Frequent Urination: Causes, Symptoms, and When to Seek Help - Urology

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Frequent urination issues?


Hello, doctor.
Recently, I have been experiencing poor sleep quality for the past three days, along with a frequent urge to urinate.
Each time, the urine volume is substantial (the urine color is very light).
In the morning, I feel the need to use the restroom approximately every 1 to 2.5 hours (with a urine volume of about 250-300 cc).
I also have the urge to urinate at night.
My daily water intake is around 1500 cc (which doesn't seem excessive).
Additionally, I have a slight feeling of bloating and soreness in the right side of my abdomen, along with some pain in the lower right back (which intensifies when pressed).
I also have a headache and a bit of nausea.
I would like to ask the doctor: 1.
What could be the possible causes? Is it related to the bladder, kidneys, or psychological stress? 2.
I feel that my total urine output throughout the day may be close to or exceed 3000 cc.
Could this be a sign of diabetes insipidus? (My weight is approximately 57-58 kg.) 3.
Which specialty should I consult for these symptoms?

JL, 30~39 year old female. Ask Date: 2022/05/06

Dr. Du Shixi reply Urology


Hello:
1.
What could be the possible causes related to the bladder? The kidneys? Or could it be due to psychological stress? -- It may not necessarily be a urological issue; a circulatory examination might also be necessary.
2.
I feel that my total urine output throughout the day may be close to or exceed 3000 cc.
Is it possible that I have diabetes insipidus? (My weight is about 57-58 kg) -- The likelihood is low; diabetes insipidus is not very common.
If you are concerned, a visit to an internist for evaluation would be advisable.
3.
Which department should I visit for a consultation? Urology or Internal Medicine would both be appropriate.
Wishing you good health.

Reply Date: 2022/05/06

More Info


Frequent urination can be a distressing symptom that may arise from various underlying causes, including urinary tract infections (UTIs), bladder issues, kidney problems, or even psychological factors. Given your recent experiences, it’s essential to consider a comprehensive approach to understanding your symptoms and determining the appropriate course of action.

1. Possible Causes:
- Urinary Tract Issues: Frequent urination, especially if accompanied by discomfort or pain, can often indicate a UTI or bladder inflammation. The light color of your urine suggests that you are well-hydrated, but if you are experiencing increased urgency and frequency, it could be a sign of irritation or infection in the urinary tract.

- Kidney Problems: The discomfort in your right abdomen and lower back could be related to kidney issues, such as kidney stones or infections. Pain that intensifies upon pressure could indicate inflammation or infection in the kidney area.

- Psychological Factors: Stress and anxiety can also manifest as physical symptoms, including increased urinary frequency. If you are experiencing significant stress or anxiety, this could exacerbate your symptoms.

- Diabetes Insipidus: While less common, excessive urination can be a symptom of diabetes insipidus, a condition characterized by an imbalance of fluids in the body. However, this is typically accompanied by other symptoms, such as extreme thirst.

2. Urine Output: If you are indeed urinating close to or exceeding 3000 cc in a day, this could be concerning. Normal urine output is typically around 800 to 2000 cc per day for a healthy adult, depending on fluid intake. If you suspect diabetes insipidus, it is crucial to seek medical evaluation, as this condition can lead to dehydration and other complications if left untreated.

3. When to Seek Help: Given your symptoms of frequent urination, abdominal discomfort, and headaches, it is advisable to seek medical attention. You should consider visiting a urologist, as they specialize in urinary tract issues and can conduct the necessary tests to determine the cause of your symptoms. They may perform a urinalysis, imaging studies, or other diagnostic tests to evaluate your bladder and kidney function.

4. What to Expect During the Visit: When you visit the doctor, be prepared to discuss your symptoms in detail, including the frequency of urination, any associated pain, changes in urine color, and any other symptoms such as nausea or headaches. This information will help the physician make a more accurate diagnosis.

5. Self-Care and Monitoring: In the meantime, monitor your fluid intake and try to keep a record of your urination patterns. Note any changes in your symptoms, such as increased pain or changes in urine color or odor. This information can be valuable for your healthcare provider.

In summary, your symptoms warrant a thorough evaluation to rule out any serious conditions. While frequent urination can sometimes be benign, the combination of your symptoms suggests that a medical assessment is necessary to ensure proper diagnosis and treatment. Don't hesitate to seek help, as early intervention can often lead to better outcomes.

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