HomeAnswersInternal Medicinefrequent urinationWhat could be the reason for frequent urination and excessive thirst?

What could be the reason for frequent urination and excessive thirst?

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What could be the reason for frequent urination and excessive thirst?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At December 10, 2016
Reviewed AtAugust 8, 2023

Patient's Query

Hello doctor,

My weight is 90 kg and height is 181 cm. I am a fighter by profession. Four days ago, after finishing three hours of outdoor training, I had severe lower flank pain on both sides. Since then, I am having frequent urination at an average of four times at night and 15 times during the day with some discomfort while urinating. I am also having excessive thirst, loss of appetite, general lethargy and fatigue. I am currently taking Cipro assuming it to be a UTI.

Hi,

Welcome to icliniq.com. I can appreciate your concerns about your health and urinary tract infection. The symptoms you're experiencing could be attributed to a urinary tract infection or fluid and electrolyte imbalances, both of which can manifest with similar symptoms. It's beneficial to maintain a good fluid intake. Refrain from engaging in strenuous exercises and prioritize rest. Avoid hot and humid environments as well. I recommend considering Pedialyte (oral electrolyte solution) to ensure proper hydration. Cranberry juice can also be beneficial in your situation.

Patient's Query

Thank you doctor,

Can I ask why T1 and T2 diabetes are not considered from your perspective? Excessive thirst and constant urination appear to be classic diabetes symptoms. This is my concern and something that I have to address with a local physician. I just wanted to gauge your thoughts on this.

Hi,

Welcome back to icliniq.com. I can empathize with your concerns about the potential of diabetes. Considering the symptoms, case history, and information provided, it appears to point more towards fluid and electrolyte imbalances, along with a disturbance in normal kidney function. Diabetes would present with different symptoms and would be assessed through routine laboratory tests and examinations. Excess thirst and urination are common features of diabetes, as glucose is excreted in the urine. It's advisable to consult your local physician for a comprehensive evaluation. They will be better equipped to guide you based on clinical correlation.

Patient's Query

Thank you doctor,

Please see the enclosed bloodwork and urinalysis. The high creatinine of 1.55 mg/dl was pointed as causing the issue. Can you pass your judgment on this? It is definitely outside the range, but there was very little comment on possible causation. I was asked to discontinue any medication and return for further tests in 14 days. I am not particularly happy to wait for two weeks on what appears to be a serious issue. Kindly review the bloodwork and advice on what you consider to being the next steps.

Hi,

Welcome back to icliniq.com. As discussed earlier, diabetes isn't the concern here. My final decision remains unchanged from before. I'm not prescribing any medications for you. It's essential to discontinue Cipro. What you need most is rest, ample fluids, and Pedialyte. Consume plenty of fruits, vegetables, and maintain a balanced diet. You'll notice improvements within days. Your issue pertains to a reversible injury in your body muscles, which is why your creatinine level is elevated. All kidney and liver tests have returned normal results. At present, there's no further action required. Everything appears well under control. For your next steps, I recommend returning with a repeat set of laboratory tests after two weeks. In the meantime, prevent strenuous exercises or physical activities and focus on staying well-hydrated.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif
Dr. Muhammad Majid Hanif

Cardiology

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