Loss of Bladder Control at Night

A large percentage of adults wake up more than once at night—and some of us may also experience occasional frequent urinary urgency or bladder leakage that can exacerbate sleeplessness. 

The potential causes for occasional bladder leakage are many and varied, including anything from stress to dietary habits—like acidic foods and too much caffeine or alcohol. Occasional bladder control issues are more than just frustrating, they can impact your quality of life, your daily routine, your sleep quality, your self-confidence and even your mental state.

While there are many potential causes of losing bladder control at night, there are techniques that can help you deal with the problem and make it less common.


  1. Limit your fluid intake after dinner. Getting enough fluid throughout the day is important, but try to limit the amount of fluid you consume after dinner. Avoid drinking an excess amount of caffeine or alcohol after 5 p.m.
  2. Make sure to use the bathroom before you go to sleep. Let it out before you lay down to decrease your chances of waking up in the middle of the night.
  3. Maintain a healthy weight—it turns out that extra weight can put added pressure on your bladder, which may create more bladder control issues.
  4. Don’t take naps—you want to go to bed at a regular time and maintain a consistent night-time sleep routine.
  5. Add a supplement such as AZO Bladder Control® for help with occasional bladder leakage and urgency for 24-hour support. This supplement is formulated with the Go-Less® blend (containing pumpkin seed extract and soy germ extract), helping to reduce both occasional bladder leakage and urgency due to sneezing, coughing, laughing and exercise.* If you go less, you’ll worry less—both day and night.
  6. Do pelvic floor exercises, or Kegels, twice a day (every day) to strengthen your pelvic floor muscles. Start by sitting comfortably, standing or laying down with your legs slightly apart and relax your thighs, buttocks and abdomen. Tighten the ring of muscle around your front and back passages drawing the pelvic floor muscles up inside (think of the same muscles you would use to stop peeing mid-stream). Don’t hold your breath or tighten your stomach, buttock or thigh muscles at the same time. When you get used to doing pelvic floor exercises, you can try holding each squeeze for a few seconds. Complete up to 10 slow squeezes and 10 fast squeezes. These exercises work for both men and women.


Perhaps one of the greatest effects of occasional bladder leakage at night is lack of sleep. Lack of sleep causes a high inflammatory response, (which is your body’s way of fighting problems), leading to a sort of “friendly fire” within the body: Your attacking immune cells begin to damage healthy ones, putting you at an increased risk of heart disease, diabetes and arthritis. (Heck, research has even shown that lack of sleep may increase hostility in relationships; the fallout can trigger higher stress, which has damaging effects on overall health1).

Take a step towards getting a better night’s sleep with AZO Bladder Control® with Go-Less®. AZO Bladder Control® with Go-Less® helps reduce the sudden urge to urinate and supports your bladder strength, so you can go less, and worry less—both day and night.*

Feel free to send questions to Dr. Roizen at You can also follow him on Twitter @YoungDrMike and get updates on the latest and most important medical stories of the week.


Dr. Mike Roizen^ MD, a paid spokesperson for AZO, is the first Chief Wellness Officer at any major health care institution. He is a professor at the Cleveland Clinic Learner College of Medicine at Case Western Reserve University. He founded RealAge (, co-invented a drug now approved by the FDA, helped start 12 other companies and co-authored 9 books on health including four New York Times #1 best sellers on health. He also has chaired an F.D.A. advisory committee and was an editor for 6 medical journals.

Effects of Poor Sleep: Increased Bickering with Your Partner
^ Dr. Roizen is a paid spokesperson for AZO® products.