[25M] With trouble concentrating, strong-smelling urine, and nail changes

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Trouble Concentrating

• Attention Deficit Hyperactivity Disorder (ADHD): This condition can cause chronic issues with concentration and focus. It often starts in childhood but can persist into adulthood.
• Chronic Fatigue Syndrome (CFS): Given that you feel tired despite good sleep, CFS could be a possibility. It often includes symptoms like trouble concentrating, known as "brain fog."
• Depression or Anxiety: These mental health conditions can also lead to difficulties with concentration and focus.

Strong-Smelling Urine

• Dehydration: Not drinking enough fluids can concentrate your urine, making it smell stronger.
• Dietary Factors: Certain foods and drinks, like asparagus or coffee, can cause a strong smell in urine.
• Urinary Tract Infection (UTI): Although you don't have pain or burning, a UTI can sometimes present with strong-smelling urine.

Changes in Fingernails

• Nutritional Deficiencies: Vertical ridges and color changes in nails can be due to deficiencies in vitamins and minerals, such as iron or B vitamins.
• Aging: Vertical ridges can be a normal part of aging.
• Underlying Health Conditions: Conditions like thyroid disease or psoriasis can affect nail health.

What you can do

Trouble Concentrating

• Consult a Healthcare Provider: It's important to get a formal diagnosis. They may recommend cognitive behavioral therapy (CBT), medication, or lifestyle changes.
• Healthy Lifestyle: Ensure you are getting regular exercise, a balanced diet, and adequate sleep.
• Mindfulness and Meditation: These practices can help improve focus and reduce stress.

Strong-Smelling Urine

• Hydrate: Drink plenty of water to dilute your urine.
• Monitor Diet: Pay attention to foods and drinks that might be causing the smell.
• Consult a Doctor: If the smell persists, see a healthcare provider to rule out infections or other conditions.

Changes in Fingernails

• Nutritional Supplements: Consider taking a multivitamin or specific supplements if you suspect a deficiency.
• Moisturize: Keep your nails and cuticles moisturized to prevent further changes.
• Consult a Dermatologist: If the changes persist, a dermatologist can provide a more specific diagnosis and treatment plan.

What you should look out for

• Worsening Symptoms: If your trouble concentrating worsens or you develop new symptoms like memory loss, seek medical attention.
• Signs of Infection: If you notice pain, burning, or blood in your urine, see a doctor immediately.
• Nail Changes: If your nails become painful, start to separate from the nail bed, or you notice other skin changes, consult a healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.