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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes foul smelling urine and fatigue while suffering from lupus?

male lupus patient, 71, with other health issues being monitored by specialists. presenting with recent symptoms: foul smelling urine, extreme fatigue, very high level of B12 in blood, back pain. no fever, no chills, no sweating, good appetite, no change in weight. (two minor strokes two years ago, afib, loss of hearing in one ear, some kidney damage, neuropathy in one leg, urinary incontinence, sleep apnea, gerd, and initial loss of control of one leg from strokes all brought on from lupus which was just diagnosed two years ago.)
Tue, 9 Apr 2019
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General & Family Physician 's  Response
Hi,

SLE most common manifestation is Kidney problems. Foul smelling urine might stem directly from diseases in the kidney or newly occurring urinary tract infection. Please refer to your nephrologist for further evaluation.

For the fatigue issue, SLE is a rheumatological disease which is commonly associated with fatigue. If you were my patient I would order a blood test to test for anemia.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ahmad Nazzal, General & Family Physician
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