[59M] Experiencing fatigue, weight loss, and dark urine

Patient Description

A 59-year-old male reports a week-long history of persistent fatigue not alleviated by rest or affected by physical activity. He has lost 10 pounds over the last 3 months and is experiencing fever, night sweats, stomach cramps, and a constant loss of appetite. His urine has been dark brown for the same duration, despite adequate fluid intake. The patient has a medical history of Diverticulitis diagnosed 6 months ago. Current medications include Advair and atorvastatin, with no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Hepatitis: This is inflammation of the liver, which can be caused by a variety of factors such as viral infections, alcohol, or certain medications. Your dark urine, fatigue, and loss of appetite could be symptoms of this condition.

    • Treatment typically involves rest, hydration, and in some cases, antiviral medications.
  • Liver Disease: Conditions such as cirrhosis or liver cancer could also cause your symptoms. Your dark urine could be a result of your liver not properly processing bilirubin, a byproduct of red blood cell breakdown.

    • Treatment depends on the specific type of liver disease and could range from lifestyle changes to medications or surgery.
  • Chronic Kidney Disease: This is a gradual loss of kidney function over time. It can cause a variety of symptoms, including fatigue, loss of appetite, and changes in urine color.

    • Treatment typically involves managing underlying conditions, such as diabetes or hypertension, and lifestyle changes to slow the progression of the disease.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible. They can perform tests to determine the cause of your symptoms and suggest appropriate treatment.
  2. Keep track of your symptoms and any changes. This can help your healthcare provider in their evaluation.
  3. Stay hydrated and try to eat balanced meals, even if you're not feeling hungry. This can help maintain your energy levels and provide your body with the nutrients it needs.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Yellowing of the skin or eyes (jaundice)
  • Persistent vomiting or nausea
  • Swelling in your legs, ankles, or feet
  • Changes in consciousness or confusion

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

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11 mo ago

People Also Ask


What could cause dark brown urine despite adequate fluid intake?

Dark brown urine can be caused by liver issues such as hepatitis or liver disease, where the liver is not processing bilirubin properly. It can also be a sign of dehydration, certain medications, or kidney problems.


How can persistent fatigue be related to liver or kidney issues?

Persistent fatigue can be a symptom of liver or kidney issues because these organs play crucial roles in filtering toxins and maintaining energy levels. When they are not functioning properly, it can lead to a buildup of toxins and a decrease in energy.


What are the common symptoms of hepatitis?

Common symptoms of hepatitis include fatigue, loss of appetite, dark urine, jaundice (yellowing of the skin and eyes), abdominal pain, and fever. These symptoms occur due to inflammation and impaired function of the liver.


Why might someone experience weight loss and loss of appetite over several months?

Weight loss and loss of appetite over several months can be due to chronic illnesses such as liver disease, kidney disease, or infections like hepatitis. These conditions can affect metabolism and appetite, leading to unintentional weight loss.


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