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Old 11th December 2017, 10:24 PM   #1
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Not sure what this is?

I'm 34, male, 6ft2, healthy weight bmi etc. and no known conditions, i.e.non diabetic etc. I am taking mirtazipine for the last 2 months. I have a close direct relative, father, who has diabetes type 2 (diagnosed in mid 50s).

The last 3 weeks or so now I've woken up in the early morning (range from 230am - 6am) and had this strange but slight sensation that I need to pee. I awake to find I have it and then can't get back to sleep. I'm wide awake. However it definitely isn't a strong, intense, desperate urge but rather just a slight awareness if that makes sense which is why I don't even need to pee so I never actually go straight away and sometimes don't go at all until later in the morning. So it's more of a slight awareness if that makes sense.

What's even more odd is that this never happens at any other time of the day or night. I have no other symptoms, no burning, no pain, normal urine frequency. I'm fine, my usual self at all other times and can go about my normal day, however this is affecting my sleep now. I haven't had an one uninterrupted nights sleep for a while.

I had an urinalysis done two weeks ago which came back normal. I'll go and get my prostate checked but any idea what this could be? I feel if something disturbs your usual sleep pattern then something isn't quite right. Someone did suggest apnea but I'm not sure. I've used an app to record my snoring and it sounds fairly normal. But it would explain why I'm only getting this one symptom at night time
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Old 12th December 2017, 6:26 AM   #2
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If you have health insurance - you can get a sleep test. Bring your own pillow and spend a night in a bed with some wires and a mask. While Apena is a major issue - there can be other things they can check with the test - heart and brain functions.

I also assume you have had a full physical with blood work - if not get that done. 34 is not old - but not young either and stuff can start showing up now.

Sleep is so important.
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Last edited by dichotomy; 12th December 2017 at 6:31 AM..
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Old 12th December 2017, 7:05 PM   #3
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https://neuro.psychiatryonline.org/d...0.22.3.352.e21
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Old 14th December 2017, 5:43 PM   #4
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Quote:
Originally Posted by introverted1 View Post
I had a look at this and it actually says that remeron is unlikely to cause urinary side effects although it's not impossible
The case discussed was refering to an old man
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Old 24th January 2018, 12:59 AM   #5
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I went to the doctor about a month ago and again he said not much he can do as symptoms were not progressive and getting any worse.
The urination symptoms are less severe on the whole I am not urinating more frequently, however I am still waking up most nights around 3-4am occasionally with a slightly dry mouth too but no strong urge to pee. Even then though, some nights I'll be wide awake, other times I'll be awake momentarily only to fall back asleep almost straight away.
There are days when Iíll drink say around 1l in the afternoon and wonít even need to go pee for almost the whole day and if I do then Iíll only void a small amount but then there are days where I could drink the same amount and Iíll void a fairly large amount, near the 1l that I had drunk. Whatís the reason for this variation? Is this just normal and dependent on the individual?

During the times when Iím not voiding much, my urine is rather concentrated so a lot more yellow than the times when I void a fair amount, where itís diluted and looking very clear. I've never had any pain, no straining, burning when urinating, good flow, no other physical symptoms really.

I did stop the mirtazapine/remeron about 3 weeks ago now so I don't think I'm having withdrawal symptoms.
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Old 24th January 2018, 2:49 PM   #6
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Today I had a DRE and to my surprise, the doctor said my prostate was slightly enlarged although it was very smooth and normal in that regard. It shocked me because I didn't expect someone my age to have this but the doctor wasn't overly concerned about it and said this can happen and it's nothing major to worry about. Nevertheless it's got me really anxious now. He gave me a PSA form so I'm going to go and get that done. I realise that prostate enlargement is a benign condition and there is no link to cancer but I don't know, I'm a little worried. Am I right in thinking that the smoothness and surface/texture of the prostate is more important than the actual size?

He thinks that my symptoms are more likely due to a slight over-active bladder than anything else.
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