[52M] Experiencing frequent urination and additional symptoms

Patient Description

A 52-year-old male presents with a one-week history of frequent urination, feeling the urge to urinate again just minutes after the last time. He reports urinating 5-6 times during the day and waking up 4-5 times at night to urinate. The patient also experiences blurry vision, a constant cough, and leg aches. The blurry vision, which has been present for one month, is described as near-sighted blurriness that improves with reading glasses. There is no history of new sexual partners, fever, chills, pain or burning during urination, blood in urine, increased thirst, or unexplained weight loss. The patient's urine is described as yellow with a slight odor, and the volume is moderate. There is no prior history of similar urinary or vision symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible conditions that could be causing your symptoms:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are more common in women, but men can get them too. UTIs can cause frequent urination, but usually also cause pain or burning during urination and cloudy, strong-smelling urine.

    • Treatment typically involves antibiotics to clear the infection.
  • Overactive Bladder (OAB): This condition causes a sudden urge to urinate that may be difficult to control. You may feel the need to pass urine many times during the day and night, and may also experience involuntary loss of urine (incontinence).

    • Treatment can involve medication, pelvic muscle exercises, bladder training, and sometimes surgery.
  • Diabetes: Frequent urination can be a symptom of both type 1 and type 2 diabetes, as the body tries to rid itself of unused glucose through the urine. However, diabetes symptoms usually also include excessive thirst, unexplained weight loss, and fatigue.

    • Treatment involves managing blood sugar levels through a combination of diet, exercise, and medication or insulin therapy.
  • Presbyopia: This is a common type of vision disorder that occurs as you age. Presbyopia can cause near vision to be blurry, which can usually be corrected with reading glasses.

What you can do

  1. Make an appointment with your healthcare provider to discuss your symptoms. They may want to perform some tests, such as a urine test or blood glucose test, to help determine the cause of your symptoms.
  2. In the meantime, try to stay hydrated and avoid drinks that can irritate your bladder, such as coffee, alcohol, and soft drinks containing citrus juices or caffeine.
  3. If your blurry vision is causing you significant difficulty, you may want to see an optometrist for an eye exam. They can help determine whether you need glasses or if there is another cause for your vision problems.

What you should look out for

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

  • Pain or burning during urination
  • Blood in your urine
  • Severe abdominal or lower back pain
  • Fever or chills
  • Sudden increase in thirst and hunger
  • Unexplained weight loss

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 accurate information.

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11 mo ago

People Also Ask


What are the common symptoms of an overactive bladder?

Common symptoms of an overactive bladder include a sudden and strong urge to urinate, frequent urination during the day and night, and sometimes involuntary loss of urine (incontinence). Treatment options include medication, pelvic muscle exercises, bladder training, and in some cases, surgery.


How can presbyopia affect vision, and what are the treatment options?

Presbyopia is a condition associated with aging that affects the ability to see objects up close. It can cause near vision to be blurry, which is often corrected with reading glasses. Other treatment options include bifocal or progressive lenses, contact lenses, or refractive surgery.


What are the typical symptoms of a urinary tract infection in men?

In men, a urinary tract infection can cause symptoms such as frequent urination, a strong urge to urinate, cloudy or strong-smelling urine, and sometimes pain or burning during urination. However, these symptoms can vary, and not all men experience pain or burning.


How does diabetes lead to frequent urination?

Diabetes can lead to frequent urination because the body tries to eliminate excess glucose through the urine. This is often accompanied by other symptoms such as increased thirst, unexplained weight loss, and fatigue. Managing blood sugar levels through diet, exercise, and medication is crucial in treating diabetes.


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