[22F] Experiencing frequent urination with excessive thirst and blurred vision

Patient Description

A 22-year-old female presents with a 2-month history of frequent urination, approximately 12-15 times per day, with consistent urine volume and clear urine. The patient also reports excessive thirst, fatigue, blurred vision, and recent weight loss. There is no history of diabetes or endocrine disorders in the family, and the patient denies any new sexual partners or unprotected intercourse. The patient is currently on Atorvastatin 40mg daily for high triglycerides, which have been managed and reduced since last year. No other medications, allergies, or pre-existing conditions are reported.

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Arora's Assessment

What might be happening

Based on the information provided, here are some possible explanations for your symptoms:

  • Diabetes Mellitus: This is a condition where your body either doesn't produce enough insulin or can't effectively use the insulin it does produce. This can lead to high blood sugar levels, which can cause symptoms like frequent urination, excessive thirst, fatigue, and blurred vision.

    • Diagnosis usually involves blood tests to check your blood sugar levels. If diabetes is diagnosed, treatment typically involves lifestyle changes, medication, and sometimes insulin therapy.
  • Diabetes Insipidus: This is a rare condition that causes your kidneys to pass an unusually large volume of urine that is insipid, or dilute and odorless. Symptoms can include frequent urination and excessive thirst.

    • Diagnosis usually involves blood tests, urine tests, and sometimes a water deprivation test. Treatment depends on the cause of the condition, but often involves medication to balance your body's fluids.
  • Hypercalcemia: This is a condition where there's too much calcium in your blood. This can cause frequent urination, excessive thirst, and fatigue.

    • Diagnosis usually involves blood tests to check your calcium levels. Treatment depends on the cause of the condition, but often involves medication to lower your calcium levels.

What you can do

Given your symptoms, it's important to seek medical attention as soon as possible. Here are some steps you can take:

  1. Schedule an appointment with your doctor: They can perform tests to determine the cause of your symptoms and recommend appropriate treatment.

  2. Monitor your symptoms: Keep track of how often you're urinating and any other symptoms you're experiencing. This can help your doctor make a diagnosis.

  3. Stay hydrated: If you're urinating frequently and feeling thirsty, make sure to drink enough fluids to prevent dehydration.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe fatigue or weakness
  • Rapid heart rate or palpitations
  • Severe abdominal pain
  • Severe thirst that can't be quenched
  • Confusion or difficulty concentrating

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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9 mo ago


People Also Ask


What are the common symptoms of diabetes mellitus?

Common symptoms of diabetes mellitus include frequent urination, excessive thirst, fatigue, blurred vision, and unexplained weight loss. These symptoms occur due to high blood sugar levels.


How is diabetes insipidus different from diabetes mellitus?

Diabetes insipidus is different from diabetes mellitus in that it is not related to blood sugar levels. Instead, it involves a problem with the regulation of water balance in the body, leading to excessive urination and thirst. The urine in diabetes insipidus is dilute and odorless.


What causes hypercalcemia and what are its symptoms?

Hypercalcemia is caused by an excess of calcium in the blood, which can result from overactive parathyroid glands, certain cancers, or excessive vitamin D intake. Symptoms include frequent urination, excessive thirst, fatigue, nausea, and confusion.


Can Atorvastatin cause frequent urination or other similar symptoms?

Atorvastatin is not commonly associated with frequent urination. It is primarily used to lower cholesterol and triglycerides. However, if you experience unusual symptoms while taking any medication, it's important to discuss them with your doctor.


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