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Suggest Treatment For Frequent Urination

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Posted on Thu, 3 Dec 2015
Question: Doc
I did blood and urine culture and there is no growth.when I wake up in the morning my urine is very yellowish. I always feel the urge to drink and when I do I immediately feel the urge to urinate .i also wake up in between sleep to urinate two to three time at night.
What is likely to be my problem with my previous reported problem
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
there are some potential diagnoses

Detailed Answer:
Hello,

I can't identify any particular issue to your description but I have some thoughts which may be helpful towards the investigation of your condition.

- anxiety is a very common cause of frequent urination.
- diabetes is another cause which also causes thirst and perhaps weight loss. If the blood sugar is high during the night, frequent visits to the WC are common.
- renal disease: it can - sometimes - present with night time urination.
- enlarged prostate: I've read somewhere that you're 29 years old, so if this is true, the enlarged prostate is out of the question.
- urinary tract infections: a negative culture does not exclude infection but it makes it unlikely. If both the urinalysis and the culture are negative though, then the infectious cause has to be abandoned.
- urinary tract stones or growths: when any part of the urinary tract gets obstructed, pain is usually the main symptom but frequent urination is common when the stone or growth is on the lower urinary tract.
- drugs: diuretics and substances with diuretic action like caffeine. Caffeine is contained not only in coffee but also in tea, colas and various "energy" drinks.

So, in conclusion you can do some basic tests to find out about the aforementioned causes. Urea, creatinine, urinalysis, blood glucose and a urinary tract ultrasound scan should suffice to exclude them.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (2 hours later)
I just got my fasting sugar result and its normal so its not diabetes
Here are my symptoms:low enrgy all the time,lack of interet,poor concentration,fever in the morning and the eveninng,low sex drive,i get sick with fever after sex or masturbation so am avoiding those now,lightedness after standing for some time and standing up after sitting for some time,blurred vision when its very XXXXXXX .muscle weakness,shortness of breath when running,passed out two times in the past while playing football.heat burning sensation on both legs sometimes,feeling thirsty alot and the urge to urinate immediately after drinking,feeling sick after drinking strong alcohol,lack of concentration,fatigue,frequent urination ,feeling overly tired most of the time .
I have been to two cardiologist one said i have hypertrophic cardiomyopathy and the other said i dont have anything.been to a urologist,neurogist,multiple phyisician. Like everywhere. The worst is am not sick that i have to be be admitted but am not feeling well the symptoms comes and goes. I look ok at sight and its confusing these doctors.
The doctors here in south XXXXXXX only rely on lab test they dont take their time to find out what is wrong.i have done lots of blood test,chest x ray, mri,blood n urine culture ,hiv,and ut all come good they say.
Plz my dying in silence
What type of doctor do you recommend i should visit tha can help met
doctor
Answered by Dr. Panagiotis Zografakis (11 minutes later)
Brief Answer:
need some quote info

Detailed Answer:
Please clarify this for me. How high is your temperature? Persistent fever requires a careful assessment and a lot of lab tests! The rest of the symptoms could have been attributed to anxiety - and I suppose that your doctor thought so too -but fever is not normal and requires investigation.

I'll be waiting for your answer.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (3 hours later)
39degrees.the fever is more in the morning when i wake up and in the evening.its notthere all the time.thats the annoying part.my biggest issue is fever and low energy.Do u think is the hcm or something else
doctor
Answered by Dr. Panagiotis Zografakis (17 hours later)
Brief Answer:
It has nothing to do with cardiomyopathy

Detailed Answer:
I'm a little surprised by your answer. First of all, cardiomyopathy is a chronic condition that may have to do with low energy but it has nothing to do with your fever. If you had a serious cardiomyopathy then I'm sure that there wouldn't be two different evaluations from two cardiologists, so I guess that this isn't the cause of your low energy.

Fever (particularly such a high one) requires thorough investigation. It can be caused by too many conditions to mention them all here. I don't understand your doctors' attitude towards your case. Perhaps you've done some tests already? Can you inform me about the results?
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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Suggest Treatment For Frequent Urination

Brief Answer: there are some potential diagnoses Detailed Answer: Hello, I can't identify any particular issue to your description but I have some thoughts which may be helpful towards the investigation of your condition. - anxiety is a very common cause of frequent urination. - diabetes is another cause which also causes thirst and perhaps weight loss. If the blood sugar is high during the night, frequent visits to the WC are common. - renal disease: it can - sometimes - present with night time urination. - enlarged prostate: I've read somewhere that you're 29 years old, so if this is true, the enlarged prostate is out of the question. - urinary tract infections: a negative culture does not exclude infection but it makes it unlikely. If both the urinalysis and the culture are negative though, then the infectious cause has to be abandoned. - urinary tract stones or growths: when any part of the urinary tract gets obstructed, pain is usually the main symptom but frequent urination is common when the stone or growth is on the lower urinary tract. - drugs: diuretics and substances with diuretic action like caffeine. Caffeine is contained not only in coffee but also in tea, colas and various "energy" drinks. So, in conclusion you can do some basic tests to find out about the aforementioned causes. Urea, creatinine, urinalysis, blood glucose and a urinary tract ultrasound scan should suffice to exclude them. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!