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not sleeping well due to slight sensation

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Posted 1/26/2018 2:32 AM (GMT 0)
Still getting this slight sensation of awareness with a slight urge to pee and this disturbs my sleep as now I'm waking up as a result of it. It's more like an awareness of my body. Ill wake up to this around 3/4 am, sometimes 1am, so only an hour after falling asleep. Other times though, I have just gone back to sleep instantly and it's been fine.

Sometimes it makes me want to pee but most of the time I don't need to go so I don't, so it's not really that severe and that's the thing, it's never been a strong sensation, more of an awareness of these parts of the body and this "slight sensation" of wanting to pee. The times I have been I'll void an average amount (250ml maybe), nothing major but then that sensation or whatever it is I just can't put my finger on lingers for a bit and still can't really get back to sleep for a while. So maybe this isn't related to the peeing but rather to something that is waking me up at these odd times of the night.

Like for example, last night I woke up at like 1am feeling this sensation. I did not drink much before bed which was around 12midnight (did have cup of tea 500ml around 9pm). The only other noticeable symptom is this slightly strange, taste in my mouth upon waking. Again not sure what that's about. This is really frustrating as I've gone from someone who had zero issues with sleep to disturbed/middle of the night insomnia type sleeping patterns.

Anyone else get these symptoms? Possible anxiety related cause? It's just strange I have never had any pain at all or anything like that the entire time.
Posted 1/26/2018 9:49 AM (GMT 0)
I have insomnia from Flowmax. I had it post biopsy and stopped it and it went away and now have it again after my first treatment. I will stop again and look for an alternative. Denis
Posted 1/26/2018 10:45 AM (GMT 0)
Winglets- What Your describing sounds just like the bladder spasms that I experienced after surgery lasted on and off for about a month after?

Larry
Posted 1/26/2018 11:30 AM (GMT 0)
Hi Sky Pilot,

Yes that’s interesting, my symptoms could be bladder related rather than prostate related. However I have never had any type of surgeries whatsoever in my life.

My urination habits have been a bit irregular. For example yesterday I went once in the morning around 7am and then drank loads during work (maybe around 2l) and didn’t need to urinate until 6pm and then only went one more time after that. No bloating or fullness at all. This is what has been normal for me my whole life. But then today, I woke up with that slight urge/sensation, peed once (not a huge amount) then went back to sleep woke up for work (peed then as well again not much) then at work I drink 2 small cups and I’m already feeling a little bloated and uneasy although it’s settling down now. Just makes no sense. Sure I’m not going like 10 times a day but for someone who can usually hold it in for an entire working day, I am disturbed by this change.
Posted 1/26/2018 12:11 PM (GMT 0)
Winglets- maybe when some of our knowledgeable guys come on board they might be able to offer some suggestions?

Larry
Posted 1/26/2018 1:39 PM (GMT 0)
Thank you, do you know who they might be?
Posted 1/26/2018 1:56 PM (GMT 0)
Winglets, how long has this been going on? Have you started or stopped any medications recently? It's not very common for guys, but have you been tested for a UTI?
Posted 1/26/2018 2:29 PM (GMT 0)
Hi Jeff,

I'm 34, male and this has been happening for more than 2 months now but it's not been progressive or getting worse. Pretty much the same and on/off.

I've never had pain or burning or straining when peeing and there's no pain whatsoever anywhere else. Possibly occasionally a strange feeling AFTER I’ve peed but otherwise nothing noticeable.

I've had urianalysis samples done 4 times, all normal, tested my blood glucose level several times using home testing kits before/after meals and that's normal too. I had a DRE and now this is what I’m worried about. The doctor said my prostate was slightly enlarged however 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 it's not abnormal and this can happen. He gave me a PSA form so I'm going to go and get that done. I'm a little worried because I’m not meant to get this at my age. 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 and more concerned with my anxiety levels.

In regard to medication, now I was on Remeron/Mirtazapine for about 2 months and about 3 weeks I stopped it. I was only on 15mg. These urinary symptoms are not a side effect or withdrawal symptom of Remeron.

I suppose I do have health anxiety and tend to think the worst when it comes to symptoms i.e. cancer.
Even if I get told, “oh this is so unlikely to happen etc” I’ll worry and think well what if I’m the rare case etc.

Post Edited (winglets) : 1/26/2018 7:32:23 AM (GMT-7)

Posted 1/26/2018 2:51 PM (GMT 0)
Winglets,

Have you seen a urologist yet? You mention doctors but I don't remember your saying what kind. At your age, and with a smooth and only slightly enlarged prostate, worrying about prostate cancer is probably barking up the wrong tree. Urologists treat prostate cancer, to be sure, but most of their practice is helping people with minor urinary problems much like yours.
Posted 1/26/2018 3:04 PM (GMT 0)
You didn't say who did your urinalysis but, if you haven't already, I suggest you make an appointment with a Urologist, who specializes in urinary tract disorders, for a thorough workup and exam. He may also order a CT scan. There are a number of things that can cause your prostate to be slightly enlarged, most of them benign. Our prostates also naturally increase in size starting in our mid-twenties. Some just enlarge faster than others. It is definitely a good thing that your DRE does not indicate any bulges or irregularities in your prostate.

Yes, you are young to be dealing with these types of issues, but it's not completely unheard of. I suggest you take a deep breath and try to calm your anxiety. In my opinion, you shouldn't worry about having prostate cancer at this point. Find yourself a good urologist who you trust and work with him to get to the bottom of this.

Jeff
Posted 1/26/2018 3:27 PM (GMT 0)
Thanks for your replies.
Ah I'm from the UK so it works slightly differently here with the NHS. I have to first go to my GP then he'll refer me to an urologist if he deems it necessary.
The GP did the pee stick tests and the DRE. If prostates start growing from mid 20s then why does it affect mainly men from the age of 50? I guess it's a slow process?

Also the most noticeable symptom I have is during the night time when I'm regularly waking up with that sensation I mentioned. Is lying down/being prone flare up prostate issues if you have them?

I think I do need to relax and rest assured that it's not the worst case but my anxiety won't let me. I can't even focus at work as I'm spending my time on prostate cancer forums.
Posted 1/26/2018 3:41 PM (GMT 0)
Yes, it's typically a very slow process and usually not noticeable until later in life, if at all. Even then, the most common symptom is only a weaker urine stream.

So, if I understand correctly, your GP has not deemed it necessary for you to see a urologist? If he has not been able to successfully diagnose and treat your symptoms, a referral to a specialist seems to me to be the next logical step. Have your tried negotiating that with him, or is that even possible? Sorry, I'm not familiar with how the UK NHS works.

Jeff
Posted 1/26/2018 3:57 PM (GMT 0)
So here in the UK, when you want to see the doctor about symptoms you’re having you first go to the GP. He assesses the situation and if necessary will then refer you to a specialist. Usually though they’ll do tests themselves or whatever is necessary to figure out what’s happening before any of that. They try and not refer people unless absolutely necessary due to the horrendous waiting lists that the NHS have, hence why the free health care does have its drawbacks.
I understand in the US that if you have the money/insurance cover then you can see whoever you want. We have private insurance here too however it is very expensive and most people I would say don’t have it because of free healthcare.

The GP just said to get the PSA done first and then would take it from there but he suspects that it could be a mild case of irritable/overactive bladder.
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