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What Causes Reduced Urine Output In A Teenager?

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Posted on Sat, 3 Oct 2015
Question: My daughter is 15 years old. Late last night after she came home from a x-country meet; she tells my husband and I that she is having trouble urinating. She only is able to urinate very little. She drinks 3-5 water bottles(750ml) each day. This problem started about 2 days ago. She is having sharp pains that are constant in her lower right abdomen when running and this increases the pain the longer she runs. Went to the local clinic and gave a sample to be tested in the lab... didn't show anything. Sample was taken around 10 a.m. and I finally called at 4 to see what the results were. The results were laying on the doctor's desk. The nurse moved the results to the counter where the doctor would see them when he was done with a patient. I received a call back saying that if I could bring my daughter in the next 10 minutes...they needed more of a urine sample to do a culture test. I didn't make the time limit. I was told to bring her on Tuesday to get the urine sample. I am wondering if the doctor was even told when I had called in that she was having trouble urinating. I am worried. Should I take her to the emergency room...hate to wait til Tuesday.
doctor
Answered by Dr. Sassen S Kwasa (14 minutes later)
Brief Answer:
As long as she continues to urinate a little you can wait. Increase fluids

Detailed Answer:
Welcome to HCM. Sorry about your predicament. It would seem that your daughter is very dehydrated leading to rhabdomyelitis and reduced urine output due to little water going to the kidneys. This is a result of broken muscle blocking the kidney cells. I would increase her fluid intake, and 750ml is not enough for her at the moment, it is not even enough for a person not having run a marathon with this heat. I hope this helps and good luck.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Sassen S Kwasa (2 hours later)
I don't think I wrote down exactly what I meant. I meant she is drinking 3-5 bottles which are 750ml for each bottle. Is this still not enough intake for her body?
doctor
Answered by Dr. Sassen S Kwasa (17 minutes later)
Brief Answer:
Not enough for the treatment of rhabdomyolysis

Detailed Answer:
The water deficit is surprisingly huge, we are talking about and what one is trying to do is wash out/dilute the myoglobin which becomes toxic to the kidneys. The rule that we use is that sufficient hydration is at least 2-3 times the maintenance level is at least needed.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
doctor
Answered by Dr. Sassen S Kwasa (1 hour later)
Brief Answer:
You are welcome, hydration, hydration and more hydration

Detailed Answer:
You have the mantra correct, take care and good luck.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Sassen S Kwasa (0 minute later)
Thank you for your help. Hydration, Hydration, Hydration. Thank you for putting my mind at ease. I appreciate your reply.
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Dr. Sassen S Kwasa

Internal Medicine Specialist

Practicing since :2012

Answered : 502 Questions

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What Causes Reduced Urine Output In A Teenager?

Brief Answer: As long as she continues to urinate a little you can wait. Increase fluids Detailed Answer: Welcome to HCM. Sorry about your predicament. It would seem that your daughter is very dehydrated leading to rhabdomyelitis and reduced urine output due to little water going to the kidneys. This is a result of broken muscle blocking the kidney cells. I would increase her fluid intake, and 750ml is not enough for her at the moment, it is not even enough for a person not having run a marathon with this heat. I hope this helps and good luck.