The Perfect Pee.

Via on Sep 12, 2013
Photo: mrlego54
Photo: mrlego54

I wrote an article called, The Perfect Poop and now it seems only fitting to espouse on the subtleties of The Perfect Pee.

I am sure we all spend hours trying to figure out why it bubbles, runs clear, dark, pink, yellow, green, brown, its pH or why drinking alcohol can send one running to the bathroom.

According to Ayurveda, much can be learned about the body’s health from a quick urine analysis.

Join me as we take a peek and decipher what your pee might be trying to tell you!

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Why is it yellow, anyway? 

Urine gets its pretty yellow color from urobilinogen, which is a byproduct of bilirubin, which is a byproduct of the breakdown of red blood cells from the liver. Bilirubin enters the kidneys and breaks down into yellow urobilins, which make the urine yellow. This depends much on the concentration, or specific gravity, of the urine.

Basically, if we drink a lot of water, the urobilins are diluted. If we are dehydrated, the urobilins are concentrated, and the urine becomes a darker yellow.

Too many B vitamins, certain herbs like senna and certain medications can also make the urine very yellow!

The Drinkers Pee

Interestingly, within 20 minutes after ingesting an alcoholic beverage, the body’s level of ADH (anti-diuretic hormone) plummets, which basically opens the flood gates, resulting in lots of clear urine in an attempt to help detox the indigestible spirits.

If you keep drinking, you will keep urinating yourself into a state of dehydration. This is in fact one of the main causes of hangover.

The kidneys—which usually filter the bad stuff and save the water—are in flush-it-all-out mode when drinking alcohol, so let the drinker beware!

Bubbly Pee

Bubbles in the urine can be caused by a strong stream causing turbulence in the bowl, but they can also be caused by too many proteins spilling over into the urine.

This can be a serious concern that your doctor can screen with a simple dip stick urinalysis.

How Much Should We Pee?

Of course, the correct amount of pee per day depends on how much you drink. To determine how much water we should drink, let’s look at how much water is lost each day that needs replenishing.

Water Lost Each Day

  • Average fluid loss from urination 1.5 liters
  • Fluid loss from breathing, sweat and pooh 1.0 liters
  • Total: 2.5 liters

Water Requirements:

  • Average water content in food .5 liters per day
  • To replenish lost fluids 2.0 liters per day or 8-8oz glasses/day

Note: These are numbers without exercise, which can raise the needs of rehydration significantly. I am a fan of drinking 1/2 the body weight in ounces of water each day, which on average is slightly more than the eight glass a day plan.

Painful Pee

If you haven’t gone on a long bike ride recently and you are experiencing pain during urination, you might have a bladder, kidney or urinary stone or infection and need to go see your medical doctor.

In some cases this can be because of a diet that is too acidic, which means too many brown vs. green foods. A diet rich in breads, carbs, sweets, processed foods and desserts can create an overly acidic chemistry and cause painful urination.

Try a diet that is at least 50% green veggies once you have ruled out any serious issues with your doctor.

Red or Pink Pee

The most common cause of reddish or pinkish pee is blood in the urine. It can be normal if caused by eating red roots (such as beets or manjistha) or excessive exercise.

It is also possible that a normal concentration of urates can build up in the urine and cause the urine to turn red.

An old Ayurvedic technique to tell if it is in fact blood in the urine is to heat up the reddish urine. Urates will dissolve in the heating process and the urine will clear up. Blood, on the other hand, will not clear up.

Cloudy Pee

Cloudy urine can be a sign of infection and requires a trip to the doctor. It can also be a normal buildup of metabolites in the urine. It is possible that harmless phosphates can build up and cloud the urine.

Home test: if you add vinegar to the urine, the acid in the vinegar will dissolve the phosphate crystals and the urine will clear.

Green or Brown Pee

This is a sign that the bile is spilling into the urine, caused by a blockage of the bile ducts. This is a medical condition, so you should see your doctor.

Bile cannot get into the intestines, which is needed to turn the stool brown, so the stool becomes white or clay-colored. The bile then finds its way into the bloodstream, where it can turn the urine a greenish brown color.

Asparagus Pee

That distinctive aroma that, amazingly, can be detected within 15 minutes of eating asparagus comes from a group of sulfur-containing compounds. These compounds are quickly absorbed into the blood during digestion and then quickly filtered through the kidneys and urine. It turns out that only 50% of the population has the genes to smell these compounds, so some of you will not know what I am talking about according to the latest experts on pee. It is also said that if you cut off the tips of the asparagus, you won’t get that strong urine smell.

Ayurvedic Urine Evaluation

A traditional assessment of the pee, or mutra as it is known in Ayurveda, is based on body type. Of course, there are slight variations according to the influences of vata, pitta and kapha, and it is best to have a current evaluation of your body type. This is easy and can be done by filling out our free interactive Body Type Questionnaire. LINK

Start with your first morning urination. It is best to capture a midstream sample in a clear glass jar.

urine analysis perfect pee chart image

The Perfect Pee

Since most people have a body type that is a combination of vata, pitta and kapha, we can look in general for normal urination to be: light yellow in color, 1.5 liters a day, painless, complete and not frequent, with a midstream morning pH of 7. (This may vary based on body type—see chart).

The Last Filter of the Body

The urine is the last filter of the body. If you begin to see changes in the urine, I suggest looking upstream into the digestion to find the real culprit. The best place to start: your digestion!

 

References:

1. Josh Richman, Anish Sheth MD, What’s My Pee Telling Me? Chronicle Books. San Francisco 2009

2. Vasant Lad. Textbook of Ayurveda. Vol 2. The Ayurvedic Press. New Mexico. 2006.

 

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Ed: Bryonie Wise

 

 

 

 

About Dr. John Douillard

John Douillard, DC, has published over 500 health videos and articles that are available on his website. He has written six books, produced numerous health DVDs and CDs, and has formulated his own line of organic health care products. He is the former Director of Player Development for the New Jersey Nets NBA team. He has been featured on the Dr. Oz Show, in Woman's World Magazine and in Yoga Journal. He currently directs the LifeSpa Ayurvedic Center in Boulder, CO, where he lives with his wife and six children.

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One Response to “The Perfect Pee.”

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    I’ll probably be returning to read through more, thanks for the advice!

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