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What Causes Frequent Urination When Diagnosed With Polyuria?

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Posted on Wed, 20 Jul 2016
Question: Hi Doc,
Name-Inzy, Age-24,Sex-M,Wt-75kg,Ht-5ft8in.
Frequent Urination problem drinks around 4.5-6 lts of water on normal day & while fasting 3-4lts.But from 2days I feel burning sensation in my penis,scroutum& area just above the private aftering urinating in morning about 4-5 times(within 2 hr).As for regular day i urinate more than normal person i thought may be becoz of extra consumption of liquids.
And from these 2-3 days I am feeling cold especially after knee from the calf to the whole feet of both the legs which I was not experiencing earlier
Around 4 yr earlier took some medicine named lycopodium 150-200-250 total for 2 months or less of Dr. Reckweg(German) it was slight effective as the doc said it to be POLYURIA.
Currently on Prodep20mg(Fluoxetine)morning for one month (7 days left to complete) for premature ejaculation and taking Mega3(eicosapentaenoic acid-180mg,docosahexaenoic acid-120mg)evening 1 cap
Note:
Burning sensation is very low at is only at morning.
Never had any surgery.
4months earlier I got umbilical infection and it was treated it didn't spread through any part I had ultrasound for liver,spleen,prostate,kidney everything was fine .there was intense pain in naval and swollen with yellowish discharge and foul smell both got gradually reduced as the treatment continued at that time doc said if there will be no changes then I will do small operation and will remove the pocket under the navel.
This was only one abdominal case in my whole life.
Please provide the drug name available in XXXXXXX pharmacy

If any other question please feel free to ask.

Thanks a lot Doc.
Waiting for your response
Have a good day
doctor
Answered by Dr. Mukund Savaskar (6 hours later)
Brief Answer:
Burning Urination with polyuria / Under Evaluation

Detailed Answer:
Brief Ans-Burning Urination with polyuria / Under Evaluation
Mostly from Urachal alternating sinus with UTI,with umbilical abscess.Diabetes mellitus needs to be ruled out also.

Hi,Dear!! Thanks for your query to HCM.

Read and reviewed the query in context to your health issues,
-related to cause of burning urination-lately in last few days.
-?Urachal alternating sinus with Umbilical abscess-4 mths back treated and healed up, but Urachal sinus getting alternate opening in to bladder,causing burning micturition lately in last 4 days time.
-Polyuria from excessive drinking of water -Since how long you drink excessive water,remains to be detailed from You.

My Impression-
From the scanty information submitted herewith, You seem to be suffer from Post-umbilical abscess treated 4 mths back,but lately started getting burning in your uro-genital areas since last 4 days.
Taking these facts in to consideration-You seem to suffer from -initial Urachal Cyst with Umbilical abscess, which burst open in to sinus, which got healed up 4 mths back with treatment.
But this Urachal alternating sinus lately draining infection to Bladder, causing burning urination lately in last 4 days.
This has occurred mostly from the incomplete treatment of the Umbilical sinus,which should have been treated by excision of the partially and incompletely healed-Urachal sinus .

Do's Suggested-
This needs to be investigated by Consults with Surgeon/Urosurgeon,who would investigate it with USG or CT scan study.
You may need to operate this ? alternating Urachal sinus-causing infection of the bladder after incomplete treatment of the Umbilical abscess , which was treated with medicine 4 mths back , but lately presenting with burning in urination in last 4 days time.
-But other causes of the burning urination in uro-genital parts needs to be investigated for your young age with active sexual life.You need to be tested for STD by LCr blood and urine test, and by Prostatic smear testing after prostatic massage.
-USG and CT study for fixing hidden alternating Urachal sinus needs to be done under cover of Uro-Surgeon.
-Other causes of burning urination need to be ruled out before starting final treatment.

KEY ALERTS-
Please update-since how long you drink excessive water.
Investigate for STD and with USG / CT study for Urachal Sinus draining infection in to bladder.
Your case needs Consults from Uro-Surgeon and GI Surgeon, for resolving your burning micturition.
Other causes for polyuria as- Diabetes Mellitus needs to be rule out.

Dear,Hope this reply would reduce worries with your health issues and would help you to plan further proper care,with help of doctors there.

Dear, If you want more explanations for few more queries, You are welcome.

Hope this would help you to plan further for this complex health issue of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, Do close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mukund Savaskar (2 days later)
Hi,Doc

What are the chances of Urachal alternating sinus l draining infection to Bladder.

1.Not experiencing any burning sensation from 3 days(so I'm sure there is no infection as I mentioned earlier it occurred for 2 days only during morning that too very low burning didn't caused any unrest type of situation)
2.Consuming this amount of water for more than 5 yrs
3.Is it only polyuria or polydispia also?
4.Always engaged in protected way with GF(No chances of STD) monthly 3-4 acts.
5.please provided treatment and dosage for polyuria if there is no infection considered.
6.Is there any problem taking polyuria medication with mega3 or Prodep.

Thanks a lot doc
Waiting for your response.
doctor
Answered by Dr. Mukund Savaskar (9 hours later)
Brief Answer:
Burning Urination with polyuria / Under Evaluation

Detailed Answer:
Burning Urination with polyuria / Under Evaluation
Mostly from Urachal alternating sinus with UTI,with umbilical abscess.Diabetes mellitus needs to be ruled out also.


Hi,Dear!! Thanks for your update queries and appreciating the comments.
Read and reviewed the query updates in context to your health issues,
My Impression-
From the scanty information about your age/sex and medical history and current and past reports, on why you take prodep ?Since how long you take prodep?Detail about reasons of prodep?Updates on your weight/and reasons and duration for XXXXXXX 3, its really difficult to opine on hypothetical questions.
I would suggest you to be patient and investigate your cases on lines suggested in My last reply.

Dear,Attend to Burning Urination on Priority-first.
The very fact of burning urination after umbilical hernia, in itself is a very unusual combination of complaints and needs to be attended to on priority, instead of being hypochondriac, by asking hypothetical questions.
This discussion is to suggest you to the possibilities of various uncommon complex complaints from You, in absence of any information so many vitals, which would be needed to the endless sessions to reply to your exhaustive update queries, which would take 2-3 session for each of your queries to reply with all My wit and experience, which I am ready, if you have patience to continue replying for each of queries.But such a prolonged discussion is even out of purview of such a platform, where its second opinion to guide your immediate acute and chronic health issues are given guidance, so as to come out of the complex issues in stages, to give you way out in virtual way.

Reply to Your specific queries-
So Dear, I would be briefly replying to your specific questions as follows-
Q-1-What are the chances of Urachal alternating sinus l draining infection told Bladder.
Ans-1-Though its of very rare occurance,In your case chance could be higher, as your data suggests and need further investigation.Be serious to investigate to avoid more complications and recurrence in time to come.

Q-2-Not experiencing any burning sensation from 3 days(so I'm sure there is no infection as I mentioned earlier it occurred for 2 days only during morning that too very low burning didn't caused any unrest type of situation)
Ans-2-Don't overestimate and be overconfident.Do keep a watch in time to come and investigate on lines suggested if need be.I would advised to get Lcr to rule out cause of burning micturition and or suggest to have CT scan study, to get a definite vision as to causes of burning and furhter treatment, may be this would take next 12 weeks of follow up to give clean chit.

Q-3-Consuming this amount of water for more than 5 yrs
Ans-3-Give more details-as to Do you feel thirsty?What is your diet frequency and liking items?Frequency of coffee/ tea/and sweets in your daily intake?
Why you drink more water? as a googled habit ?Are you obese?
Q-4-Is it only polyuria or polydispia also?
Ans-4-If you feel thirsty, its polydipsia causing to polyuria.Polyuria in your case coluld be from -prodep? Since how long you take prodep? and for any depression?please detail it more.Many angles would be needed to decide on it and is BIG session in its own.So give further details on it?

Q-5-Always engaged in protected way with GF(No chances of STD) monthly 3-4 acts.
Ans-5-This could be a reason of questionable burning urination,aggravating your polyuria.

Q-6-please provided treatment and dosage for polyuria if there is no infection considered.
Ans-6-This is a hypothetical question and needs more investigation before any specific treatment could be suggested.Generalisation would increase more worries and depression in a known case of Prodep case like yours.

Q-7-Is there any problem taking polyuria medication with mega3 or Prodep.
Ans-7-Its only after an exhaustive study and detailing accompanied with further
investigations,this reply would be worth of replying,as its a very hypothetical question.
But it seems to be more attached to meg3 and prodep-I would not mind continuing mega 3, as its only to lower bad cholesterol and reduce lipids.
But taking them with prodep- needs to be reviewed by psychiatrist,who is attending and has prescribed you prodep.



Dear,Hope this exhaustive and still very specific reply would reduce worries with your health issues and would help you to plan further proper care,with help of doctors there.

Dear, If you want more explanations for few more queries, You are welcome.

Hope this would help you to plan further for this complex health issue of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, Do close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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What Causes Frequent Urination When Diagnosed With Polyuria?

Brief Answer: Burning Urination with polyuria / Under Evaluation Detailed Answer: Brief Ans-Burning Urination with polyuria / Under Evaluation Mostly from Urachal alternating sinus with UTI,with umbilical abscess.Diabetes mellitus needs to be ruled out also. Hi,Dear!! Thanks for your query to HCM. Read and reviewed the query in context to your health issues, -related to cause of burning urination-lately in last few days. -?Urachal alternating sinus with Umbilical abscess-4 mths back treated and healed up, but Urachal sinus getting alternate opening in to bladder,causing burning micturition lately in last 4 days time. -Polyuria from excessive drinking of water -Since how long you drink excessive water,remains to be detailed from You. My Impression- From the scanty information submitted herewith, You seem to be suffer from Post-umbilical abscess treated 4 mths back,but lately started getting burning in your uro-genital areas since last 4 days. Taking these facts in to consideration-You seem to suffer from -initial Urachal Cyst with Umbilical abscess, which burst open in to sinus, which got healed up 4 mths back with treatment. But this Urachal alternating sinus lately draining infection to Bladder, causing burning urination lately in last 4 days. This has occurred mostly from the incomplete treatment of the Umbilical sinus,which should have been treated by excision of the partially and incompletely healed-Urachal sinus . Do's Suggested- This needs to be investigated by Consults with Surgeon/Urosurgeon,who would investigate it with USG or CT scan study. You may need to operate this ? alternating Urachal sinus-causing infection of the bladder after incomplete treatment of the Umbilical abscess , which was treated with medicine 4 mths back , but lately presenting with burning in urination in last 4 days time. -But other causes of the burning urination in uro-genital parts needs to be investigated for your young age with active sexual life.You need to be tested for STD by LCr blood and urine test, and by Prostatic smear testing after prostatic massage. -USG and CT study for fixing hidden alternating Urachal sinus needs to be done under cover of Uro-Surgeon. -Other causes of burning urination need to be ruled out before starting final treatment. KEY ALERTS- Please update-since how long you drink excessive water. Investigate for STD and with USG / CT study for Urachal Sinus draining infection in to bladder. Your case needs Consults from Uro-Surgeon and GI Surgeon, for resolving your burning micturition. Other causes for polyuria as- Diabetes Mellitus needs to be rule out. Dear,Hope this reply would reduce worries with your health issues and would help you to plan further proper care,with help of doctors there. Dear, If you want more explanations for few more queries, You are welcome. Hope this would help you to plan further for this complex health issue of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, Do close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS