This question was answered on Thu 20, Mar 2014 09:08am by Dr.Kokil Mathur

my psa levels last year were raised , i had all symptoms of uti, enlargedprostate etc as of last test psa levels were normal only symptom left is nocturia, i have another review in june. will my nocturia dissappear over time?

    
Asked by Unregistered 0; UNITED KINGDOM ) on Thu 20, Mar 2014 01:47am
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my psa levels last year were raised , i had all symptoms of uti, enlarged prostate etc as of last test psa levels were normal only symptom left is nocturia, i have another review in june. will my nocturia dissappear over time without treatment ?

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Answer by Dr.Kokil Mathur  on Thu 20, Mar 2014 09:08am:

Hi! To put it simply, if the PSA is normal and the nocturia is due to either prostatic inflammation or benign enlargement of prostate, then it may settle down with time. Sometimes there is no correlation between PSA levels and symptoms and in such cases even though you may have a prostate related problem, the nocturia may persist and you may need some treatment for it. However, nocturia is not always due to prostate. Nocturia can occur due to many causes: kidney related, urinary bladder related (irritation, infection, cancer, small bladder), heart related, or due to diabetes mellitus or diabetes insipidus. Hence all these conditions should also be looked into. You will need blood tests, ultrasounds/CT scans of the urinary bladder and kidney area, stress test, EKG, ECHO etc to find out the cause. You could also restrict your liquid intake about 3-4 hours before bed time. This may help reduce the nightly visits to washroom. Please discuss all this with your treating doctor. Also feel free to ask anything else you may want to know. Take care!

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