Urination Issues: Health Risks of Dehydration in Young Women - Urology

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Urinary problems


I am a 26-year-old woman who hardly drinks water due to working in a buffet setting.
During the summer, I sweat a lot and drink one cup of beverages a day, but I rarely consume plain water and do not often feel thirsty, so I don't think about drinking water, regardless of the season.
I only urinate once or twice a day (in the morning after waking up and while showering).
I would like to know what health issues this might cause.
Is it normal for my urine output to increase during my menstrual period even when I am not drinking water (including beverages)?

Xiao Ling, 20~29 year old female. Ask Date: 2016/02/13

Dr. Xu Weikai reply Urology


Xiao Ling: Hello, insufficient water intake or substituting water with beverages can increase the risk of kidney stones, urinary tract infections, osteoporosis, elevated uric acid levels, and may also lead to kidney damage.
Note: For an average healthy person, the recommended daily urine output is between 1200-1500 milliliters.
Menstruation can cause endocrine changes, and symptoms can vary from person to person.
If there are any unclear points, feel free to ask again for further discussion and research.
Responses found online should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Head of the Urology Department at Taitung Hospital, Ministry of Health and Welfare, who cares about your health.

Reply Date: 2016/02/13

More Info


Dehydration is a significant health concern, especially for young women like yourself who may not be consuming adequate amounts of water. As a 26-year-old female, your hydration habits can have a profound impact on your overall health, including your urinary health, menstrual cycle, and even your skin and energy levels.

Firstly, the human body is composed of approximately 60% water, and maintaining proper hydration is essential for various bodily functions. Water plays a crucial role in regulating body temperature, lubricating joints, protecting organs, and facilitating nutrient transport. When you consume insufficient water, your body may struggle to perform these functions effectively, leading to dehydration.

One of the immediate effects of dehydration is reduced urine output. You mentioned that you only urinate once or twice a day, which is significantly lower than the average frequency of urination for most individuals. Typically, a healthy adult should urinate about six to eight times a day, depending on fluid intake. Low urine output can indicate that your body is conserving water due to dehydration, which can lead to concentrated urine that may appear darker in color. This can increase the risk of urinary tract infections (UTIs) and kidney stones, as concentrated urine can irritate the bladder and promote the formation of crystals.

Additionally, dehydration can affect your menstrual cycle. You noted that your urine output increases during menstruation, which can be attributed to hormonal changes that occur during this time. However, if you are not drinking enough water, your body may respond by retaining fluids, leading to bloating and discomfort. Proper hydration is essential during your menstrual cycle to help alleviate symptoms such as cramps and fatigue.

Moreover, chronic dehydration can lead to more severe health issues over time. It can affect your skin's elasticity and appearance, leading to dryness and premature aging. It can also impact your energy levels, cognitive function, and mood, making you feel fatigued or irritable. In extreme cases, severe dehydration can lead to complications such as kidney damage, heat-related illnesses, and electrolyte imbalances, which can be life-threatening.

To improve your hydration status, consider incorporating the following practices into your daily routine:
1. Set a Daily Water Goal: Aim to drink at least 8-10 cups (64-80 ounces) of water daily. You can adjust this amount based on your activity level and climate.

2. Carry a Water Bottle: Keep a reusable water bottle with you throughout the day to remind yourself to drink water regularly.

3. Infuse Your Water: If plain water doesn't appeal to you, try infusing it with fruits, herbs, or vegetables to enhance the flavor and make it more enjoyable.

4. Monitor Your Urine Color: A simple way to gauge your hydration level is to check the color of your urine. Light yellow indicates good hydration, while dark yellow or amber suggests dehydration.

5. Limit Caffeinated and Sugary Beverages: While drinks like soda and coffee can contribute to your fluid intake, they may also lead to increased urination and dehydration. Opt for water or herbal teas instead.

6. Listen to Your Body: Pay attention to signs of thirst and drink water even if you don't feel thirsty. Thirst is often a late indicator of dehydration.

In conclusion, your current hydration habits could pose several health risks, including urinary issues, menstrual discomfort, and long-term complications. By making a conscious effort to increase your water intake, you can significantly improve your overall health and well-being. If you continue to experience unusual urinary patterns or other health concerns, consider consulting a healthcare professional for personalized advice and evaluation.

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