Frequent Urination and Dry Mouth: Your Symptoms - Urology

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Increased thirst and more frequent urination?


On average, I drink about 500cc of tea or water every hour while at work, and I urinate approximately once every 1.5 hours.
However, my tongue often feels dry, and my lips are prone to cracking and peeling.
Is there a problem with this?

vic, 30~39 year old female. Ask Date: 2003/10/21

Dr. Chen Xiuyi reply Urology


Hello! I am not sure what your profession is, but if you are drinking around 500cc of water per hour (assuming you are not sweating excessively) and still experiencing dry mouth, it may be indicative of diabetes or kidney disease.
It would be best to consult a nephrologist or urologist for further evaluation.
Sincerely, Dr.
Chen Hsiu-Yi, Director of the Urology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/10/21

More Info


Frequent urination and dry mouth can be concerning symptoms that may indicate an underlying health issue. Based on your description, it seems that you are consuming a significant amount of fluids during your work hours, approximately 500cc every hour, and urinating every 1.5 hours. While frequent urination can be a normal response to high fluid intake, the accompanying symptoms of dry mouth and cracked lips suggest that there may be more to consider.

Firstly, it is essential to understand that dry mouth, or xerostomia, can result from various factors, including dehydration, medications, or underlying health conditions. Given that you are drinking a considerable amount of fluids, dehydration might not be the primary cause. However, if your body is not adequately absorbing or utilizing the fluids you consume, it could lead to a sensation of dryness in the mouth and lips.
One possible explanation for your symptoms could be related to a condition known as diabetes mellitus. Diabetes can lead to increased thirst (polydipsia) and frequent urination (polyuria) due to elevated blood sugar levels. When blood sugar levels are high, the kidneys work harder to filter and absorb the excess glucose, leading to increased urine production. This can result in dehydration, which may explain your dry mouth and cracked lips. If you have not already done so, it would be prudent to have your blood sugar levels checked to rule out diabetes.

Another potential cause could be a condition known as diabetes insipidus, which is characterized by an imbalance of fluids in the body, leading to excessive urination and thirst. This condition is different from diabetes mellitus and is often related to issues with the hormone vasopressin, which regulates water balance in the body.
Additionally, certain medications, particularly diuretics or those with anticholinergic effects, can lead to increased urination and dry mouth. If you are taking any medications, it would be beneficial to review them with your healthcare provider to determine if they could be contributing to your symptoms.

Stress and anxiety can also play a role in urinary frequency and dry mouth. Stress can lead to increased sympathetic nervous system activity, which may affect bladder function and lead to a sensation of urgency. Moreover, anxiety can cause dry mouth due to the body's fight-or-flight response, which can inhibit saliva production.

Lastly, environmental factors such as low humidity, especially in air-conditioned or heated spaces, can contribute to dry mouth and cracked lips. Ensuring adequate hydration and using a humidifier in your workspace may help alleviate some of these symptoms.

In conclusion, while frequent urination can be a normal response to high fluid intake, the combination of dry mouth and cracked lips warrants further investigation. It is advisable to consult a healthcare professional who can conduct a thorough evaluation, including blood tests to check for diabetes and a review of any medications you may be taking. Keeping a record of your fluid intake, urinary frequency, and any other symptoms can also provide valuable information for your healthcare provider. Addressing these symptoms early on can help prevent potential complications and improve your overall quality of life.

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