[26F] Experiencing vision changes, numbness, and increased urination

Patient Description

A 26-year-old female presents with a 24-hour history of increased urination, described as frequent with a noted sweet smell. She also reports vision changes, numbness, tingling, a red face and neck, mild head pain, and nausea. The patient denies any fever or chills and reports no change in the volume of urine passed. There has been no recent change in sexual partners. The frequency of urination has been consistent over the last day. No other health changes or symptoms were reported.

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Arora's Assessment

What might be happening

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

  • 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. Increased urination and sweet-smelling urine are common symptoms of high blood sugar levels, which is a characteristic of diabetes. Other symptoms can include numbness or tingling, vision changes, and nausea.

    • Diagnosis often involves blood tests to check your sugar levels. Treatment typically involves lifestyle changes and sometimes medication to manage blood sugar levels.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. Increased frequency of urination is a common symptom, though usually accompanied by pain or burning sensation during urination, which you did not mention.

    • Diagnosis usually involves a urine test. Treatment typically involves antibiotics to clear the infection.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Schedule an appointment with a healthcare professional: They can provide a formal assessment and order relevant tests if necessary.
  2. Monitor your symptoms: Keep track of any changes or new symptoms. This information can be helpful to your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Severe abdominal or pelvic pain
  • Blood in your urine
  • Confusion or changes in mental function
  • A high fever (over 100.4°F)

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare professional for an accurate diagnosis.

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10 mo ago

People Also Ask


What could cause sweet-smelling urine?

Sweet-smelling urine can be caused by high levels of sugar in the urine, which is often associated with diabetes mellitus. It can also be due to certain foods or medications.


How can diabetes mellitus affect vision?

Diabetes mellitus can lead to vision changes due to high blood sugar levels affecting the blood vessels in the eyes, potentially leading to conditions like diabetic retinopathy.


What are common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, cloudy or strong-smelling urine, and pelvic pain. However, not all symptoms may be present.


When should I seek immediate medical attention for these symptoms?

You should seek immediate medical attention if you experience difficulty breathing, severe abdominal or pelvic pain, blood in your urine, confusion, or a high fever over 100.4°F.


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