Urinary Stream Changes After Dinner: What You Need to Know - Urology

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When urinating..?


For the past half month, I've noticed something strange.
Every time I urinate for the first time after dinner in the evening, the urine initially splits into two streams.
As I continue to urinate and get to the middle of the flow, the stream becomes stronger, and at that point, the urine column returns to normal.
This splitting occurs only during the first urination after dinner.
Although there is no discomfort during the urination process, it feels quite odd.
Is this something I should be concerned about? (I have phimosis, and I usually pull back the foreskin before I start urinating.)

SR, 20~29 year old female. Ask Date: 2013/06/25

Dr. Xu Weikai reply Urology


Hello, the urethral opening may not fully expand at the beginning of urination due to a weak urine flow.
This is similar to watering plants with a hose; if the hose opening is constricted, it can cause the water to split.
If this is bothersome, you can try gently widening the urethral opening during urination to prevent the splitting.
If you have further questions, feel free to ask, and we can discuss and research together.
Please remember that online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/06/25

More Info


Understanding changes in urinary stream, particularly after dinner, can be concerning, especially when accompanied by unusual patterns such as bifurcation of the urine stream. The phenomenon you describe, where the urine stream splits into two at the beginning of urination after dinner, is not uncommon and can be attributed to several factors.

Firstly, the bifurcation of the urine stream can occur due to anatomical variations or conditions such as phimosis (which you mentioned as having a long foreskin). When the foreskin is not retracted properly, it can create a situation where the urine stream is obstructed or directed in multiple ways, leading to a split stream. This is often harmless but can be a source of discomfort or concern.

Additionally, the timing of this occurrence—specifically after dinner—could be related to several physiological factors. After eating, particularly a large meal, the body engages in a process called postprandial diuresis. This is when the kidneys increase urine production in response to the intake of food and fluids. The body may also be processing the increased blood flow and metabolic activity associated with digestion, which can influence urinary patterns.

Another consideration is the position of the body during urination. If you are sitting or standing in a way that may not allow for optimal urine flow, it could also contribute to the bifurcation. Ensuring that you are in a comfortable and relaxed position can help facilitate a more normal stream.

While you report no discomfort during urination, it is essential to monitor this symptom. If the bifurcation persists or is accompanied by other symptoms such as pain, burning, changes in urine color, or frequency of urination, it would be prudent to consult a healthcare professional. They may perform a physical examination and possibly recommend a urinalysis or other diagnostic tests to rule out any underlying conditions.

In terms of your concern about whether this is a significant issue, it is generally not alarming if there are no other symptoms present. However, maintaining good hygiene, especially with the foreskin, and ensuring that it is retracted properly during urination can help prevent any potential complications, such as infections or inflammation.

In summary, while the bifurcation of the urine stream after dinner may seem unusual, it is often benign and can be attributed to anatomical factors or physiological responses to eating. Keeping an eye on any changes and maintaining proper hygiene will help ensure that any potential issues are addressed promptly. If you have ongoing concerns, do not hesitate to reach out to a healthcare provider for further evaluation and peace of mind.

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