Is there a relationship between frequent urination and the kidneys?
Hello doctor, I have been experiencing frequent urination lately, with each volume around 100 to 150 ml, and sometimes it can reach 200 ml.
The color of my urine, except for the dark yellow morning urine, is close to light yellow or slightly transparent.
I have read some health programs or articles online that suggest frequent urination could be an indication of the kidneys starting to undergo chronic failure.
Is this true?
Ya Hsun, 20~29 year old female. Ask Date: 2022/08/12
Dr. Du Shixi reply Urology
Hello: Kidney disease may have some symptoms, but frequent urination is a rare symptom of kidney disease.
Wishing you good health.
Reply Date: 2022/08/12
More Info
Frequent urination can indeed be a sign of various health issues, including potential kidney problems, but it is important to consider the context and other accompanying symptoms. In your case, you mentioned experiencing frequent urination with volumes of about 100-200 ml per episode, and the color of your urine varies from deep yellow in the morning to a lighter shade throughout the day.
Firstly, frequent urination, or polyuria, can be caused by a variety of factors. It is not solely indicative of kidney disease. Common causes include:
1. Increased Fluid Intake: If you are drinking more fluids than usual, this can lead to increased urine production. This is often the simplest explanation for frequent urination.
2. Diabetes: Both diabetes mellitus and diabetes insipidus can cause increased urination. In diabetes mellitus, high blood sugar levels lead to excess glucose in the urine, which pulls water along with it, resulting in increased urine output. Diabetes insipidus, on the other hand, is a condition where the body cannot properly regulate fluid due to a deficiency of the hormone vasopressin.
3. Urinary Tract Infections (UTIs): UTIs can cause increased frequency of urination, often accompanied by urgency and discomfort.
4. Medications: Certain medications, especially diuretics (often referred to as "water pills"), can increase urine output.
5. Kidney Issues: While frequent urination can be a sign of kidney problems, such as chronic kidney disease (CKD), it is usually accompanied by other symptoms. In CKD, you might also experience changes in urine color, swelling in the legs, fatigue, or changes in appetite.
6. Other Conditions: Conditions such as hypercalcemia (high calcium levels), hyperthyroidism, and certain bladder conditions can also lead to increased urination.
Given your concern about kidney health, it is essential to consider other symptoms you might be experiencing. If you have noticed any swelling, fatigue, changes in appetite, or changes in your urine's appearance (such as blood or significant changes in color), it would be prudent to consult a healthcare professional.
In terms of kidney function, tests such as serum creatinine, blood urea nitrogen (BUN), and urinalysis can provide valuable information. If kidney function is compromised, you might see elevated levels of creatinine or BUN, along with other abnormalities in your urine tests, such as proteinuria (protein in urine) or hematuria (blood in urine).
If you are experiencing frequent urination without any other concerning symptoms, it may not be an immediate cause for alarm. However, if this symptom persists or worsens, or if you develop additional symptoms, it would be wise to seek medical evaluation. A healthcare provider can perform the necessary tests to assess your kidney function and rule out any underlying conditions.
In summary, while frequent urination can be associated with kidney problems, it is not definitive on its own. It is crucial to look at the bigger picture, including other symptoms and medical history, and to consult with a healthcare professional for a thorough evaluation and appropriate testing.
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