Is It Normal to Pee 20 Times a Day?

Reviewed on 6/3/2022

Woman with urinary frequency covering her crotch with hands
Most people need to pass urine about six to seven times in a 24-hour period. Peeing more than seven times a day when drinking about 2 liters of fluid is considered urinary frequency. Needing to pee 20 times a day would be considered frequent urination.

Urinary frequency refers to the number of times a person passes urine in a day. Most people need to pass urine about six to seven times in a 24-hour period. 

Peeing more than seven times a day when drinking about 2 liters of fluid is considered urinary frequency. Needing to pee 20 times a day would be considered frequent urination

Urinary frequency is not the same as polyuria, which is a urine output of more than three liters per day.

What Are Symptoms of Urinary Frequency?

Urinary frequency is characterized by a need to urinate more than seven times per day when drinking about 2 liters of fluid. 

Depending on the cause, urinary frequency may be accompanied by symptoms such as: 

  • Urinary urgency
  • Incontinence
    • Unintentional passage of urine, frequently when bending, coughing, or sneezing
  • Urinary hesitancy/retention
  • Poor urine stream
  • A sensation of incomplete voiding
  • Pain or urinary leakage during sexual intercourse
  • Pain during urination
  • Nighttime urination
  • Sensation of vaginal fullness
  • Urethral discharge with fever, chills, low back pain, muscle and joint pain, and perineal fullness
  • Prostate tenderness
  • Foul-smelling urine
  • Flank pain

Why Am I Peeing So Much?

Medical conditions that can cause urinary frequency include: 

Causes of urinary frequency in people who do not have underlying medical conditions may include: 

QUESTION

How much urine does the average adult pass each day? See Answer

How Is Urinary Frequency Diagnosed?

Urinary frequency is diagnosed with a patient history and physical examination, which may include a rectal exam and/or a pelvic exam.

Tests used to diagnose the cause of urinary frequency may include: 

  • Urinalysis 
  • Urine culture
  • Cytoscopy
  • Cystometry
  • Urethrography 
  • Ultrasonography
  • Voiding cystourethrography
  • Prostate-specific antigen (PSA) level 
  • Prostate biopsy 
  • Sexually transmitted infection (STI) testing

What Is the Treatment for Urinary Frequency?

Treatment for urinary frequency depends on the cause. 

  • Treatment for urinary frequency due to urinary tract infections (UTIs) may include:
    • Antibiotics
    • Medications to numb the bladder and urethra and reduce the burning pain of some UTIs 
    • Medications for fever and pain
    • Hospital treatment: intravenous (IV) antibiotics and fluids
  • Treatment for urinary frequency due to urinary incontinence may include:
    • Lifestyle changes
      • Drinking less during the day or drink less before bedtime
        • Talk to your doctor about how much fluid you need 
      • Exercise regularly
      • Maintain a healthy weight
      • Avoid constipation
      • Don’t smoke
    • Bladder training
      • Pelvic floor exercises
      • Urgency suppression
    • Medications
    • Catheter
    • Pessary
    • Bulking agents
    • Electrical nerve stimulation
    • Surgery
  • Treatment for urinary frequency due to bladder detrusor overactivity may include:
    • Behavioral therapies and education
    • Medications
    • Intradetrusor injection of onabotulinumtoxinA 
    • In rare and severe cases, augmentation cystoplasty or urinary diversion
       
  • Treatment for urinary frequency due to urinary tract calculi may include:
    • Drinking plenty of water
    • Pain relievers 
    • Other medical therapies
    • Extracorporeal shock wave lithotripsy 
    • Reteroscopic stone fragmentation and removal (URS) 
    • Surgery
  • Treatment for urinary frequency due to urethral stricture may include: 
    • There are no available drugs to help treat strictures
    • Dilation 
    • Urethrotomy 
    • Surgical removal of the stricture 
  • Treatment for urinary frequency due to prostate problems depends on the problem and may include:
    • Benign prostatic hyperplasia (BPH)
      • Watchful waiting (active surveillance)
      • Lifestyle changes 
      • Medications to help stop prostate growth or shrink the prostate 
      • Alpha-blocker medications to relax prostate and bladder muscles to ease symptoms
      • Radio waves, microwaves, or lasers which use different kinds of heat to reduce extra prostate tissue to treat urinary problems caused by BPH
      • Surgery 
    • Prostatitis
      • Drink plenty of fluids
      • Antibiotics 
      • Pain medications 
      • Lifestyle changes
      • Surgery in some chronic cases
    • Prostate cancer
      • Watchful waiting (active surveillance)
      • Surgery
      • Radiation therapy
      • Hormone therapy
  • Treatment for urinary frequency due to cystocele may include:
    • Activity changes
    • Kegel exercises
    • Hormone replacement therapy
    • Pessary
    • Surgery
  • Treatment for urinary frequency due to spinal cord injury or lesion may include:
    • Bladder management
    • Catheterization
  • Treatment for urinary frequency due to sexually transmitted infection (STI) can vary depending on the infection and may include:
    • Antibiotics 
    • Antiviral medicines 
    • Antibiotic/antiprotozoal medications
    • Keeping the genital area clean and dry
    • Avoiding tight clothing
    • Sitz bath
    • Over-the-counter (OTC) pain medicines 
    • Treating sexual partners 

Health Solutions From Our Sponsors

Reviewed on 6/3/2022
References
Image Source: iStock Images https://www.bladderandbowel.org/bladder/bladder-conditions-and-symptoms/frequency/

https://www.merckmanuals.com/professional/genitourinary-disorders/symptoms-of-genitourinary-disorders/urinary-frequency

https://www.mylabbox.com/frequent-urination/

https://www.uptodate.com/contents/urinary-tract-infections-in-adults-the-basics?search=UTI&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2

https://www.niddk.nih.gov/health-information/urologic-diseases/bladder-control-problems/treatment

https://www.cedars-sinai.org/programs/urology-academic-practice/clinical/general/urinary-tract-stones.html

https://www.urologyhealth.org/urology-a-z/u/urethral-stricture-disease

https://emedicine.medscape.com/article/459340-treatment

https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems

https://www.hopkinsmedicine.org/health/conditions-and-diseases/cystocele

https://www.cdc.gov/std/default.htm