Its official term is micturition, but to us, it’s simply urinating or peeing, a natural and necessary function of a healthy human body. “Urination helps cleanse the body of toxins, excess sodium and fluid, and metabolic waste,” says Rolando Guillermo O. Saulog, MD, a Urology Doctor at top hospital in the Philippines, Makati Medical Center (MakatiMed).
Frequency in peeing is affected by several factors, including age, liquid intake, specific medical conditions, and bladder size. On average, a person pees between 6 to 7 times a day.
On average, a person pees between 6 to 7 times a day, but if you are taking more (or less) trips to the bathroom, there’s no real need to worry. “If you go only four times in a 24-hour span, it is fine. And if you go 10 times, that’s okay too.”
According to Dr. Saulog, the number of times you urinate per day depends on the following factors:
Age. “As we grow older, our bladder (which stores urine) does not expand as much, so it fills up faster, making our visits to the bathroom more frequent. Menopause and the decreasing production of the estrogen hormone can also affect bladder function.”
What and how much you drink. “Alcohol and caffeine are forms of diuretics, which prompt the kidneys to release extra fluid from the blood vessels. Consume copious amounts of coffee, tea, beer, or wine, and you can expect to spend a lot of time in the toilet.”
Pregnancy. “Mothers-to-be can chalk up peeing often to hormonal changes (an increase of progesterone relaxes the muscles, including those in the bladder), extra fluid and blood produced by the body, and weakened pelvic floor muscles due to an expanding uterus.”
Specific medical conditions. “If you need to urinate often, only yield small amounts each time, you may have a urinary tract infection (UTI). Diabetes can also cause you to urinate frequently, as it is the body’s way of emptying the bloodstream of excess sugar. Low potassium, too much or too little calcium, an enlarged prostate, congestive heart failure, painful bladder syndrome, and kidney issues can also make you visit the bathroom several times.”
Medicines. “Diuretics in pill form are given to individuals with high blood pressure, heart failure, edema, kidney disease, and liver disease. Certain medicines for diabetes and mental health can also make you pee more than average.”
Bladder size. “A man’s bladder can hold as much as 700 ml of urine, while a woman’s bladder can store about 500 ml.”
On the flip side, MakatiMed says that oliguria or urinating only 1-2 times in 24 hours (that’s peeing less than 400-500 ml a day) could be due to dehydration, blockages in the urinary tract, or infection.
When should you see your doctor? “Definitely when your peeing includes pain or a burning sensation, or when pain is felt in your lower back, pelvis, or genitals,” says Dr. Saulog. “Blood in the urine is also a cause for concern, as is incontinence or difficulty controlling your pee.”
Other signs that a consultation with a health practitioner is in order: urine that is cloudy, dark, and foul-smelling.
Tests help pinpoint the cause of your tendency to pee often or not enough. Results from a urinalysis will give your doctor an idea of the color, appearance, and microscopic contents of your sample. A kidney functioning test, which relies on a blood test and urine sample, can gauge how well your kidneys are working. Imaging tests (x-ray, ultrasound, MRI, CT scan) will reveal if peeing too much or too little comes from a pre-existing or newly discovered medical condition. A uroflowmetry test (available in MakatiMed) is a simple, non-invasive test used to evaluate how the bladder is working, often to detect why a patient has frequent or urge to urinate, a weak or slow urinary stream, difficulty starting urination, or a feeling that the bladder is not empty after urinating.
“Healthy living ensures efficient and natural urination,” reminds Dr. Saulog. “Stay hydrated. Eat fruits and vegetables and foods rich in probiotics; they may help address recurring UTI. Avoid too much caffeine and alcohol. Pee and cleanse using an unscented soap after sexual intercourse to lower your risk of developing UTI. Women can also reduce the risk of UTI by wiping from front to back after peeing.”
“Most important: Do not hold back your pee. Go when you feel like it.”
For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.
