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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes frequent urination and dry mouth while on ketogenic diet?

I have very dry month frequent urination and sob, especially at night! I am doing ketogenic diet and am in ketosis. The sob has been going on since July 2017. I am 55 yrs old female. PET scan ruled out cancer. Chest X-ray good. I worry about keto acidosis and diabetes. Family hx diabetes on dads side. I take humira and methotrexate now for 15 yrs. I have great discomfort with the sob. What might be my problem?
Fri, 22 Jun 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

A urinary tract infection is a common cause of frequent urination and this is the first thing to think of. An overactive bladder is another common cause but usually seen on elderly,although it may be seen in young as well. Overactive bladder is usually a collection of symptoms that can lead to frequent urination. These include: urinary urgency, or the sudden urge to urinate, caused by muscle contraction, urge incontinence, or loss of bladder control. Excessive caffeine, nicotine, and alcohol may also irritate the bladder walls and can worsen frequent urination symptoms. Treatment for frequent urination depends on the cause. Your doctor will first treat the primary disease responsible for frequent urination, such as diabetes. If an infection is at fault, your doctor will prescribe antibiotics for getting rid of the infection. Medications that control the muscle spasms in the bladder can help reduce urinary incontinence, or loss of bladder control. Your doctor also may suggest doing pelvic exercises, such as Kegels or bladder retraining exercises, to help delay urination.

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