Urine Color Changes and Frequent Urination: What to Do Next? - Urology

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Continuation 148272: Urinary issues (the symptoms from the last inquiry are no longer present)?


Hello Doctor, following my previous inquiry, I visited a large hospital for a consultation and underwent an ultrasound examination (prior to this, I had a urinalysis which showed no white blood cells or bacteria, but indicated trace hematuria).
I learned that one of my kidneys has mild edema and no stones were detected, leading to a diagnosis of suspected small stones causing the symptoms I mentioned earlier.
The doctor prescribed me pain relievers and an antispasmodic (Buscopan), and advised me to drink plenty of water.

On the third day of taking the medication, I noticed that my first morning urine was not the usual darker yellow color, but rather a light yellow (it appeared colorless in the stream, but was visibly light yellow once it hit the toilet).
Throughout the day, my urine maintained this appearance, and I experienced increased frequency of urination (up to twice an hour at times, with a sensation of urgency 10-15 minutes after urinating).
Each urination volume was within normal limits, and regardless of my fluid intake, the urine color did not change significantly.
I have not experienced any lower back pain or discomfort.
Doctor, what actions should I take? Currently, the changes in urine color and frequency are the most concerning to me.
I have a follow-up appointment in a few days, and I hope to receive some advice on how to address these issues, or if I should simply continue to monitor the situation.
Thank you.

Nìngmíng, 20~29 year old female. Ask Date: 2019/08/02

Dr. Du Shixi reply Urology


Hello: Based on the symptoms, it still appears to be indicative of kidney stones, which are in the final stage.
You should aim for fluid intake of 2000-3000 cc; if sweating is minimal, just over 2000 cc should suffice.
Additionally, it's important to stay active and avoid sitting for prolonged periods.
If the urine color remains unchanged, it likely indicates adequate hydration.
Frequent urination suggests that the stone has moved into the lower ureter.
Continue taking the prescribed medication until the stone is passed.
Also, maintain a light diet.
Wishing you good health.

Reply Date: 2019/08/02

More Info


Understanding changes in urine color and frequency of urination can be quite concerning, especially when accompanied by symptoms like pain or discomfort. Based on your description, it seems you have already taken significant steps by consulting a physician, undergoing ultrasound examinations, and receiving medication for your symptoms. Here’s a comprehensive overview of what you might consider next.


Urine Color Changes
Urine color can vary significantly based on hydration levels, diet, medications, and underlying health conditions. A shift from darker yellow to a lighter, almost clear color can indicate increased hydration, which is often a positive sign. When you drink more fluids, your kidneys filter out excess water, leading to more diluted urine. This is generally not a cause for concern unless accompanied by other symptoms.

However, if your urine remains consistently pale or clear despite varying your fluid intake, it may be worth monitoring. In some cases, very light urine can indicate conditions such as diabetes insipidus, where the body has trouble regulating fluid balance, or other renal issues. Given that you have a history of suspected kidney stones and mild kidney swelling, it’s essential to keep an eye on these changes.


Frequency of Urination
Frequent urination, especially if it occurs in a short span of time (like every hour), can be influenced by several factors. It could be due to increased fluid intake, but it can also be a sign of urinary tract infections (UTIs), bladder irritation, or even kidney issues. Since you mentioned that your urine tests showed no signs of infection (no white blood cells or bacteria), this may suggest that your urinary symptoms are related to the kidney stones or the medications you are taking.


Recommended Actions
1. Continue Monitoring: Keep track of your urine color and frequency. Note any changes, especially if you start experiencing discomfort, pain, or any other unusual symptoms.

2. Hydration: Continue to drink plenty of fluids, as this can help flush out any potential small stones and reduce the risk of urinary tract infections. However, if you notice that increased fluid intake leads to more frequent urination without relief, it may warrant further investigation.

3. Medication Review: Since you are taking medications (pain relievers and antispasmodics), discuss with your doctor whether these could be contributing to your symptoms. Some medications can affect urinary frequency and color.

4. Follow-Up Appointment: You mentioned that you have a follow-up appointment soon. Make sure to discuss your current symptoms in detail with your healthcare provider. Bring up your concerns about urine color and frequency, and ask if further tests, such as a urinalysis or imaging studies, might be necessary.

5. Lifestyle Adjustments: Consider dietary changes that may help with kidney health. Reducing salt intake, avoiding excessive protein, and incorporating foods that promote kidney health (like berries, leafy greens, and whole grains) can be beneficial.

6. Seek Immediate Care if Necessary: If you experience any new symptoms such as severe pain, blood in your urine, or fever, seek medical attention promptly. These could indicate complications that require immediate intervention.


Conclusion
In summary, while changes in urine color and increased frequency can be concerning, they often reflect hydration status and other benign factors. Given your recent medical history, it’s crucial to maintain open communication with your healthcare provider and follow their recommendations. Your upcoming appointment will be an excellent opportunity to address your concerns and ensure that any underlying issues are appropriately managed.

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