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Why Does Alcohol Make You Pee? Here’s The Science Behind It

By Dr. Shubham Pandey +2 more

Join Health Talk by PharmEasy on WhatsApp

Introduction

Alcohol consumption is a common practice in social gatherings, celebrations, and for relaxation. While having a drink or two might not seem like a big deal, it can have a noticeable impact on our body’s functions, particularly when it comes to urination. Many people have noticed that they need to urinate more often when they drink alcohol1. 

In this article, we’ll explore the connection between alcohol and increased urination. We’ll also debunk some common myths about “breaking the seal” and discuss the impact of alcohol on hydration and various factors affecting the diuretic effect of alcohol. Finally, we will provide some practical tips on managing the urge to urinate while drinking alcohol and the importance of moderation in alcohol consumption. Lastly, we will answer a few frequently asked questions regarding this topic.

why does alcohol make you pee

Did you know?

The Science Behind Alcohol and Increased Urination

Our kidneys are key in keeping fluid balance in check. They filter our blood and make urine. This urine then moves to the bladder through tubes called ureters. When the bladder gets full, there is an urge to urinate2. Anti-Diuretic Hormone (ADH) has a big part in controlling how much urine is made in the body. It is released when there is a lack of water in our body or a higher-than-normal solute-fluid ratio in our blood3. This signal tells the kidneys to hold more water back in the body and reduce urine production. 


Drugs that increase urine production are called diuretics or diuretic drugs. Some other substances may also do the same, that is, they can exert a diuretic action. Alcohol is one such substance4. The association of increased urination with alcohol intake can be attributed majorly to its effect on the kidneys and antidiuretic hormone action.

  • Alcohol affects Anti-Diuretic Hormone (ADH) secretion

ADH production is slashed when alcohol is present in your bloodstream. This can disrupt our body’s fluid balance resulting in increased urine production. Thus, when you consume a drink, the alcohol halts the release of ADH and there is no signal for reducing urine formation, so too much urine gets made5.

●   Alcohol disrupts fluid particle balance

Alcohol in your blood can throw off the stable control of acid-base balance and causes dehydration. This can change the number of particles per fluid amount in your blood, which in turn signals your kidneys to make more urine6. Increased drinking leads to increased urination1.

Researchers have found that regular consumption of alcohol may double the risk of kidney disease or kidney damage, even without excessive drinking. If you are experiencing signs like swelling of the feet and legs due to fluid retention, numbness or tingling in the fingers or toes, loss of appetite and a metallic taste in the mouth, I suggest it’s best to consult a doctor12.

Dr. Smita Barode, BAMS

Factors Affecting Alcohol’s Diuretic Effects

Though alcohol has diuretic effects, some factors can affect how much it makes you urinate.


  • Alcohol Strength: The strength of an alcoholic drink can shape its urine-producing ability. Stronger alcoholic drinks like wines and spirits make more urine than beer1.
  • Drinking Frequency: Regular drinkers may become unfazed by alcohol’s diuretic effect.
  • Hydration Levels Before Drinking: Your urinating frequency after drinking depends on how much water you have had before drinking7. Drinking less water beforehand could mean less urine formation later on. But it is essential to hydrate yourself post drinking to avoid dehydration. 

I recently read a study13 which says that alcohol functions as a diuretic, leading to increased urinary frequency. The diuretic effect varies among alcoholic beverages, with those higher in alcohol content contributing to a more significant increase in urine output compared to nonalcoholic drinks.

Dr. Siddharth Gupta, BAMS, MD (Ayu)

The Myth of ‘Breaking the Seal’

Many would have heard the phrase “breaking the seal”. It is the idea that once you urinate after your first drink, it has set the stage for more urinating episodes to follow and you are doomed to urinate often for the rest of the night. Well, this is a myth and there is no scientific basis to this claim. 

Alcohol and Bedwetting – Understanding the Connection

Bedwetting may happen if you drink over the limit. Let us delve into the reasons why this may happen. 

Causes of Alcohol-Induced Bedwetting

Drinking till you drop disrupts regular body functions. For instance, you may not wake up when your bladder is full, letting bedwetting happen8.

Bedwetting risk factors after drinking include having a lot of alcohol, having a sleep disorder, or a urinary tract infection9.

Ways to Avoid Bedwetting After Drinking Alcohol

To avoid waking up in a wet bed, drink responsibly and stay hydrated. Keep these tips in mind for a dry night’s sleep. 

  • Drink in moderation1. Being mindful about how much you drink may stop bedwetting and improve health.
  • Keeping well-hydrated after drinking will help in managing dehydration caused by alcohol. 
  • Urinate before going to bed. This clears the bladder as much as possible before bed time.

To my knowledge, when someone consistently consumes alcohol, their body may develop a tolerance to its diuretic effects. This means that over time, with regular drinking, the body might become less sensitive to the diuretic impact of alcohol, resulting in decreased urinary frequency despite alcohol consumption13.

Dr. Rajeev Singh, BAMS

Understanding Moderate Alcohol Consumption

The term ‘Moderate’ means having a drink or two in a day that does not harm health.

Although it’s ideal to completely avoid alcohol for keeping healthy, following are the maximum recommended limits if you choose to consume:

  • Females: No more than 1 drink in a single day and 7 drinks per week
  • Males: No more than 2 drinks in a single day and 14 drinks per week
  • Adults age 65 and older: No more than 1 drink a day and 7 drinks per week
  • Pregnant women or those planning to conceive: Should not drink any alcohol10

One regular drink equals11:

  • 12 ounces of beer (almost 5% alcohol)
  • 5 ounces of wine (about 12% alcohol)
  • 1.5 ounces of distilled spirits, for example, rum or brandy (nearly 40% alcohol)  

Drinking moderately may help avoid fluid imbalance, high blood pressure, and cause less damage to the liver. 

Managing the Urge to Urinate While Drinking Alcohol

By understanding the factors that lead to lots of urination after drinking, we may help ourselves lessen the urge to urinate. 

Some tips that may help reduce the urge to urinate include:

  • Opting for drinks with lower alcohol content1 
  • Avoiding drinking too much2 
  • Having enough water before and during the consumption of alcohol

Conclusion

Understanding why alcohol makes you urinate more may help you decide how much to drink. Whether it is for a good time out or just for that buzz, keep in mind, that nothing is better than plain water for keeping you hydrated. Try to stick to moderate drinking and stay hydrated before and after drinking. 

Frequently Asked Questions (FAQs)

What are the best ways to stay hydrated while drinking alcohol?

Mixing alcoholic and non-alcoholic drinks and drinking water along with alcohol can help you keep hydrated.

Are there types of alcohol that make you pee more than others?

Yes, spirits and wines tend to increase your urination frequency more than beer because of their higher alcohol content.

 Is it dangerous to hold your pee while drinking alcohol?

Holding off urine too often increases urinary tract infection risk. So, you should urinate whenever you feel like it.

Can regular alcohol consumption lead to kidney damage?

Yes, heavy drinking can heighten kidney disease risk by two-fold. That’s why it’s wise to drink moderately.

Does urinating make you less drunk?

Nope, urinating doesn’t sober you up faster. Your body takes care of processing alcohol naturally over time. But urinating doesn’t speed up alcohol’s exit from your bloodstream.  

References

  1. Polhuis K, Wijnen A, Sierksma A, Calame W, Tieland M. The Diuretic Action of Weak and Strong Alcoholic Beverages in Elderly Men: A Randomized Diet-Controlled Crossover Trial. Nutrients [Internet]. 2017 Jun 28;9(7):660. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5537780/
  2. National Institute of Diabetes and Digestive and Kidney Diseases. Your Kidneys & How They Work [Internet]. National Institute of Diabetes and Digestive and Kidney Diseases. 2018. Available from: https://www.niddk.nih.gov/health-information/kidney-disease/kidneys-how-they-work
  3. Cuzzo B, Lappin SL. Vasopressin (antidiuretic hormone, ADH) [Internet]. National Library of Medicine. 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526069/
  4. Kehrenberg MCA, Bachmann HS. Diuretics: a contemporary pharmacological classification? Naunyn-Schmiedeberg’s Archives of Pharmacology. 2022 Mar 16;395(6). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9072265/
  5. National Institute on Alcohol Abuse and Alcoholism. Alcohol’s Effects on the Body [Internet]. National Institute on Alcohol Abuse and Alcoholism. NIAAA; 2025. Available from: https://www.niaaa.nih.gov/alcohols-effects-health/alcohols-effects-body
  6. Epstein M. Alcohol’s Impact on Kidney Function. Alcohol Health and Research World [Internet]. 2024;21(1):84. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6826793/
  7. Briguglio M. The Reason Beer Makes You Pee and Why You Should Abstain before Orthopedic Surgery. Nutrients. 2023 Mar 30;15(7):1687. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10097290/
  8. Zhang Y, Qin W. Relationship between alcohol use and overactive bladder disease: a cross-sectional study of the NHANES 2005–2016. Frontiers in Public Health. 2025 Jan 3;12. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11739125
  9. Akhavizadegan H, Locke JA, Stothers L, Kavanagh A. A comprehensive review of adult enuresis. Canadian Urological Association Journal. 2018 Dec 3;13(8). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6737735/
  10.  National Center for Health Promotion and Disease Prevention. Limit Alcohol [Internet]. va.gov. 2024. Available from: https://www.prevention.va.gov/Healthy_Living/Limit_Alcohol.asp
  11.  CDC. About Standard Drink Sizes [Internet]. Alcohol Use. 2024. Available from: https://www.cdc.gov/alcohol/standard-drink-sizes/index.html
  12. National Kidney Foundation. Drinking Alcohol Affects Your Kidneys [Internet]. 2014 Aug 12 [cited 2026 Jan 22]. Available from: https://www.kidney.org/news-stories/drinking-alcohol-affects-your-kidneys
  13. Polhuis KCMM, Wijnen AHC, Sierksma A, Calame W, Tieland M. The Diuretic Action of Weak and Strong Alcoholic Beverages in Elderly Men: A Randomized Diet-Controlled Crossover Trial. Nutrients. 2017 Jun 28;9(7):660. doi: 10.3390/nu9070660. PMID: 28657601; PMCID: PMC5537780. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5537780/

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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