The debate over peeing in the shower continues, with many advocating for the practice due to its water-saving benefits. However, Dr. Alicia Jeffrey-Thomas, a pelvic health specialist, warns that for those assigned female at birth, this habit could have unintended health consequences.
The Water Conservation Argument
One of the strongest arguments for urinating in the shower is its potential to save water. By eliminating the need for a separate toilet flush, a person could save approximately 2,190 liters (579 gallons) of water per year. If the entire U.S. population adopted this practice, it could lead to an annual water savings of 699 billion liters (185 billion gallons). This significant reduction in water consumption highlights the environmental advantages of shower urination.
Potential Health Risks: The Pelvic Floor Connection
Despite the environmental benefits, the potential health consequences of this habit must be considered. Dr. Jeffrey-Thomas explains in a TikTok video that regularly peeing in the shower may lead to pelvic floor and bladder control issues.
The Pavlovian Response
Dr. Jeffrey-Thomas likens this habit to Pavlov’s classical conditioning experiment, where dogs learned to associate the sound of a bell with food. Similarly, repeatedly urinating in the shower can train the brain to link the sound of running water with the urge to pee. This association may result in involuntary urination triggered by running water sounds, such as a faucet, toilet flush, or even rain.
Pelvic Floor Dysfunction Risks
For individuals with existing pelvic floor dysfunction, this learned association can exacerbate bladder control problems. Dr. Jeffrey-Thomas explains that urinating while standing in the shower does not allow the pelvic floor muscles to fully relax, potentially leading to incomplete bladder emptying. Over time, this can contribute to urinary retention and increase the risk of urinary tract infections (UTIs).
Some argue that squatting while urinating in the shower might alleviate pelvic floor strain. Dr. Jeffrey-Thomas acknowledges that a full squat position allows for better pelvic floor relaxation, but she still advises against making shower urination a habit. If one must urinate in the shower, a proper squatting position is preferable to standing.
Why Doesn’t Toilet Flushing Trigger the Same Response?
A common question is why flushing the toilet doesn’t condition the brain in the same way. Dr. Jeffrey-Thomas clarifies that by the time a person flushes the toilet, they have already urinated, so no association is formed. However, individuals who struggle to resist the urge to urinate when exposed to running water may already have underlying bladder control issues.
Understanding Pelvic Floor Dysfunction
Pelvic floor dysfunction is a common condition, particularly among women. The pelvic floor is a group of muscles that support the bladder, uterus, rectum, and other organs. Dysfunction occurs when these muscles become too weak or too tight, leading to symptoms such as:
- Urinary and bowel incontinence
- Lower back pain
- Pain during intercourse
- Increased urgency or frequency of urination
Factors such as childbirth, surgery, aging, obesity, and high-impact activities can contribute to pelvic floor dysfunction. Given that urinating in the shower might worsen symptoms, individuals should be aware of these risks before adopting the habit.
The Biological Factor: Why Female Anatomy Matters
Dr. Jeffrey-Thomas emphasizes that those with female anatomy are not designed to urinate while standing. Unlike male anatomy, where the positioning allows for better bladder emptying while standing, females may struggle to fully relax the pelvic floor in this position. This can lead to incomplete bladder emptying, increasing the risk of UTIs and other urinary complications.
Pros and Cons of Peeing in the Shower
Pros:
- Water conservation: Reduces toilet water usage significantly.
- Convenience: Saves time, particularly during a rushed morning routine.
Cons:
- Pelvic floor health risks: May contribute to bladder control issues and pelvic dysfunction.
- Conditioned response: Can create an involuntary urge to urinate when exposed to running water.
- Sanitation concerns: While urine is mostly sterile, it can still contain bacteria that may pose hygiene risks.
The Bottom Line
While peeing in the shower may seem like an eco-friendly and convenient habit, it is important to weigh the potential health risks. Dr. Alicia Jeffrey-Thomas’s insights serve as a reminder to consider the long-term effects of our daily routines. Striving for sustainability should not come at the cost of personal health. Ultimately, making an informed decision based on both environmental and health factors is key to maintaining overall well-being.
What White Tongue Is, and What to Do About It
There are many possible causes for white tongue, and in some cases, it comes with an unpleasant odor and mouth dryness. To get rid of it, sometimes you just need to brush your teeth. But what should you do if that doesn’t help?
This article is for informative purposes only and can’t replace the advice of a specialist.
What white tongue is
The white film may cover the entire tongue, part of it, or appear as spots. At the same time, an unpleasant odor and taste in the mouth may appear. It looks as if there are small white hairs on the tongue’s surface. In fact, they are buds covered with organic particles, bacteria, and dead cells.
White plaque on the tongue (which can also be yellow) may appear for different reasons, like due to irritation or because of an infection. It usually disappears after several days. If the situation doesn’t change for several weeks, and it’s painful to eat and talk, it’s best to see a doctor.
It’s important to note that the plaque may not only be white. While a pink tongue is normal, a brown tongue means the person drinks too much coffee or tea. A yellow tongue means there’s something wrong with the liver, and a red tongue is a sign that the person lacks vitamin B.
Why the tongue becomes white
Usually, the tongue becomes white due to bacteria, leftover bits of food, or dead cells that get stuck in between the buds. Because of this, the buds may increase in size or become inflamed. This is how white spots on the tongue’s surface appear.
Sometimes, the plaque appears due to an illness. For example, the geographic tongue is also a condition where white spots appear on the tongue. It’s quite rare, and the causes are unknown, but the condition itself is often connected to eating foods that irritate the tongue. It may also be a reaction to stress, an illness, or hormonal changes.
Why white plaque appears on the tongue
There are some things that make the appearance of white plaque on the tongue more probable:
- Age
- Taking antibiotics (white-yellow plaque appearing when there’s a fungal infection in the mouth)
- A diet that’s lacking enough fruits, vegetables, vitamin B12, and iron
- A weak immune system
- Bad mouth hygiene
- Dental prosthetics or other objects that can damage the tongue
- Dehydration and mouth dryness
What piercings have to do with white tongue
Right after piercing the tongue, there might be some white film present. This happens because the number of bacteria on the tongue increases, and it’s normal. Antibacterial mouthwash will help you get rid of it. Plus, there might be a ring around the piercings, which is normal too, and it means the tissue is healing.
If the plaque appears due to an injury (including piercings), the healing should take around 1.5 weeks. You should avoid irritants, such as hot, spicy, or sour foods and drinks.
How to get rid of white tongue at home
- Practice good mouth hygiene.
- Drink enough water.
- Brush your teeth using a soft toothbrush.
- Use a mild fluoride toothpaste — one that doesn’t contain sodium lauryl sulfate.
- Use fluoride mouthwash.
- Brush your tongue or use a tongue scraper to remove the white coating.
- Drink cold drinks through a straw.
- Avoid food and drinks that are spicy, salty, acidic, or very hot in temperature.
Who to talk to if you’re worried about your white tongue
- Your dentist can help you remove the white film from the tongue and prescribe medications if needed.
- Your GP can diagnose the tongue, prescribe you certain medications and determine if the white tongue is an indicator of a more serious issue.
What do you do about white tongue?
Preview photo credit Genusfotografen (genusfotografen.se) & Wikimedia Sverige (wikimedia.se) / Wikimedia Commons, CC BY-SA 4.0, Martanopue / Wikimedia Commons, CC BY-SA 3.0
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