope include dehydration, excessive alcohol
intake, medical conditions such as a respiratory
infection and the use of certain medications,
including alpha blockers that improve urination
in men with prostate problems.
If a man has micturition syncope, he should just
remember to sit on the bed for 1-3 minutes
before walking to the bathroom. It's also a
good idea to urinate sitting down.
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