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I am a 62-year-old male. For the past two years, I get up to urinate about three times a night. My doctor says my prostate gland is not enlarged? What could be wrong?
I am a 62-year-old male. For the past two years, I get up to urinate about three times a night. My doctor says my prostate gland is not enlarged? What could be wrong?
htmASKTHEDOCnighttimeurinationprostate

To start with, it could actually be your prostate. The prostate can grow towards the front part of the gland. But the back part of the gland can feel normal. This is the part the doctor can feel during a digital rectal exam.

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2013-02-08
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Howard LeWine, M.D.
2016-02-08
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Ask The Expert
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General Medical Questions
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Q: I am a 62-year-old male. For the past two years, I get up to urinate about three times a night. My doctor says my prostate gland is not enlarged? What could be wrong?
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The Trusted Source
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Howard LeWine, M.D.

Howard LeWine, M.D., is chief editor of Internet Publishing, Harvard Health Publications. He is a clinical instructor of medicine at Harvard Medical School and Brigham and Women's Hospital. Dr. LeWine has been a primary care internist and teacher of internal medicine since 1978.

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February 08, 2013
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A:

To start with, it could actually be your prostate. The prostate can grow towards the front part of the gland. But the back part of the gland can feel normal. This is the part the doctor can feel during a digital rectal exam.

Even if only the front of the gland is slightly enlarged, it can put pressure on the tube (urethra) that carries urine out from the bladder. If this happens, you will have a more frequent urge to urinate.

Other reasons for the need to urinate at night:

  • Taking a water pill (diuretic), especially if you take later in the day.
  • Drinking alcohol or caffeine later in the day. Both act like a diuretic.
  • Simply drinking too much water or other fluid.
  • Medical conditions such as diabetes, certain types of kidney diseases, a high blood calcium level or heart failure.
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