Why does hypertension cause nocturia

Sodium restriction shifts circadian rhythm of blood pressure from nondipper to dipper in essential hypertension. Morning hypertension in chronic kidney disease is sustained type, but not surge type. Blood Press Monit. Uzu T, Kimura G. Diuretics shift circadian rhythm of blood pressure from nondipper to dipper in essential hypertension. Alpha-blocker plus diuretic combination therapy as second-line treatment for nocturia in men with LUTS: a pilot study.

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J Pathol. Evidence for activation of the renin—angiotensin system in the human prostate: increased angiotensin II and reduced AT1 receptor expression in prostatic hyperplasia. Download references. You can also search for this author in PubMed Google Scholar. In Japan, people generally consume significantly more salt than those in Western countries, and for this reason, the Japanese population may be at higher risk of developing high blood pressure.

Though people in other countries tend to have different eating habits when it comes to salt, the results of these studies suggest that appropriate control of salt intake and blood pressure might be important for the treatment of nocturia, regardless of nationality. The researchers enrolled 3, residents of the town of Watari who had undergone an annual health check in and gathered information about their blood pressure levels and nocturia using questionnaires.

The data showed that getting up in the night to urinate was associated with a 40 percent greater chance of having high blood pressure, and the risk of hypertension rose significantly as the number of nocturia events per night increased. Konno says that the results do not prove a causal relationship between nocturia and hypertension, and they may not apply to people who live outside Japan. The average salt intake in Japan is approximately 10 grams per day, which is more than double the average salt intake worldwide 4 grams per day.

Harada adds that early detection and management of hypertension are crucial to prevent heart disease. It is important to research and understand the cause of nocturia in patients because this disorder can not only result from urinary organ problems — it may also be caused by diseases such as hypertension.

High blood pressure is the leading global cause of premature death, accounting for almost 10 million deaths in ESC guidelines recommend medication to reduce the risk of stroke and heart disease. Cloudy urine can result from many different issues, including dehydration, urinary tract infections, and kidney stones. Learn more about the causes…. Urine may be brown due to dehydration, liver disease, or certain foods and medications. Treatment depends on the underlying cause. Learn more about….

Seeing blood in the urine is a symptom of many underlying problems in males, including infections, an enlarged prostate, and kidney stones. These include the effects of hypertension on glomerular filtration and tubular transport, resetting of the kidney pressure-natriuresis relationship, atrial stretch and release of atrial natriuretic peptide when congestive heart failure complicates hypertension, and peripheral edema. Another link between hypertension and nocturia is obstructive sleep apnea.

Furthermore, some evidence supports the relationship between nondipping behavior of blood pressure and an increased prevalence of nocturia. The use of some classes of antihypertensive agents may result in nocturia.

The present review aims to provide a comprehensive evaluation of the epidemiologic evidence and physiopathological links that correlate hypertension and nocturia.