[57M] Experiencing frequent urination and persistent thirst

Patient Description

A 57-year-old male reports frequent urination, approximately every 30 minutes to an hour, which has been ongoing for 2 months. This symptom is significantly impacting his sleep and daily activities. Additionally, he has been feeling an unquenchable thirst for about 2-3 months, which is temporarily alleviated by consuming water and juices. The patient notes that the volume of urine passed each time is about a quarter of a cup, but there is no clear indication if the total daily urine volume has increased. There is no report of fever, chills, or recent changes in sexual activity. The patient has not mentioned any other symptoms, medical history, or medications at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • 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. The main symptoms are increased thirst and frequent urination.

    • Treatment typically involves lifestyle changes such as diet and exercise, and may include medication or insulin therapy.
  • Diabetes Insipidus: This is a rare condition that causes your kidneys to make a lot of urine that is "insipid," or colorless and odorless. Most people pee out 1 to 2 quarts of urine a day. People with diabetes insipidus can pee out 3 to 20 quarts a day.

    • Treatment is aimed at reducing the amount of urine your body makes. Medications can help your kidneys produce less urine.
  • Overactive Bladder Syndrome: This is a condition where the bladder can't hold urine normally, which causes frequent urination.

    • Treatment may involve lifestyle changes, bladder training exercises, medication, or surgery in severe cases.

What you can do

You should definitely see a healthcare professional as soon as possible. They can provide a formal assessment and order relevant tests if necessary. In the meantime, you can:

  1. Keep a record of your symptoms, including how often you're urinating and how much you're drinking. This can help your doctor diagnose your condition.
  2. Continue to drink fluids as needed to quench your thirst, but try to avoid drinks that can irritate your bladder, like coffee, alcohol, and citrus juices.
  3. Try to maintain a healthy diet and get regular exercise, as these can help manage symptoms of conditions like diabetes.

What you should look out for

You should seek immediate medical attention if you experience:

  • Sudden weight loss
  • Blurred vision
  • Extreme fatigue
  • Slow healing of wounds
  • Tingling or numbness in your hands or feet
  • Persistent or severe abdominal pain
  • Blood in your urine

Remember, I'm an AI and this advice is based on the information you've provided. It's always best to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of diabetes mellitus?

Common symptoms of diabetes mellitus include increased thirst, frequent urination, extreme hunger, unexplained weight loss, fatigue, irritability, blurred vision, slow-healing sores, and frequent infections.


How is diabetes insipidus different from diabetes mellitus?

Diabetes insipidus is different from diabetes mellitus in that it involves a problem with the kidneys' ability to conserve water, leading to excessive urination and thirst. It is not related to blood sugar levels, unlike diabetes mellitus, which is characterized by high blood sugar due to insulin issues.


What lifestyle changes can help manage overactive bladder syndrome?

Lifestyle changes that can help manage overactive bladder syndrome include bladder training exercises, maintaining a healthy weight, avoiding bladder irritants like caffeine and alcohol, and practicing pelvic floor exercises. In some cases, medication or surgery may be necessary.


When should I seek immediate medical attention for frequent urination?

You should seek immediate medical attention if you experience symptoms such as sudden weight loss, blurred vision, extreme fatigue, slow healing of wounds, tingling or numbness in your hands or feet, persistent or severe abdominal pain, or blood in your urine.


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