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Suggest remedy for foul smelling urine and constipation

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Posted on Mon, 16 May 2016
Question: I'm a 47 yr old female with depression anxiety weight gain low energy and my urine smells foul. I take 40 mg fluoxetine a day. I have now been diagnosed with fibromyalgia. I suffer with fecal urgency and sometime from constipation too . I am a nurse and am completely worn down
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Answered by Dr. Shehzad Topiwala (28 minutes later)
Brief Answer:
Endo evaluation is needed

Detailed Answer:
Sorry to note how you are feeling at the moment.

It would be relevant to get yourself checked for the possibility of diabetes and thyroid problems besides other potential hormone-related conditions like vitamin D deficiency.

When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
25 hydroxy Vitamin D
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shehzad Topiwala (47 hours later)
Thank you for your answer. May I ask why ha e you included diabetes as a possibility?
doctor
Answered by Dr. Shehzad Topiwala (8 hours later)
Brief Answer:
Follow up

Detailed Answer:
After the age of 45 and with weight gain in addition, it is important to screen for diabetes
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest remedy for foul smelling urine and constipation

Brief Answer: Endo evaluation is needed Detailed Answer: Sorry to note how you are feeling at the moment. It would be relevant to get yourself checked for the possibility of diabetes and thyroid problems besides other potential hormone-related conditions like vitamin D deficiency. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your 3 month glucose average) Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH 25 hydroxy Vitamin D