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Hospice nurse shares clue she uses to know if someone is dying 6 months before it happens

"Allow the body to be the guide."

via Sabinevanerp/Pixabay

An old woman holding a cane.

Death is the last great mystery that all of us face. We don’t know when we will go or can really be sure what comes next. So there’s understandably a lot of fear and uncertainty that most of us feel around death, whether we’re thinking about ourselves or a loved one. That’s why Julie McFadden's work is so important. As a palliative care nurse in the Los Angeles area, who has seen over a hundred people die, her TikTok videos shed light on the process to make us all a bit more comfortable with the inevitable.

McFadden is also the author of the bestseller, “Nothing to Fear.” The nurse’s experience helping people in their final stages has given her a unique perspective on the process. In a recent video, she shared how she can see the first symptoms that someone is going to die a natural death about 6 months before they finally do.

Interestingly, she can determine that someone only has half a year left to live when most of us have no idea they have entered the final stages of life.

@hospicenursejulie
Replying to @Mariah educating yourself about scary topics will help decrease fear. ✨Nothing to Fear ✨- my book- out june 11th #hospicenursejulie #hospicenurse #caregiversoftiktok #medicaltiktok #learnontiktok #nothingtofearbook

What are the symptoms of dying at the 6-month mark?

McFadden adds that people who are dying are usually placed in hospice care when the symptoms begin to appear around the 6-month mark.

"You will have very generalized symptoms. Those symptoms will usually be, one, you will be less social. So you'll be more introverted than extroverted," McFadden said. "Two, you will be sleeping a lot more. And three, you will be eating and drinking a lot less. Literally, everyone on hospice, I see this happen to."

heaven, clouds, ray of light A Ray of light over a mountain. via PIxbay/Pexels

What are the symptoms of dying at the 3-month mark?

You are going to notice more debility,” McFadden continues. “They will be staying in their house most of the time. It's going to be difficult getting up and just going to the bathroom. Again, sleeping a lot more and eating and drinking a lot less.”

What are the symptoms of dying at the 1-month mark?

Something usually begins to happen in the final month of someone’s life. They start to believe they are in contact with others they have lost. It’s like they are there to make the dying person feel comfortable with their final transition.

"Usually around the one month mark is when people will start seeing 'the unseen', they have the visioning. They'll be seeing dead relatives, dead loved ones, dead pets, old friends who have died,” McFadden said. “Again, not everyone — but many, many people will start seeing these things at around one month."

heaven, death, trumpet An angel with a trumpet.via PixaBay/Pexels

Angela Morrow, a registered nurse at Verywell Health, agrees that people in the final stage of life often hear from those who have passed before them. Morrow says we should refrain from correcting the patients when they share their stories of talking to people and pets who have died. "You might feel frustrated because you can't know for sure whether they're hallucinating, having a spiritual experience, or just getting confused. The uncertainty can be unsettling, but it's part of the process," Morrow writes.

At the end of the video, McFadden says that the most important factors palliative care nurses look at to determine the stage of death are eating, drinking and sleeping. “Most people, a few weeks out from death, will be sleeping more than they are awake. And they will be barely eating and barely drinking,” McFadden said.

i.giphy.com

In the end, hospice nurses “allow the body to be the guide” as they help their patients transition from life to death.

McFadden’s work has brought a lot of peace to her followers as they go through trying times. "My mom is in hospice right now and she’s currently, I think, hours or days from death. YourTikToks have helped me out tremendously," Deb wrote. "My grandma passed away in February, and she experienced all of this. this page brings me peace knowing everything she went through was natural," Jaida added.

"Thanks, Julie. I volunteer in a hospice end-of-life facility, and this helps educate the families. Your posts are wonderful," Grandma Nita wrote.

One of the things that makes death so scary is the number of unknowns surrounding the process. That’s why it’s so important that McFadden shares her stories of helping people to the next side. She shows that death is a natural process and that hospice nurses are here to help make the transition as peaceful as possible.

This article originally appeared in September

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Wellness

Star neuroscientist Andrew Huberman breaks down two simple exercises to improve vision

The eyes are muscles like any other and need both stimulation and relaxation.

Canva

Treat the eyes like a muscle. Give them exercise and relaxation.

We spend a lot of time looking at things up close, particularly our screens. For many of us, it’s the first thing we look at in the morning, the last thing we look at before going to sleep, and the thing we look at most during all those hours in between. According to a study commissioned by Vision Direct, the average American will spend 44 years looking at a screen. You read that right. Over. Four. Decades.

Really, it’s no wonder that eyesight has worsened. Experts have declared that myopia, aka nearsightedness, has grown to an epidemic level. In addition, we suffer more headaches and migraines, get poor sleep, and tend to feel more fatigued.

Luckily, there are a few things we can do to help, whether we boast 20/20 vision or are already constantly squinting.

Neuroscientist Andrew Huberman, well known for his podcast “Huberman Lab,” breaks down all kinds of science-based life hacks for health, wellness, and fitness.

In addition to studying the brain, one of Huberman’s main research topics is vision. In a video, Huberman shares two simple exercises that can dramatically help improve eyesight.

First and foremost, we need to allow our vision to relax.

You can’t do this just by looking up from your computer screen. Instead, Huberman suggests going to a window and looking out at a point in the distance. Ideally, you would open the window because windows filter out a lot of the blue light and sunlight that you want during the daytime. Better yet, go to a balcony, relax your eyes, and look out at the horizon. This allows the eyes to relax and go into panoramic vision, relieving stress and fatigue.

According to Huberman, you should be doing some kind of relaxation of the eyes, face, and jaw for every 30 minutes of focused work—which works out to at least every 90 minutes.

Second, stimulate the eyes by focusing on motion.

Smooth pursuit is our natural ability to track individual objects moving through space. You can train or improve your vision simply by stimulating this mechanism. To do this, Huberman suggests taking a few minutes each day or every three days to visually track a ball. Or, get outside and watch objects move around. Think swooping birds, falling leaves, etc. If you couldn’t tell, Huberman is a big proponent of going outside.

Bottom line: Our eyes are muscles. Just like our biceps, they need stimulation and relaxation, and while we might not be able to get this kind of nourishment from our tiny screens, nature provides.

This article originally appeared last year.

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Health

Simple visualization exercise is proven to help people's long-term happiness

Seeing things clearly can make all the difference.

via Canva/Photos

A woman looking towards the future.

Often, our biggest mistakes come when we make decisions based on how we feel in the present instead of thoroughly considering their effect on the future. The amount of money we save, the food we eat, the relationships we choose to nurture and our career decisions will all have a significant effect on our futures. The problem is that connecting with someone so distant can be challenging. The good news is that some prominent researchers have figured out how we can connect with our older selves to improve our happiness in the present and the future.

Hal Hershfeld, a marketing, behavioral decision-making, and psychology professor at UCLA's Anderson School of Management, found that when we think about our future selves, our brains light up like we are thinking about a stranger. That’s a problem because most people are more apt to look out for themselves than strangers. According to Hershefeld, uncertainty is the big reason we can’t relate to our future selves because the future looks blurry. We don't know where we'll be, how we'll look, what we'll be doing, or what the state of the world will be.

visualization, happiness, hal hershfeld A woman thinking about the future.via Canva/Photos

How to be happy in the future

So, the key is to start building a relationship with our future self by creating a vivid image in our minds and hearts about what our lives will be like in 20 years. When we connect with that person, we’ll be much more likely to treat them well by saving a little more, hitting the gym more often and fixing today’s problems before they worsen.

Yale professor Laurie Santos, teacher of its most popular class, the Good Life, took a page from Hershfeld's research and regularly talks to her future self.

How to connect to your future self

“We’re navigating what our future self might want in the present moment, but we often perspective-take on our future self quite poorly,” Santos told Fast Company. “Hal’s research has found that just seeing a picture of your future self can bring [the idea] more into view. It helps with that process of trying to figure out what [the future you] would really want.”

“It’s profound,” she continues. “I really recommend people try it out. You see an image of yourself as much older and it’s like: I don’t want her to be unhealthy or have diabetes. I don’t want her knees to be screwed up. It really did change the amount that I worked out and how I was eating. It made it easier to make choices that would help my future self, rather than screw her over.”

visualization, happiness, hal hershfeld A woman on the couch thnking about the future.via Canva/Photos

Why you should talk to your future self

Hershfeld also believes in having regular conversations with your future self. “Make that more a part of your life so that when you’re making big decisions that are going to have impacts and consequences later on, you are thinking about that push and pull between your present and future selves,” he told UCLA Newsroom.

The professor also recommends that people write a letter to — and then from — their future self. This will help you visualize the future more vividly. “I also talk about trying to figure out what parts of your life are going off course, then creating pre-commitments to a certain course of action,” he continues.

Ultimately, it’s hard to plan for a future or have strong feelings about its direction if we don’t have a clear idea or image of what it'll look like. Our lives are our greatest endeavor, and in the same way someone might visualize an art project or what a thriving business looks like, we can do the same with our lives. The clearer the picture we have of our future today, the greater the chance we will one day get to live it.

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Health

In a world with too much stuff, we need to rethink the idea of 'sentimental value'

Things aren't memories.

Photo credit: Canva

Most of us have way too much stuff to be holding on things purely for sentimental reasons.

My friend's grandmother was in her 90s when she died, leaving behind a beautiful extended family, a lovely life legacy and boxes upon boxes of things nobody wanted or had any use for. Grams loved to travel and had souvenirs from various places. She kept decades of greeting cards and knicknacks she'd collected. As family members went through her belongings, they kept a few things here and there—a piece of jewelry, a recipe box, a silver serving spoon.

Most of her furniture, clothing and other useful things were sold or given away, but most of her personal items—old albums, mementos, etc.—ended up being thrown away. It was a good lesson for all of us.

The things we keep for "sentimental value" often have the least value to anyone else.

No one, family or stranger alike, wants hundreds of photos of people they don't know and memories that aren't theirs. No one wants a keepsake figurine from a trip they didn't go on with a date that means nothing to them. The things that hold sentimental value for one person are meaningless to everyone else, and the more our lives become saturated with "stuff," the more we are in danger of holding onto too many things because of the memories or meaning we attach to them.

We see it when we try to declutter our homes and have a hard time because of the "sentimental value" of certain things. Parents hesitate when it's time to purge the baby stuff, as all those adorable items remind us of when our kids were little. It happens when we hold onto the hat we bought at Disneyland even though we never ever wear it because it reminds us of our awesome family vacation. The china we inherited that we never eat off of, the plaque we got for outstanding achievement, the favorite book that's falling apart—all of that stuff we keep because "It's a memory!" accumulates.

via GIPHY

The problem is that eventually other people have to deal with our stuff.

If people want to collect mementos and keepsakes and hold onto everything anyone ever gives them, that's their right, of course. Some people are more sentimental and nostalgic than others and some people place more meaning on things than others. We can philosophize all day about whether and to what degree people should be detached from material things, but the reality is that every person has their own relationship to stuff that they have to navigate emotionally.

What is universal, though, is that someone will have to deal with our stuff when we die, and the more stuff we have, the more work we end up placing on their shoulders. Going through someone's belongings takes time and prompts a million decisions, which quickly becomes overwhelming. It's even harder when a lot of those belongings clearly meant something to them but mean nothing to anyone else.

via GIPHY

It didn't used to be like this, at least not to this level. Average people didn't used to have so many belongings they had to pay for spaces to store it all. We are inundated with stuff, and the more things we attach sentimental value to the more in danger we are of leaving way too much for our loved ones to sort through.

Things aren't memories. They are only memory triggers.

Our memories live in our minds, not in material things. All sentimental items do is trigger our memories, but we don't need physical items to keep our memories alive. So the question is, how do we keep the triggers without keeping all the things?

Photos are some of the best memory triggers, and in the digital age, it's easier than ever to utilize them. If there is an item you're having a hard time parting with for sentimental reasons, take a photo of it and keep it in a "Mementos" folder. A photo of something isn't exactly the same as the real thing, but it can fulfill the same purpose. Sentimental value is all about memories, and seeing the thing in a photo will still trigger those.

I'm not suggesting people never hold onto anything at all for sentimental reasons, but most things we keep as keepsakes don't really need to be kept. It's the memories we treasure, not the items that trigger the memories, so unless a thing has some actual tangible value or some sort of genuine sensory element that would be lost in a photo, take a snapshot and let go of the thing itself.

The more we can disconnect our memories from our physical things—or at least find ways to document those sentimental value items that trigger memories instead of holding onto them—the less overwhelming our living spaces will be for us in the now and the less burden we'll leave for others in the future.

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Naturally skinny people share 17 things they wish other people understood

"Eat a cheeseburger!"

Unsplash

Is being naturally skinny akin to hitting the genetic lottery? Thin privilege, according to Thigh Society, refers to "societal advantages and preferential treatment that individuals who are perceived as thin or within the societal norms of beauty and body size experience. The term is often used to highlight the ways in which people with smaller bodies may face fewer obstacles, biases and discrimination compared to those with larger bodies."

Being thin can make it easier to land a job, find love, or even get proper healthcare. But it's easy to forget that, while naturally very skinny people might have it better in certain ways, they face significant problems too.

And now they're speaking out about challenges they face, misperceptions about being thin, and other things they wish people understood about them.

What experts say about thinness and body image

Kenny Eliason/Unsplash

Models are often thin. Actors and actresses are thin. Musicians are thin. So being thin is often considered the ideal when it comes to pop culture media portrayal of attractiveness.

But almost all people, regardless of shape or size, struggle with body image and being self-conscious about some aspects of our appearance.

"While individuals in thinner bodies may be perceived as fitting societal beauty standards, they are not immune to body image struggles or criticism," says Danielle Tucci, LPC at Live Better therapy Solutions. "Thin individuals often face contradictory messages. On one hand, they may be told they are 'lucky' or should have no reason to struggle with their appearance because their body aligns with societal ideals. On the other hand, they may face negative comments, we’ve all heard the 'eat a cheeseburger' line, or assumptions that their thinness is the result of an eating disorder."

"Thin people also often have to field uncomfortable remarks such as, 'Well, you wouldn’t know because you can wear anything,' or 'It must be nice to be able to eat that,'" adds Rachel Goldberg, LMFT, PMH-C, and eating disorders specialist.

During different cultural touch points, women may actually face pressure to have a fuller figure, and being too skinny can be considered unattractive. Men aren't in the clear from these lose-lose expectations either.

"Men are not excluded from negative messaging, as being thin has been associated with weakness, with societal messages around being stronger or more muscular as more ideal. Thin people also face criticism in other ways, like being labeled 'skinny fat,' especially during times when fit bodies were considered the ideal or when fuller bodies started to be more admired. On top of that, they’re often judged or questioned about whether they have an eating disorder, which can make thin people feel uncomfortable about their clothing or food choices when others are around."

For more insight, a recent Reddit thread posed the question: "Very skinny people: what are some difficulties/challenges that come with being really skinny?"

Nearly 2,000 people jumped in to comment, and the common themes in their stories were eye-opening to say the least.

Family, friends, and even strangers feel that they're 'allowed' to comment on a skinny person's body and diet. Being too think for women is associated with anorexia, and for men, with weakness and wimpyness.

Here's what Redditors had to say:

"People will think you have an eating disorder, and aren't afraid to ask about it." - PhotojournalistNew6

"When you get ill and can't really eat for 3-4 days. You don't really have the fat reserves to deal with that kind of thing as easily. So after you beat the illness, you need to recover from the lack of food." - Svencredible

"I was a skinny kid. If I ate a light meal, people would make snide comments about how I need to eat more. If I ate a heavy meal, they’d say 'must be nice to eat junk and stay thin.'" - gouwbadgers

"Metabolism finally changes, and now you've got a lifetime of unhealthy eating habits to break." - jsabo

"When I was a scrawny little preteen, i had trouble sleeping on my side without a pillow between my knees because they were so bony. I also often curled up, and it felt like my ribcage would smash into my pelvis if I wasn't careful." - MeticulousPlonker

"I was very skinny as kid to young adult. I was 6'3" and 140ish pounds from the time i was 14 until 18. People feel very comfortable commenting on your weight. All. The. Fucking. Time." - SchlapHappy

"It’s amazing how people comment on how little I weigh, how skinny I am, how I never get fat, how I should eat more, how I must always be hungry, etc. They can fuck off." - tomatoesrfun

"So, you're constantly cold, you can never really build a lot of muscle mass because you can't ever eat enough to gain any weight, people always think you're sick or aren't eating enough, finding clothing that fits is insanely hard. You either look like you're wearing your dads suit that's two sizes to big for you or you shop in the kids section there is almost never any in-between." - reav11

"I was super skinny in school, all the way up to my 30s. As a guy, it's no fun being skinny as skinniness equates to "wimpiness". Dress clothes, suits etc had to be taken in. Girls not looking your way because you're a walking skeleton." - ClownfishSoup

"Being told by other women that I need to shut up and that I'm not allowed to complain about anything. A coworker once said to me, 'You're so skinny, I hate you!' Girl, I'm just over here existing. And being cold." - TheCervus

"Everybody, and I mean fucking everybody, has an opinion about your diet. It's fucking infuriating." - CollateralSandwich

Being naturally skinny is also hard in other, slightly funnier ways that we don't often consider.

Having a bonier physique can be a little uncomfortable at times, to say the least, and finding clothes that fit isn't as easy as you'd think.

"I'm freezing cold all the goddamn time." - GhostPepper87

"Retaining heat. I was born cold, I'll die cold. Fuck the cold," wrote one user.

"I can only own so many warm clothes, and wearing a parka indoors because my workplace won't stop air conditioning even in the winter gets really dumb. The thermostats don't switch to heat mode until mid-winter. In the fall it might be cold out but still on AC, and I'm running a space heater battling with the AC wasting energy to stay warm, even wearing a jacket." - Dragoness42

"Sitting on hard surfaces." - grandoro

"Pants - choose one:

stays on your waist
covers your ankles" - Flipin75

"Somehow much more difficult to shave concave armpits," joked another user.

How has body positive movement impacted naturally thin people?

burger and fries on white paper Photo by Kisty Mea on Unsplash

Though there's a long way to go, we've made some really good strides as a culture in being accepting of bigger bodies. But it's hard not to wonder how people who are naturally extremely thin feel in a society that constantly tells them the body they were born with is unrealistic, anorexic, weak, and unhealthy.

''Body image issues among naturally thin individuals represent a nuanced and often overlooked aspect of the broader body positivity discourse. Historically, the body positivity movement emerged as a powerful response to societal beauty standards celebrating thin, often unrealistic body types. This evolution has created an interesting paradox for naturally thin individuals," says Kaycie Davis, RMHCI, a mental health therapist at Cannectd Wellness.

"Many naturally thin people report feeling simultaneously invisible and critiqued with unique challenges like being told they look 'unhealthy' or 'fragile.' Some are even being accused of eating disorders and feeling excluded from body-positive conversations."

Davis argues that body positivity should not be about replacing one narrow standard with another, and imagines a world where no one — fat or thin — is judged unfairly or subject to unwanted comments about their size.

"Every body has a right to respect, regardless of size, shape, or appearance."

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Stuck in the past or worried about the future? 6 tips for living more fully in the present.

Living in the now is both harder and easier than it sounds.

Photo credit: Canva

Living in the present includes finding joy in small things.

One of the hallmarks of being human is that, without even leaving our own heads, we can live in three different places—the past, the present and the future. We all have memories of things that have happened in our lives, which we might reminisce on fondly or relive traumatically. And we all have our imaginings of things to come, in which we place our hopes and dreams as well as our worries and anxieties.

And then we have the now, where all of us actually live. Despite the fact that the present moment is the only place life actively happens, many of us spend much more time mentally living in the past or in the future. We might long for a time when things were better or dwell in the past where we wish things had been different. We might look forward to something that's coming next—a big life event, a change, a break from the routine—or we might find ourselves paralyzed by the fear of an uncertain future.

There's nothing wrong with looking back or looking ahead, but if we don't look at the present right before us more often, we end up missing out on life as we're living it. The past can't be changed and the future is unknown; the only time that we can truly live fully is now.

It sounds so simple, right? If it were easy to live in the present, we'd all be doing it more often. Habits of mind can be hard change, but tips for living in the now aren't complicated. It's both easier and harder than it sounds to live in the now, but these habits can help us strike a healthier balance.

"Use the good china"

We live by a lot of unwritten rules, some that are there for good reason and some that aren't. Examining the do's and don'ts we have set for ourselves—or that others have set for us—is a worthwhile endeavor, especially when they lead us to experience life more fully in the now.

How many of us have dishes for special occasions that rarely (or never) get used or special outfits we're saving for some unnamed future event? What if we used the good china more often, just because? What if we wore our fancy dress out to dinner, just because? Would the world end? No. Might we enjoy making the most of what we're holding onto for special occasions that might never come? Probably.

via GIPHY

It's fine to have special things for special occasions, but there's no set definition of "special," and if not now, when?

"Always take the trip"

One of the best pieces of parenting advice I ever received was "always take the trip." The idea is that our kids grow quickly, and if we're ever considering not taking a family trip because the timing or cost isn't ideal, as long as it's doable, to just do it.

That advice spills over into more than just parenting. If we have opportunities to make memories with loved ones, to experience something together outside of our norm, we should take them. There will always be reasons to say no or to put things off, but that doesn't mean we should. Barring actual financial ruin or some other dire consequence, take the trip, whatever it is.

Ground yourself in your senses

This is an exercise that can help stop a panic attack, but it can be used any time you find your mind spinning in the past or future. Becoming hyper aware of your physical surroundings can bring you into the present moment in a tangible way, and it's quite simple to do. Look around and name 5 things you see, list 4 things you hear, 3 things you feel, 2 things you smell and 1 thing you taste. Then sit with those physical senses for a moment, taking them all in.

Meditate—however it works for you

I know, I know. Some of us love meditation and others find it impossible. Much of the time, people who feel like they can't meditate have a limited view of what meditation means or what it can look like. But there are a million ways to reap the proven benefits of meditation.

via GIPHY

You don't have to sit cross-legged and you don't have to try to "clear your mind." You can lie down. You can walk. You can focus on your breathing or on a word or phrase or image. When your mind starts wandering or racing or otherwise doing what it normally does, intentionally direct it back to whatever you're focusing on.

That mindfulness helps bring you into the present moment. Start with a couple of minutes a day and build up. It doesn't have to be complicated. Don't overthink it. Find a comfortable position or a movement you enjoy and pick one thing to focus your attention on. That's it.

Practice gratitude

The idea of practicing gratitude has almost become a cliché at this point, but hey, it works. What are you thankful for in your life right now? Making a habit of ending each day writing down or thinking about what you're grateful for is a powerful way to appreciate the present.

If you struggle to find something you're thankful for, think beyond your own immediate circumstances. Humans created public libraries and they exist all over the world—isn't that amazing? Grateful. Sunrises and sunsets and puppies and flowers? Grateful. The fact that we live in an era with toilet paper? Grateful.

There's always something to be thankful for in the now.

Find joy in small things

Life has its big moments, but most of our daily life is made up of small things. If we only look forward or backward to big things, we miss out on a lot of the simple joys of everyday life—the first sip of coffee in the morning, the sound of a loved one's laughter, the feel of the wind in your hair.

man joyfully riding a bicycle. Enjoy the little things.Photo credit: Canva

Take a moment to look at how the light comes through a window, how cute your cat looks when she's sleeping, the beauty of your favorite decor in your home, the smell of your favorite food.

Remembering that our present is the future our past self used to look forward to can help us remember the importance of living in the moment. Reflect on the past and plan for the future, but in moderation. Life is happening in the now.

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Health

Waking up at night to pee? 7 tips for ending frequent nighttime bathroom trips.

There's a name for this phenomenon that affects 50 million Americans.

Photo credit: Canva

Waking up to use the bathroom can take its toll.

We all know that getting a good night's sleep is a vital part of a healthy lifestyle, but someone might want to explain that to people's bladders. It's one thing to be woken up by a loud siren or your child crying or your cats tussling, but when your own body wakes you up to perform a basic function, it can feel like a betrayal.

Having to wake up to pee at night is a phenomenon known as "nocturia," and it's incredibly common, affecting some 50 million Americans. However, according to physical therapist and pelvic floor rehabilitation specialist Dr. Amanda Olson, only a small fraction of those affected by nocturia actually receive specialized treatment for it.

“Nocturia isn’t just a minor inconvenience," says Olson, who serves as President and Chief Clinical Officer of women's health product provider Intimate Rose. "Waking up multiple times in one night to use the bathroom significantly disrupts your sleep cycle, which, in turn, negatively impacts your physical and mental well-being. Beyond the immediate frustration of interrupted sleep, links have been found between nocturia and heightened risks for more serious health issues, including falls particularly among older adults." She points out that nocturia can impact mental well-being as well, "causing drowsiness, mood shifts, and diminished focus throughout the day." And if you sleep with a partner, they tend to experience disrupted sleep as well.

person awake at 2:00am Nobody wants to be woken up at 2:00 a.m.Photo credit: Canva

Many people, including some healthcare providers, see nocturia as a normal sign of aging, but Olson explains that people don't need to just accept it. "We need to start treating nocturia not just as an inevitable nuisance but as a condition that can be addressed and managed," she says.

Here are Dr. Olson's tips for things people can do themselves at home to reduce or eliminate nighttime trips to the bathroom:

1. Limit Evening Fluid Intake

Managing your fluid intake, especially in the evening, can have a big impact on nocturia. “Try to avoid consuming large amounts of liquids within two hours of bedtime,” Dr. Olson advises. “Drinks containing caffeine, sparkling water, alcohol, and tea are all diuretics or bladder irritants that should be avoided, as they increase urine production and stimulate your bladder, making nighttime bathroom trips more likely.”

2. Empty Your Bladder Completely Before Bedtime

Create a bedtime routine that includes a final bathroom trip. Even if you don’t feel the urge to go, emptying your bladder before sleeping may reduce the chance of waking up at night.

“A useful technique is to rock back and forth or gently sway side to side once you’ve finished,” says Dr. Olson. “This movement helps ensure your bladder is fully emptied, decreasing the chances of needing to go again later.”

3. Elevate Your Legs To Reduce Fluid Retention

If you suffer from fluid retention in your legs, try elevating them in the evening. Sitting or lying down with your legs propped up for an hour or so before bed can help move the fluid back into your bloodstream, where it can be processed and eliminated before you sleep.

person in bed with legs up on a pillow A pillow can help elevate your legs before bed.Photo credit: Canva

4. Strengthen Your Pelvic Floor Muscles With Kegel Exercises

Strengthening your pelvic floor muscles through Kegel exercises can improve bladder control and reduce the urge to urinate at night. Performing these exercises regularly builds muscle strength in the pelvic area, which can help manage bladder urgency.

“Using Kegel weights or resistance tools can make these exercises more effective, helping you see improvements sooner,” says Dr. Olson. “Make sure you follow a guide to pick up the right technique, however.”

5. Train Your Bladder During The Day

Bladder training is a gradual process that involves spacing out the time between daytime bathroom visits. By holding off on urinating a bit longer each time, you can work on expanding your bladder’s capacity, which may reduce the frequency of nighttime urges. This gradual approach helps prevent your bladder from becoming too sensitive, potentially reducing the likelihood of waking up frequently at night.

6. Avoid Bladder-Irritating Foods In The Evening

Certain foods and drinks, such as spicy dishes, caffeinated beverages, alcohol, carbonated drinks, and artificial sweeteners, can irritate the bladder, increasing the frequency of urination. To minimize nighttime disruptions, try avoiding these triggers in the late afternoon and evening.

“Instead, opt for bladder-friendly options such as water closer to bedtime,” says Dr. Olson.

7. Create A Restful Sleep Environment

Setting up a calm, comfortable sleep environment can make it easier to fall back asleep if nocturia does wake you. Try keeping your room dark, quiet, and cool; blackout curtains, earplugs, and a comfortable temperature can all promote better sleep quality.

woman wearing sleep mask in bed Good sleep hygiene can help reduce the impact of nocturia-driven sleep deprivation.Photo credit: Canva

Additionally, reducing screen time before bed and creating a pre-sleep wind-down routine can help your body transition to a restful state, making it easier to drift back to sleep after interruptions. “This will reduce the impact of the sleep deprivation often associated with nocturia,” says Dr. Olson.

Always consult your doctor if you have health concerns, especially if habits like these don't seem to make a difference. You can learn more about how to manage frequent urination and other pelvic health issues on the Intimate Rose website.

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