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Nocturia, enuresis and snoring: an unusual combination in an adult?

Nocturia, enuresis and snoring: an unusual combination in an adult?
Nocturia, enuresis and snoring: an unusual combination in an adult?
A 41-year-old man was seen in a respiratory clinic with symptoms of snoring, sleepiness during the day, enuresis and nocturia. He was waking up a minimum of 6–7 times to micturate every night. He had a past medical history of hypertension. His medication included lisinopril, omeprazole and simvastatin. He denied significant alcohol intake. On examination he was obese with a body mass index of 32 kg/m2, his blood pressure was raised at 170/120 mmHg. Chest examination revealed clear lung fields and otherwise unremarkable general examination. His collar size was 45 cm. His blood tests suggested normal renal, thyroid, calcium and blood sugar profiles. The mid-stream urine did not show any evidence of urinary tract infection. He had an elevated score of 15/24 on the Epworth Sleepiness scale (a questionnaire tool to assess daytime sleepiness).

He subsequently had an overnight oximetry, which showed 4% oxygenation desaturation index of 80.6 per hour (Figure 1). This is consistent with severe obstructive sleep apnoea hypopnoea syndrome. He was commenced on continuous positive airway pressure with substantial improvement in his sleep apnoea symptoms, including nocturic frequency, and his enuresis is completely resolved.
1750-8460
532-533
Dushianthan, A.
013692a2-cf26-4278-80bd-9d8fcdb17751
Ebden, P.
4c625c0e-7f8a-4620-9d8a-e90846c507aa
Dushianthan, A.
013692a2-cf26-4278-80bd-9d8fcdb17751
Ebden, P.
4c625c0e-7f8a-4620-9d8a-e90846c507aa

Dushianthan, A. and Ebden, P. (2010) Nocturia, enuresis and snoring: an unusual combination in an adult? British Journal of Hospital Medicine, 71 (9), 532-533. (doi:10.12968/hmed.2010.71.9.78168).

Record type: Article

Abstract

A 41-year-old man was seen in a respiratory clinic with symptoms of snoring, sleepiness during the day, enuresis and nocturia. He was waking up a minimum of 6–7 times to micturate every night. He had a past medical history of hypertension. His medication included lisinopril, omeprazole and simvastatin. He denied significant alcohol intake. On examination he was obese with a body mass index of 32 kg/m2, his blood pressure was raised at 170/120 mmHg. Chest examination revealed clear lung fields and otherwise unremarkable general examination. His collar size was 45 cm. His blood tests suggested normal renal, thyroid, calcium and blood sugar profiles. The mid-stream urine did not show any evidence of urinary tract infection. He had an elevated score of 15/24 on the Epworth Sleepiness scale (a questionnaire tool to assess daytime sleepiness).

He subsequently had an overnight oximetry, which showed 4% oxygenation desaturation index of 80.6 per hour (Figure 1). This is consistent with severe obstructive sleep apnoea hypopnoea syndrome. He was commenced on continuous positive airway pressure with substantial improvement in his sleep apnoea symptoms, including nocturic frequency, and his enuresis is completely resolved.

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Published date: September 2010

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Local EPrints ID: 437280
URI: http://eprints.soton.ac.uk/id/eprint/437280
ISSN: 1750-8460
PURE UUID: 5a2b964b-20de-470a-93e3-7428e9a72567
ORCID for A. Dushianthan: ORCID iD orcid.org/0000-0002-0165-3359

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Date deposited: 23 Jan 2020 17:34
Last modified: 27 Jan 2020 13:56

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Author: A. Dushianthan ORCID iD
Author: P. Ebden

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