Urological Concerns: When to Seek Medical Attention - Urology

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Hello, Doctor.
I would like to ask about your recommendation to seek medical attention if I experience either of the two situations mentioned.
Does this mean that if my lifestyle is irregular, I am taking medication, or I am not overly fatigued, I should see a doctor? Or is it better to consult a doctor based on my original condition? I have been getting blood and urine tests done at the clinic, so if I need to seek medical attention, should I just go back for another check-up? Additionally, I found some information online suggesting that due to the cold weather, urine can precipitate components when left out for a while, which may cause a layer of film to form.
Is this possible, Doctor? Otherwise, seeing bubbles and a layer of film is quite alarming.
Also, yesterday, even though I didn't urinate for more than two hours, the urine appeared normal after I did.
Should I feel somewhat reassured by this? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2021/11/21

Dr. Du Shixi reply Urology


Hello: The information provided here is for reference only and cannot replace a doctor's examination, tests, or evaluations.
If I am living normally, not taking any medications, or not overly fatigued, should I still see a doctor, or is it better to consult a doctor based on my original condition? I usually have blood and urine tests done at the clinic; if I need to seek medical attention, should I just go back for another check-up? --> If you are living normally, not taking medications, or feeling fatigued, you can observe your condition first.
If your life is not normal, or if you are taking medications or feeling fatigued, it is better to seek medical attention.
Of course, if your life is not normal but you are not taking medications or feeling fatigued, you can decide for yourself.
You can first consult at a clinic, and if there are any abnormalities, then go to the hospital.
I also researched some information online and found that due to the cold weather, urine components may precipitate after being left for a while, which could result in a layer of film.
I would like to ask the doctor if this is possible? Otherwise, seeing bubbles and a layer of film is really alarming...
--> It is possible.
Also, yesterday, even though I did not urinate for more than two hours, the urine appeared normal after I finished.
Does this mean I can feel a bit more at ease? --> You can feel somewhat reassured.
Wishing you good health.

Reply Date: 2021/11/21

More Info


Dear Patient,
Thank you for your inquiry regarding your urological concerns. It's understandable to feel anxious when experiencing changes in urinary habits or characteristics, and I appreciate your proactive approach to your health. Let’s break down your questions and concerns to provide clarity and guidance.


When to Seek Medical Attention
You mentioned two specific situations that might warrant a visit to the doctor: if your daily life is disrupted or if you are taking medications that could affect your urinary health. It’s essential to consider both physical symptoms and how they impact your quality of life. If you notice any of the following symptoms, it’s advisable to seek medical attention:
1. Persistent Changes in Urine: If you observe consistent changes in the color, clarity, or odor of your urine, especially if accompanied by other symptoms like pain or discomfort.

2. Frequent Urination or Urgency: If you find yourself needing to urinate more often than usual or experiencing a sudden, strong urge to urinate that is difficult to control.

3. Pain or Discomfort: Any pain during urination, in the lower abdomen, or back should be evaluated by a healthcare professional.

4. Blood in Urine: The presence of blood in your urine (hematuria) is a significant indicator that requires immediate medical evaluation.


Understanding Your Symptoms
Regarding your observations about urine characteristics, it’s important to note that urine can change based on various factors, including hydration levels, diet, and environmental conditions. You mentioned seeing bubbles and a film on the surface of your urine, which can indeed be concerning.
1. Bubbles in Urine: Bubbles can occur for several reasons. If they are persistent and accompanied by foamy urine, it might indicate protein in the urine, which can be a sign of kidney issues. However, transient bubbles can also result from the force of urination or the presence of certain substances in the urine.


2. Film on Urine: A film or layer on the surface of urine can sometimes be caused by the presence of mucus or other substances. As you noted, temperature changes can affect urine composition. When urine cools, certain components may precipitate out, leading to a film. This is generally not a cause for concern unless accompanied by other symptoms.


Follow-Up Testing
You mentioned that you typically have blood and urine tests done at a clinic. If your symptoms persist or worsen, returning to your healthcare provider for further evaluation is a good idea. They may recommend additional tests, such as:
- Urinalysis: A comprehensive test to check for various substances in the urine.

- Blood Tests: To assess kidney function and other related parameters.

- Imaging Studies: If necessary, imaging tests like an ultrasound may be performed to visualize the urinary tract.


Conclusion
In summary, while occasional changes in urine can be benign, persistent or concerning symptoms should not be ignored. If you feel that your daily life is affected or if you have any doubts about your health, it is always best to consult with a healthcare professional. They can provide a thorough evaluation and guide you on the appropriate next steps.

If your urine appears normal after a period of observation and you are not experiencing any discomfort, it may provide some reassurance. However, trust your instincts; if something feels off, don’t hesitate to seek medical advice. Your health and peace of mind are paramount.

Best wishes for your health, and don’t hesitate to reach out if you have further questions or concerns.

Sincerely,
Doctor Q&A Teams

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