Is it true that you always pee pee but don’t poo poo but when you poo poo you always pee pee

Checked on February 3, 2026
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Executive summary

The blanket statement that "you always pee pee but don’t poo poo but when you poo poo you always pee pee" is false as a universal biological rule: urination is more frequent and variable than defecation for most people, but bladder and bowel functions interact and can influence each other so coincidence is common though not inevitable [1] [2] [3].

1. Frequency: urine is typically more frequent than stool, but not constant

Human urination events normally occur multiple times per day while stool frequency varies widely between people; a literature review of stool frequency across studies reported a mean range of 0.74 to 1.97 bowel movements per 24 hours with a median around 1.1, indicating that defecation is often once a day or less, whereas voiding occurs far more often and so "always pee" is an overstatement but reflects typical frequency differences [1].

2. Physiological coupling: bladder–bowel cross‑talk explains why peeing and pooping often co‑occur

Clinical and animal evidence supports neural and physiological cross‑sensitization between bladder and bowel — rectal distention and constipation can change bladder sensory and motor behavior, and patients with bowel dysfunction are more likely to report lower urinary tract symptoms (LUTS), which explains why defecation is frequently accompanied by urination in many people [3] [2] [4].

3. Clinical data: constipation raises urinary symptoms, not the reverse rule

Large epidemiologic and clinical studies show associations — people with constipation or defecatory straining have higher rates of urinary urgency, frequency, and incontinence, and treating constipation can improve urinary symptoms; these are correlations and clinical pathways rather than absolute rules that one cannot poop without peeing [5] [4] [2].

4. Developmental and behavioral factors change the pattern in children and adults

In children, toilet‑training behaviors like voiding postponement and holding maneuvers commonly link urinary and fecal dysfunction (bladder and bowel dysfunction), and timed voiding can improve wetting; similarly, functional defecation disorders and attention‑deficit presentations can co‑occur, showing behavior and development shape whether peeing and pooping happen together [6] [7].

5. Cultural, typological and research caveats: not all frameworks treat urine and stool the same

Traditional medical typologies, such as the Sasang Urination and Defecation Inventory, measure culturally specific symptom clusters and find subscales that correlate with Western clinical measures, but these tools document symptom patterns rather than asserting hard physiological laws about simultaneous voiding [8] [9]; animal studies and grazing/behavioral ecology research show species and context matter too, so generalizations from one dataset can mislead [10] [11].

6. Bottom line: common, explainable overlap — but not a strict rule

The evidence shows that urination is usually more frequent than defecation and that bowel events (especially rectal fullness or constipation) commonly provoke bladder responses, making concurrent peeing during pooping a frequent and physiologically explainable occurrence, but it is not an absolute or universal truth that one always pees and only sometimes poops — both functions are variable and influenced by neural, mechanical, behavioral and cultural factors [1] [2] [3].

Want to dive deeper?
How does constipation physiologically trigger urinary urgency and other lower urinary tract symptoms?
What treatments aimed at bowel function have been shown to improve urinary incontinence or overactive bladder symptoms?
How do pediatric toileting behaviors during toilet training influence long‑term bladder and bowel dysfunction?