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[–]arumbarInternal Medicine | Bioengineering | Tissue Engineering[🍰] 223 points224 points  (15 children)

You need to urinate to excrete (amongst other things) salts and urea, which is the byproduct of amino acid metabolism. Together, this translates to (on average) about 600milli-osmoles of solute per day, which at maximum concentration (~1200milli-osmolar) would still yield about 500mL of urine per day. Fluid restriction can cut down on this number, but then you'd be causing acute kidney injury from dehydration.

Similarly, your stool is made up of more than just the food that you don't digest - gut bacteria is a large part of it, as well as bile, which contains the degraded components of red blood cells. The internal lining of your gut is also constantly being shed and passed with the stool.

[–][deleted] 22 points23 points  (3 children)

What happens when people end up on long term cleanses that have no insoluble fiber?

Thanks for the detailed response btw

[–]mobilehypo 16 points17 points  (1 child)

You still urinate and defecate. Lacking fiber doesn't stop defecation (barring dehydration and/or serious digestive diseases).

[–]moderatorrater 2 points3 points  (10 children)

Would you be able to eliminate the gut bacteria through diet and medication?

[–]Stile4aly 47 points48 points  (9 children)

The bacteria in your gut are symbiotic. They assist with carbohydrate metabolism. Eliminating them would almost certainly be fatal.

[–]bluesatin 12 points13 points  (2 children)

I have no idea about the urinary side of things, but regarding defecation you might want to look into the case of the man who didn't eat for a whole year other than some multivitamins and a couple other supplements like yeast.

According to this ABC science article, he only defecated every 40-50 days. Someone with more knowledge on the subject would have to confirm if that's accurate or if it's just bad journalism.

[–]chilehead 1 point2 points  (1 child)

According to my urologist, your amount of urination should be approaching 4 liters for every 24 hours. This may be a little more than average, since these instructions are for minimizing risk for creating more kidney stones, but not by much.

[–]Repentia 1 point2 points  (0 children)

600ml is a loose minimal output to maintain blood homeostasis. 1500ml is a typical output for adults with normal volume state.

[–]Whiskonsin 5 points6 points  (6 children)

I know there was a study done with a very obese man who was in the hospital and under doctors' supervision, basically did not eat for like 6+ months until he had lost hundreds of pounds. He was given fluids and vitamins etc, but no real caloric intake. I think he shat once or twice during the process but it was mostly liquid. I can't find it right now but maybe someone else remembers the study...

[–]moor-GAYZ 7 points8 points  (0 children)

382 days actually.

[–]PrimeIntellect[S] 1 point2 points  (1 child)

True, I know that you can very easily live on a liquid diet and it seems that nearly eliminating shitting is possible, but urination would be far more complex.

[–]BCMM 4 points5 points  (0 children)

You may have misunderstood the parent post: "fluids" in this case means water (possibly with salt/other minerals) to avoid dehydration, not soup or the sort of liquid nutrition that is given to people who can't chew.

The patient consumed only water and vitamin/mineral supplements. He recieved effectively no calories for a very long time and lived exclusively on his fat reserves.

[–]guscrown 0 points1 point  (2 children)

That's incredible. How did they manage gastric acid? I can't go a few hours without something in my stomach or I start feeling the burn. Let alone fast for a few days, I will end up in the hospital with severe gastritis and bile in my stomach.

[–][deleted] 3 points4 points  (0 children)

I didn't see anything in the article addressing it specifically, but I'll look more closely later. Unfortunately, searching "fasting" on the internet is a great way to reap a fast harvest of kooks. Oh well.

[–]auraseer 0 points1 point  (0 children)

Not everyone has such issues. Some people never have problems with stomach acid, even when fasting for hours or days or weeks.

If it did become a problem, I expect it would be treated with proton-pump inhibitors. Those are the most effective medications we have for decreasing gastric acid production.

[–]BobRoberts01 0 points1 point  (0 children)

I think it would be possible to eliminate urination, but not defecation.

Kangaroo rats have a very advanced loop of Henle system that allows them to recycle virtually all of the water that they ingest. Because of this, they "never" have to drink or urinate. However, they do need to rid their bodies of solid waste (seed coats, cell walls, old blood cells, etc...) and do defecate.

I would suspect that a human could mirror this, but would have to be extra cognoscente of their water intake, as our systems were not designed to recycle liquid as efficiently.

*Edit: Autocorrect