Developed and funded by Ferring Pharmaceuticals as a service to medicine

Bladder Diary Form

Bladder
Diary

The Bladder Diary helps your healthcare professional understand how much you are drinking and urinating to advise on the best treatment options.

Save the Bladder Diary to your device, or download and print the Bladder Diary and record how much you are drinking and urinating for three days. Take the completed Bladder Diary to your appointment with your healthcare professional. Below is an example of what your Bladder Diary will look like:

Reclaim your night.
Re-energise your day.

Nocturia is usually easy to treat, so if your night-time bathroom trips are affecting your day to day life, it’s time to talk to your healthcare professional. Together, you and they may be able to determine the cause of your Nocturia and decide on the best treatment option so that you can reclaim your nights and re-energise your days.

TALK TO YOUR DOCTOR TO DISCUSS YOUR SYMPTOMS AND TREATMENT OPTIONS

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