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Overweight. Getting Metallic Smell From Urine. Diagnosed With Sacroiliitis. Required Treatment?
Question: I'm 45 an since beginning of january my urine and bowel movements have a very metallic/rusty smell. I don't take any medication or supplements. I'm overweight (5'8" 195lbs) but very active, playing tennis 3x/week. The only medical change is that I was diagnosed with sacroiliitis in december and had a pain injection and physical therapy. my sac joint/low left back/hip continue to hurt daily... no other symptoms that I can think of.
Hi and thanks for the query,
It shall be necessary for you to do a complete urine analysis, culture and urine electrolytes. This is important in excluding any urinary infection or excess secretion or excretion of particular ions. Doing a fasting blood sugar, considering the fact that you are overweight, and its off course a risk factor is also very important. Any recent changes in your diet might also be important to be noted.
I suggest you continue with you efforts in doing exercise. Losing weight on its own will certainly decrease the intensity of pain you feel. I suggest an erythrocyte sedimentation rate and a rheumatologic work up be done to exclude any rheumatologic disease. X rays and scans could be important in ascertaining the integrity of the bony or skeletal system. Booking an appointment with the rheumatologist for a complete evaluation could be important. Meanwhile, continue with exercise, eat more fruits and vegetables, more fibres, reduce amount of saturated fat, decrease salt intake and drink a lot of water. Simple analgesics in case of increased pain might be of help as you wait to see the physician.
thanks and best regards,
Luchuo, MD.
It shall be necessary for you to do a complete urine analysis, culture and urine electrolytes. This is important in excluding any urinary infection or excess secretion or excretion of particular ions. Doing a fasting blood sugar, considering the fact that you are overweight, and its off course a risk factor is also very important. Any recent changes in your diet might also be important to be noted.
I suggest you continue with you efforts in doing exercise. Losing weight on its own will certainly decrease the intensity of pain you feel. I suggest an erythrocyte sedimentation rate and a rheumatologic work up be done to exclude any rheumatologic disease. X rays and scans could be important in ascertaining the integrity of the bony or skeletal system. Booking an appointment with the rheumatologist for a complete evaluation could be important. Meanwhile, continue with exercise, eat more fruits and vegetables, more fibres, reduce amount of saturated fat, decrease salt intake and drink a lot of water. Simple analgesics in case of increased pain might be of help as you wait to see the physician.
thanks and best regards,
Luchuo, MD.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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