[Tee tiong huat]

*Nocturia*

Nocturia means that urination at night is a symptom of heart failure, not of the bladder.
Dr.Abdul Nasir, explains that nocturia is actually a symptom of blockage in the blood flow to the heart and brain. Adults and elderly people suffer the most because they have to get up frequently at night to urinate. Elders shy away from drinking water before going to bed at night for fear of disturbing sleep.

They think that if you drink water, you will have to get up again and again to urinate. What they don't know is that not drinking water before bed or after urinating at night is an important cause of frequent early morning heart attacks or strokes in adults and elderly people. 

In fact, nocturia means frequent urination is not a problem of bladder dysfunction. This is due to decreased heart function in the elderly with age, as the heart is no longer able to suck blood from the lower part of the body.
In such a situation, during the day when we are in a standing position, the flow of blood is more downwards. If heart is weak, the amount of blood in heart becomes insufficient the pressure on lower part of the body increases. 

That is why adults and or elderly people get swelling in the lower part of the body during day. When they lie down at night lower part of the body gets relief from the pressure and thus a lot of water gets stored in the tissues. This water comes back into the blood. If there is too much water, the kidneys have to work harder to separate water & push it out of the bladder. This is one of the main causes of nocturia.

1. So it usually takes about 3 or 4 hours between when you lie down to sleep & first time one go to toilet. After that, when amount of water in the blood starts increasing again, after three hours one has to go to the toilet again.
   

Now the question arises that why?. is it an important cause of brain stroke or heart attack?.

1. Answer: Is that after urinating 2 or 3 times, there is very little water in the blood body's water is also reduced by breathing. This causes blood to become thick and sticky and the heart rate slows down during sleep. Due to the thick blood and slow blood flow, the narrowed blood vessel gets blocked easily...
   

This's reason why adults and elderly people are always found to have a heart attack or paralysis around 5-6 in the morning. In this condition they die in sleep itself.

First thing to tell everyone is that nocturia is not a malfunction of bladder, it's problem of aging.

Another thing to tell everyone is that you should drink lukewarm water before going to bed, and again after getting up to urinate at night.

Do not be afraid of nocturia. Drink plenty of water, because not drinking water can kill you.

The third thing is that to increase the efficiency of the heart, you should do more exercise in a normal time. The human body is not a machine that will deteriorate if it is overused, on the contrary, the more it is used, the stronger it will be. Do not eat unhealthy food, especially high starch and fried foods.

I request you to share this article with your adult and elderly friends. Important for senior citizens.

As this is specifically meant for senior citizens, please do not disregard it. Read it and share it with people who may need it! 🤝🙏🏻

The incident happened around 7.30am on Aug 18.   A 27-year-old junior doctor told The Straits Times, he had left his car at home to catch train, from where he lives in Novena, to Yishun be'cos it was a Sunday. At Yishun MRT station, he noticed a crowd at tlbottom of the escalator. A man had collapsed & was gasping for air.

Dr Lim, who has been a doctor for two years, pushed through the crowd and introduced himself as a medical doctor. The man had no pulse by then. Doctor immediately commenced cardiopulmonary resuscitation (CPR), & directed people around him to call for an ambulance.