[22F] Experiencing frequent urination, headaches, and dizziness

Patient Description

A 22-year-old female has been experiencing frequent urination, waking up at night to use the bathroom more than 11 times, and passing about a cup of clear urine each time. This has been ongoing for 3 months. She also reports pounding headaches behind the eyes, which have been occurring on and off for a few weeks, with a severity of 6 out of 10. The headaches worsen with movement and standing but improve when lying down and closing her eyes. Additionally, she experiences dizziness and fatigue. She has a family history of polycystic ovarian syndrome and is diagnosed with Hypermobile Ehlers Danlos Syndrome and polycystic ovarian syndrome. She is currently taking Lexapro (10mg) and Trazodone (40mg) once daily. She has no known drug allergies but has a known adverse reaction to NSAIDs, which cause her severe acid reflux and stomach ulcers.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Diabetes Insipidus: This is a rare condition that causes your kidneys to make a lot of urine that is "insipid," or colorless and odorless. Most people pee out 1 to 2 quarts of urine a day. People with diabetes insipidus can pee out 3 to 20 quarts a day. Diabetes insipidus is not related to diabetes mellitus (type 1 and type 2 diabetes).

    • Diagnosis typically involves blood tests, urine tests, and a water deprivation test.
    • Treatment typically involves drinking enough fluids to prevent dehydration and taking medication.
  • Diabetes Mellitus: This is a more common form of diabetes. Frequent urination and excessive thirst are common symptoms of both type 1 and type 2 diabetes. Other symptoms can include fatigue and blurred vision.

    • Diagnosis typically involves blood tests.
    • Treatment typically involves lifestyle changes, medication, and sometimes insulin.
  • Hypercalcemia: This is a condition in which the calcium level in your blood is above normal. Too much calcium in your blood can weaken your bones, create kidney stones, and interfere with how your heart and brain work. Hypercalcemia is usually a result of overactive parathyroid glands.

    • Diagnosis typically involves blood tests.
    • Treatment typically involves addressing the underlying cause.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to manage your symptoms:

  1. Keep hydrated: Drink plenty of fluids to compensate for the fluid loss from frequent urination.
  2. Rest: Make sure you're getting enough sleep at night and taking breaks during the day to rest. This can help manage your fatigue and headaches.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or do not improve
  • If you notice any other new symptoms
  • If you experience severe abdominal pain or vomiting
  • If you become excessively thirsty or start to lose weight without trying

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms in person.

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10 mo ago

People Also Ask


What is Diabetes Insipidus and how is it different from Diabetes Mellitus?

Diabetes Insipidus is a condition where the kidneys produce an unusually large amount of dilute urine, leading to frequent urination and thirst. It is not related to blood sugar levels, unlike Diabetes Mellitus, which involves high blood sugar and can also cause frequent urination and thirst.


What are the common symptoms and causes of hypercalcemia?

Hypercalcemia is characterized by an elevated level of calcium in the blood. Common symptoms include frequent urination, thirst, fatigue, and headaches. It is often caused by overactive parathyroid glands, certain cancers, or excessive intake of calcium or vitamin D.


How can frequent urination and headaches be related to each other?

Frequent urination and headaches can be related through conditions like Diabetes Insipidus or Diabetes Mellitus, where the body's fluid balance is disrupted, leading to dehydration and headaches. Additionally, electrolyte imbalances or medication side effects could also link these symptoms.


What are the potential side effects of taking Lexapro and Trazodone together?

Lexapro and Trazodone can both cause side effects such as dizziness, drowsiness, and headaches. When taken together, these effects might be more pronounced. It's important to monitor for any unusual symptoms and consult a healthcare provider if they occur.


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