Should You Drink Less Water at Night? Insights from Traditional Chinese Medicine - Traditional Chinese Medicine

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Drinking water


Dear Dr.
Chu: Hello, I have had a question for a long time - should we really drink less water at night? Is that true? Besides avoiding puffiness in the eyelids when waking up in the morning, why should we drink less water in the evening? I wonder if you have heard about this, or am I just overthinking it?

Kele, 20~29 year old female. Ask Date: 2006/08/20

Dr. Chu Baiqing reply Traditional Chinese Medicine


Hello Cola: Drinking less water in the evening is advised for those who have poor fluid metabolism and experience morning edema.
Some individuals may have nocturia, and if they do not slightly limit their water intake, they may wake up too often at night to urinate, which can negatively affect sleep quality.
If you have normal metabolism, you can maintain your usual water intake.
Thank you for your inquiry! Dr.
Chu Bo-Ching, Director of Internal Medicine, Traditional Chinese Medicine Department, Changhua Hospital.

Reply Date: 2006/08/20

More Info


In Traditional Chinese Medicine (TCM), the advice to drink less water at night is primarily aimed at individuals who may experience poor water metabolism, leading to issues such as morning puffiness or frequent nighttime urination. The rationale behind this recommendation is based on the body's natural rhythms and its ability to process fluids effectively.
During the night, the body's metabolic processes slow down, and the kidneys, which play a crucial role in fluid regulation, may not function as efficiently as they do during the day. For individuals who are prone to water retention or have conditions that affect fluid balance, such as heart failure or kidney issues, limiting water intake in the evening can help prevent complications like edema (swelling) and nocturia (the need to urinate at night).
However, for those with normal metabolic function, maintaining adequate hydration throughout the day and evening is essential. The body still loses water during sleep through respiration and perspiration, typically amounting to about 1 to 2 cups of fluid. Therefore, if you are healthy and do not experience issues like frequent urination or swelling, it is generally acceptable to drink water in moderation before bed.
Moreover, TCM emphasizes the importance of balance and individual constitution. If you find that drinking water at night leads to discomfort or disrupts your sleep, it may be wise to adjust your intake accordingly. On the other hand, if you feel thirsty or dehydrated, it is crucial to listen to your body's signals and hydrate appropriately.

In addition to the timing of water intake, the temperature of the water can also play a role in TCM. Warm water is often recommended as it is believed to aid digestion and promote better circulation, while cold water may be seen as a shock to the system, especially during the evening when the body is winding down. Drinking warm water can help relax the body and prepare it for sleep, potentially improving overall sleep quality.

Furthermore, the context of your overall lifestyle, including diet, exercise, and stress levels, can significantly impact your hydration needs. For instance, if you consume a lot of caffeine or alcohol, which can be dehydrating, you may need to adjust your water intake accordingly. Similarly, if you engage in physical activity, especially in the evening, your body may require additional hydration.

In conclusion, while TCM provides valuable insights into the timing and quantity of water intake, it is essential to consider individual health conditions and lifestyle factors. If you have specific concerns about your hydration habits or experience symptoms like swelling or frequent urination, consulting with a healthcare professional is advisable. They can provide personalized recommendations based on your unique health profile and needs. Ultimately, maintaining a balance that supports your overall well-being is key, whether that means drinking less water at night or ensuring you stay adequately hydrated throughout the day.

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