Health
Severe Sleep Apnea Linked to Nocturnal Enuresis in Adults
A 30-year-old man experiencing chronic bedwetting was diagnosed with severe sleep apnea, highlighting a potential link between oxygen deprivation and hormonal imbalances.
According to a report by Khaosod Online Thailand, a 30-year-old man sought medical attention after suffering from persistent nighttime urination that escalated to bedwetting, alongside severe daytime sleepiness. While the patient initially suspected urinary tract issues, medical examinations revealed the root cause to be severe obstructive sleep apnea.
Dr. Tsai Ming-Shao, Deputy Director of the Department of Otolaryngology at Chang Gung Memorial Hospital, explained that the condition is linked to chronic oxygen deprivation. During deep sleep, the pituitary gland typically releases an antidiuretic hormone (ADH) to reduce urine production. However, in patients with sleep apnea, repeated oxygen drops and frequent micro-arousals trigger an overactive sympathetic nervous system. This disruption can inhibit the sufficient release of ADH, leading to increased nighttime urine production and, in some cases, bedwetting.
For residents and travelers in Thailand, this case serves as a reminder that persistent sleep-related symptoms—such as snoring, daytime fatigue, or unexplained urinary issues—may indicate underlying health conditions beyond simple exhaustion. While this report clarifies the physiological mechanism connecting sleep apnea to hormonal disruption, it remains a specific clinical case. Individuals experiencing similar symptoms should consult a medical professional for a formal diagnosis, as sleep apnea is a complex condition that requires specialized testing rather than self-diagnosis.