‘I’m a Urologist, and This Bad Habit Is Wrecking Your Bladder Health’
However, while the "just in case" pee seems like a smart strategy, it might actually be pretty bad for your bladder, according to Bethany Henry Clark, PT, DPT. Making yourself pee when you don't feel the immediate need to do so can, over time, actually make you have to pee more and more often, she says in a viral TikTok video.
@bethanyclarkdpt Do you do this? Try to break the habit! #justincase #pelvichealth #physicaltherapy ♬ original sound - Derrick Degan
- Lamia Gabal, MD, board-certified urologist and founder of Prestige Medical Group in Santa Ana, California
I had never heard of this before, so I got in touch with board-certified urologist Lamia Gabal, MD, to get her thoughts on "just in case" peeing.
First off, a normal bladder capacity is about 10-15 ounces, Dr. Gabal says. (Many things can affect this, such as pressure on your bladder from pregnancy or constipation.) In general, it's normal to pee six to eight times in a 24-hour period if you drink 64 ounces of fluid a day, but this depends on how much you drink. "I often tell my patients, 'What goes in, must come out!'" she says. This number also might be higher at different times of the month, if you need to pee more on your period.
Dr. Gabal says that she has many patients who, like me, practice the "just in case" pee. This strategy can be helpful for people with urinary incontinence issues, she says, because they will leak less. But for otherwise healthy adults, Dr. Gabal agrees with Clark that this practice can be potentially problematic. "It can send a message to your brain that this is a correct volume for your bladder to have the sensation of needing to urinate, almost training your bladder to have to void at smaller volumes," she says. Meaning, when you pee when you don't have to go, it can cause you to start feeling the urge to pee even when your bladder isn't full.
If this sounds like you, there are a few things you can do to help recalibrate your bladder. "It is very important to stay well hydrated and to avoid bladder irritants, including caffeine, carbonation, and spicy and acidic foods and drinks," Dr. Gabal says. When you avoid these irritants, it helps your bladder be less sensitive so it can hold more urine. "You can also 'train' your bladder by trying to avoid urination with the first urge by doing a Kegel exercise. This may cause the bladder to relax and be able to delay voiding," she says.
If these simple strategies aren't helping your bladder, seek out a professional. "It is time to see a urologist if you’re living your life around your bladder, as there are many treatments we can offer," Dr. Gabal says. You should be in charge of your bladder, your bladder shouldn’t be in charge of you." Pelvic floor physical therapists (like Clark) can also help. Dr. Gabal also recommends seeing your primary care doctor or a urologist if you have any burning when you pee, see blood in your urine, or have frequent UTIs.
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