Why Do Some People Not Urinate After Drinking Beer? - Urology

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Drinking alcohol does not promote urination?


Hello, doctor.
I apologize for bothering you, but I would like to ask you about something.
After consuming three cases of beer (18 bottles), my friend has already gone to the bathroom multiple times, but I have no urge to go at all.
I work on a construction site, and I drink enough water during the day.
Is this normal, or is there something wrong? This isn't the first time this has happened.
Thank you for your help.

A De, 50~59 year old female. Ask Date: 2024/04/18

Dr. Lin Baihan reply Urology


It is advisable to check for potential prostate enlargement issues that may be causing difficulty in urination after alcohol consumption.
If accompanied by symptoms such as urinary difficulty, abdominal distension, and lower abdominal pain, it could indicate acute urinary retention.
Please seek medical attention promptly.
Thank you.

Reply Date: 2024/04/18

More Info


When it comes to the relationship between alcohol consumption and urination, individual responses can vary significantly. The phenomenon of not needing to urinate after consuming a substantial amount of beer, while others do, can be attributed to several factors, including hydration status, individual physiology, and even the type of beer consumed.

Firstly, alcohol is known to have a diuretic effect, which means it can increase urine production. This effect is primarily due to alcohol's inhibition of the hormone vasopressin (also known as antidiuretic hormone or ADH), which normally helps the kidneys reabsorb water. When this hormone is suppressed, the kidneys excrete more water, leading to increased urination. However, the degree of this effect can vary widely among individuals. Some people may experience a strong diuretic effect, while others may not notice it as much.

In your case, where you consumed a significant amount of beer (18 bottles) but did not feel the urge to urinate, several factors could be at play:
1. Hydration Levels: If you were well-hydrated before drinking, your body might not need to excrete as much fluid. Conversely, if you were dehydrated, your body might retain more fluid, leading to less frequent urination.

2. Individual Physiology: Each person's body reacts differently to alcohol. Factors such as metabolic rate, kidney function, and even genetic predispositions can influence how your body processes alcohol and fluid balance.

3. Type of Beer: The alcohol content and ingredients in the beer can also affect urination. Some beers may have higher levels of certain compounds that could influence fluid retention or diuresis.

4. Work Environment: Working in a physically demanding job, such as on a construction site, can lead to increased sweating and fluid loss through perspiration. This could result in less fluid available for urination, even after consuming a large volume of beer.

5. Health Conditions: Certain medical conditions, such as kidney issues or hormonal imbalances, can affect how your body processes fluids. If this is a recurring issue, it may be worth discussing with a healthcare professional to rule out any underlying health concerns.

In summary, while it is generally expected that consuming a large amount of beer would lead to increased urination, individual responses can vary widely. If you consistently find that you do not urinate after drinking, especially in contrast to others, it may be beneficial to monitor your hydration levels and consider discussing this with a healthcare provider to ensure there are no underlying health issues. Staying hydrated and being mindful of how your body responds to alcohol can help you better understand your individual physiology and make informed choices about your drinking habits.

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