A 60-year-old woman complains of insomnia and frequent nighttime urination. She reports needing to urinate several times during the night, disrupting her sleep. What could be the potential cause of her insomnia, and what steps can be taken to address it?
This patient's insomnia might be related to nocturia, or excessive nighttime urination. Causes of nocturia can be numerous and include conditions like urinary tract infections, bladder prolapse, and diabetes. It could also be a side effect of certain medications or simply due to high fluid intake before bedtime. Further assessment of her medical history and possible investigations are needed to identify the cause and treat it appropriately.