Diabetic mom has burning urination, dark urine. Steps?

Question

Hi doctor,

This is regarding my mother, who is 67 years old and has a previous history of slightly high BP and sugar and she is taking medicines for both. The issue is that on Sunday she experienced a burning sensation while urinating and then the sensation was gone, but on Monday night she again felt the burning sensation while urinating. She also said that the urine was darker yellow and also a bit warmer than usual. She has not been taking too much water, and I have told her to drink more water and see tomorrow if the burning sensation returns when peeing. However, since she complained I thought of at least contacting a doctor on a preliminary basis. What could be causing this sensation and if it persists what steps to take?

Answer 1

Hello,

Welcome to icliniq.com.

Sorry to hear about your mother's problem. Most probably your mother is having a urinary tract infection (UTI) which is quite common at her age but still not normal. I recommend (as she is diabetic as well as hypertensive) to get investigated. I suggest you to get the tests done which are, CBC (complete blood count), RFT (renal function test), urine routine and culture, and ultrasound abdomen with PVRU and HbA1c. I am going to start her on empirical treatment (see prescription) for three days so that she gets herself investigated meanwhile and relieved of her symptoms. But if there is any obvious underlying cause of UTI (which will get clearer after all investigations) we may have to act further. She is overweight, try if she can shed some weight with exercise.