[37M] Experiencing frequent urination with minimal output and slight fever

Patient Description

A 37-year-old male reports a constant need to urinate, approximately every 5 minutes, with very little urine output (about a tablespoon each time) and a sensation of incomplete emptying. This symptom began on Monday and has progressively worsened. The patient also experiences a slight fever and feels sluggish but denies any pain or burning during urination, severe back or abdominal pain, and any high fever, confusion, or lethargy. There is no recent history of new sexual partners or unprotected intercourse. The patient drinks coffee and has tried marijuana to alleviate symptoms. Daily medications include Allegra 24 (180mg), a joint supplement, and apple cider vinegar gummies for weight loss. The patient has a long-standing history of frequent migraines and back pain when sleeping, dating back at least 10 years, but no family history of diabetes or urological issues. No known drug allergies or adverse reactions to medications have been reported.

Arora's Assessment

What might be happening

Based on the information you've provided, the most likely possibilities include:

Urinary Tract Infection (UTI): This is a common condition where bacteria enter the urinary tract, leading to inflammation and symptoms such as frequent urination, urgency, and feeling like you can't fully empty your bladder. Fever and feeling unwell are also common symptoms.
- Treatment typically involves antibiotics prescribed by a healthcare provider.
Overactive Bladder (OAB): This is a condition where the bladder can't hold urine normally, leading to frequent urination, urgency, and in some cases, incontinence.
- Treatment typically involves lifestyle changes, bladder training exercises, medications, or even surgery in severe cases.
Prostatitis: This is an inflammation of the prostate gland, common in men of all ages. Symptoms can include frequent urination, difficulty urinating, and discomfort in the pelvic area.
- Treatment typically involves antibiotics, pain relievers, and other medications to relieve symptoms.

Please note that these are only possible diagnoses. You should consult with a healthcare provider for a formal diagnosis.

What you can do

Here are some steps you can take while you seek medical attention:

Drink plenty of water: This can help flush bacteria out of your urinary system.
Avoid caffeine, alcohol, and spicy foods: These can irritate your bladder and worsen your symptoms.
Use a heating pad: Applying a heating pad to your lower abdomen can help reduce bladder pressure and relieve pain.

What you should look out for

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

Severe abdominal or lower back pain
Blood in your urine
Inability to pass urine
High fever, confusion, or lethargy

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

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