Is it normal to urinate 20 times a day?

Regularly urinating more than seven times per day may be normal for some people and may not be a sign of a health problem. But the National Institute of Aging suggests talking to your doctor if you regularly urinate eight or more times.

healthline.com - Why Am I Peeing So Much and How Often Should I Pee? - Healthline

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If you’ve ever wondered how often you should pee on a daily basis, you’re not alone. How often you urinate is actually an important sign of your overall health, beginning in infancy and continuing throughout your life. Keep reading to learn more about urination and when peeing frequently may signal that you need to visit your doctor. Urinating as much as seven times in 24 hours is considered typical, with most people urinating about six to seven times. But it’s not out of the ordinary to urinate more or less on any given day. How much you pee depends on many factors, such as:

age

how much you drink in a day

what you drink

medical conditions, such as diabetes or a urinary tract infection (UTI)

medication usage

bladder size

Reasons you may urinate more frequently include:

Urinary tract infection (UTI)

A UTI is a common condition that can affect how often you urinate. Anyone can develop UTIs, although they’re more common in women. A UTI can make you feel an urgent need to urinate, even if you recently emptied your bladder. During an infection, you may find yourself urinating more often, but in smaller amounts. You’ll also likely feel a burning sensation when you urinate. There are many possible causes for a UTI, so it’s best to see a doctor if you suspect an infection of your urinary tract.

Pregnancy

Special circumstances, such as pregnancy and the weeks after giving birth, can affect how often you urinate. During pregnancy, a person urinates more frequently due to hormonal changes along with bladder pressure from the growing fetus. After birth, they continue to have increased urinary output for weeks. This is because of the extra fluids they may have received during labor from an IV, or medicine, as well as the body’s natural response to mobilize and eliminate fluids after birth.

Urinary retention

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Urinary retention is when you can’t fully empty your bladder. It can cause a persistent feeling like you need to urinate, pain in your lower abdomen, and frequent urination. It can be caused by:

neurological factors

infections

bladder muscle dysfunction

obstruction

medications

Diabetes

If you have diabetes or undiagnosed diabetes, you may urinate more often than usual. More frequent urination is your body’s way of getting rid of the extra sugar in your bloodstream.

Hypocalcemia or hypercalcemia

If the calcium levels in your body are too high or too low — conditions that are known as hypocalcemia or hypercalcemia — your urine frequency may change.

Low potassium (hypokalemia)

Low potassium can impair your kidneys’ ability to concentrate urine and may lead to excessive thirst or excessive urination.

Medications

People with heart problems, high blood pressure, or poor kidney function often take medications that are called diuretics. Diuretics work to help the kidney filter out more fluid into the urine. Taking diuretics may cause you to urinate more frequently. Some common diuretics include:

chlorothiazide (Diuril)

chlorthalidone (Thalitone)

hydrochlorothiazide (Microzide)

indapamide

metolazone

bumetanide (Bumex)

furosemide (Lasix)

torsemide (Demadex)

amiloride (Midamor)

eplerenone (Inspra)

spironolactone (Aldactone)

triamterene (Dyrenium)

Certain foods and supplements

Some foods or supplements are natural diuretics and can increase the amount of fluid your body eliminates. These include:

Sickle cell anemia

Sickle cell anemia can affect kidney function. Damaging the kidneys means that they can’t do their job as well, and more urine is made. This creates the need to urinate more frequently

Congestive heart failure

Congestive heart failure can make it difficult for your body to get rid of excess fluid, especially in your lower body. When you lie down at night, your body may produce more urine to try to get rid of this fluid. Up to half of people with congestive heart failure experience an overactive bladder and urinary incontinence.

Tachycardia

Tachycardia is an abnormally fast heartbeat. Tachycardia-polyuria is increased urine output due to tachycardia, defined as a heartbeat over 120 beats per minute for more than 30 minutes. A decrease of antidiuretic hormone and production of atrial natriuretic peptide are thought to be involved in increasing urine output.

Medical procedures

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If you’ve recently had a test that involved injecting dye into your body, such as a CT scan, you may pee more as your body eliminates the extra fluid.

Alcohol and caffeine

Alcohol and caffeine can have diuretic effects, causing you to urinate more than usual. When consuming these substances, frequent urination probably isn’t a sign of a medical issue.

Caffeine is found in many foods and drinks, including:

coffee

tea

soda

hot chocolate

energy drinks

Learn more: The effects of caffeine on the body »

Increasing water intake

Drinking large amounts of water during the day can increase your urine output and frequency.

Overactive thyroid

An overactive thyroid can cause a wide range of symptoms that include frequent urination and persistent thirst. Other common symptoms include:

Anxiety

Anxiousness can potentially cause the smooth muscles surrounding your bladder to contract, causing pressure and stimulating the urge to urinate.

Interstitial cystitis

Interstitial cystitis is a condition that causes chronic inflammation of your bladder. Common symptoms include:

frequent urination

accidental leakage of urine

pelvic or abdominal pain and pressure

urgent need to urinate

Multiple myeloma

Multiple myeloma is a rare type of blood cancer. One symptom can be high levels of calcium, which can cause increased urination.

Primary aldosteronism

Hyperaldosteronism is an overproduction of the hormone aldosterone by your adrenal glands. Overproduction of this hormone can cause your body to retain sodium and lose more potassium. Low potassium can cause frequent urination.

Polycystic kidney disease

Polycystic kidney disease is a genetic condition where cysts grow on your kidneys. People tend not to develop symptoms until they’re between ages 30 to 50. Frequent urination is one potential early symptom.

Kidney stones

About 600,000 people in the United States experience kidney stones each year. They can cause extreme pain along your side and back that may radiate to your belly or groin. Other symptoms include:

healthline.com - Why Am I Peeing So Much and How Often Should I Pee? - Healthline

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