What causes urge to urinate and decreased urine output?
I am experiencing variable urine output, and have been becoming increasingly concerned and obsessive about my symptoms and have been in the ER numerous times, thinking my kidneys must not be working properly. Every test comes out normal; just two days ago I had CMP, urinalysis with microscope tests, and ultrasound of heart, kidneys, and bladder and everything was normal/negative. Creatinine was .7, BUN 10.
I have seen a urologist and a nephrologist and have been told that with my perfect lab results, there is no need for any further testing. I have done a 24 hour urine volume test and it was 2.6 liters, but I know it's frequently much less. For example, some mornings I will drink 16 oz of water and need to urinate urgently twice and some days, with no difference in sweating/activity, I'll barely have to urinate even once. I understand about "insensible losses" but does that explain the wide variation?
I should explain that I became quite concerned, and now obsessive about fluid intake/output when I had PVC-induced cardiomyopathy which was resolved with an ablation. I had a doctor who was extremely vigilant about fluid and told me I was always going to be in danger of CHF and that if urinated less than every two hours, I needed to go to the ER. He said my body couldn't process water, and even though I've recovered, I'm now terrified about a recurrence or something new happening as I was asymptomatic even with cardiomyopathy. Is this completely irrational? Is it impossible for me to be having pathological water retention when my labs and tests are all perfectly normal? I monitor every drop I drink and am scared all day long when I drink. Thank you so much. Lab work is attached.
Normal kidney function
Thanks for query
I have gone through the attached reports and all your tests are within normal limits. You do not need to worry about water retention or shortness of breath secondary to it. Your doctor have done a wonderful job of ruling everything that could be the source of water retention and heart issues.
Now to answer your questions one by one
1. There is no need to worry about water retention at the moment. All your systems have recovered
2. It is impossible to have water retention as per the reports attached
3. You dont need to monitor your water intake and output at the moment. All systems are ok
I hope I was of help, if you have any further queries please get back to me
Thank you so much, dr.
Thanks for getting back
Like all other doctors, even I feel there is no need to worry about urine output as all the organs are functioning normally as per reports.
I suggest you to meet a psychiatrist as you are finding it difficult to stop worrying about fluid retention. It falls under the catergory of obsessive compulsive disorder. Please speak to your doctor regarding the suggestion of mine
I know that anxiety is causing most of my distress but I also fear thar somehow something is being missed. Would I definitely have other symptoms as well as signs in bloodwork and UA which have been consistently normal?
I suppose no doctor would think I needed any further testing? I so badly want to feel normal again but get so scared to live my life normally.
Thank you so much, doctor, for your knowledge and patience.
Job well done by your doctors
Thanks you for such kind words, you can always get back to me. I understand your frustration
I have gone through your reports and I can tell you that your doctors have done a wonderful job to rule out all causes for breathlessness. I wouldn't recommend any further testing.
Please speak to your psychiatrist about this, he might want to adjust your prescription
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