[64M] Experiencing burning feet and frequent urination

Patient Description

A 64-year-old male reports a 6 to 8-month history of intermittent burning and pin prick sensations in both feet, primarily occurring at night. The symptoms appear to improve slightly with foot elevation. Additionally, the patient experiences frequent urination during the day, with 8 to 10 episodes daily for the past 6 months. The patient was diagnosed with diabetes 6 months ago, and lifestyle modifications have led to an improvement in HbA1c from 6.9 to 6.0 and a reduction in triglycerides from 286 to 83. The patient is not currently on any medications and has no known allergies. No other symptoms such as numbness, tingling in the hands, sudden weakness, paralysis, loss of bowel or bladder control, changes in vision, or unintentional weight loss were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be considered:

  • Diabetic Peripheral Neuropathy: This is a common complication of diabetes. It occurs when high blood sugar levels damage the nerves in your body, particularly in the feet. Symptoms include burning, tingling, or prickly sensations in the feet, often worse at night.

    • Treatment typically involves managing the underlying diabetes and may include medications to help manage the nerve pain.
  • Overactive Bladder: This condition can cause frequent urination and the urgent need to urinate. It can be caused by many factors, including diabetes, urinary tract infections, and certain medications.

    • Treatment can include lifestyle changes, bladder training exercises, medications, or in some cases, surgery.

Please note that these are possible explanations for your symptoms based on the information you provided, but they are not definitive diagnoses. Only a healthcare professional can provide a formal diagnosis.

What you can do

  1. Continue to manage your diabetes: Keep up with your diet and exercise routine, as these are crucial for managing your blood sugar levels. Regular monitoring of your blood sugar levels is also important.

  2. Foot care: Regularly check your feet for any cuts, sores, or blisters. Keep your feet clean and moisturized, but avoid putting lotion between your toes as this can lead to a fungal infection.

  3. Stay hydrated: Drinking plenty of water can help with frequent urination by diluting your urine, which can reduce bladder irritation.

  4. Schedule a doctor's appointment: It's important to discuss these symptoms with your doctor, as they may indicate a need to adjust your diabetes management plan or they may be signs of another underlying condition.

What you should look out for

  • If your symptoms worsen or if you develop new symptoms, such as severe pain, weakness, or numbness in your feet, you should seek medical attention immediately.

  • If you notice any changes in your vision, this could be a sign of diabetic retinopathy, a complication of diabetes that can lead to vision loss if not treated.

  • If you notice any blood in your urine, or if urinating becomes painful, these could be signs of a urinary tract infection or another serious condition, and you should seek medical attention.

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

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1 yr ago

People Also Ask


What is diabetic peripheral neuropathy and how is it related to diabetes?

Diabetic peripheral neuropathy is a type of nerve damage that can occur in people with diabetes. It is caused by high blood sugar levels damaging the nerves, particularly in the feet and legs. Symptoms include burning, tingling, or prickly sensations, often worsening at night.


How can lifestyle changes help manage diabetes and its complications?

Lifestyle changes such as a healthy diet, regular exercise, and weight management can help control blood sugar levels, which is crucial in managing diabetes and preventing complications like neuropathy. These changes can also improve overall health and reduce the risk of cardiovascular diseases.


What are some common symptoms of an overactive bladder?

Common symptoms of an overactive bladder include a sudden, strong urge to urinate, frequent urination (more than 8 times a day), and waking up multiple times at night to urinate. It can be caused by various factors, including diabetes and urinary tract infections.


Why is foot care important for people with diabetes?

Foot care is crucial for people with diabetes because they are at higher risk for foot problems due to nerve damage and poor circulation. Regular foot care can prevent complications such as infections, ulcers, and, in severe cases, amputations. It involves checking feet daily, keeping them clean and moisturized, and wearing proper footwear.


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