What could be the reason for frequent urination and excessive thirst?

Question

Hello doctor,

My weight is 90 kg and height is 181 cm. I am a fighter by profession. Four days ago, after finishing three hours of outdoor training, I had severe lower flank pain on both sides. Since then, I am having frequent urination at an average of four times at night and 15 times during the day with some discomfort while urinating. I am also having excessive thirst, loss of appetite, general lethargy and fatigue. I am currently taking Cipro assuming it to be a UTI.

Answer 1

Hi,

Welcome to icliniq.com. I can appreciate your concerns about your health and urinary tract infection. The symptoms you're experiencing could be attributed to a urinary tract infection or fluid and electrolyte imbalances, both of which can manifest with similar symptoms. It's beneficial to maintain a good fluid intake. Refrain from engaging in strenuous exercises and prioritize rest. Avoid hot and humid environments as well. I recommend considering Pedialyte (oral electrolyte solution) to ensure proper hydration. Cranberry juice can also be beneficial in your situation.

Answer 2

Hi,

Welcome back to icliniq.com. I can empathize with your concerns about the potential of diabetes. Considering the symptoms, case history, and information provided, it appears to point more towards fluid and electrolyte imbalances, along with a disturbance in normal kidney function. Diabetes would present with different symptoms and would be assessed through routine laboratory tests and examinations. Excess thirst and urination are common features of diabetes, as glucose is excreted in the urine. It's advisable to consult your local physician for a comprehensive evaluation. They will be better equipped to guide you based on clinical correlation.

Answer 3

Hi,

Welcome back to icliniq.com. As discussed earlier, diabetes isn't the concern here. My final decision remains unchanged from before. I'm not prescribing any medications for you. It's essential to discontinue Cipro. What you need most is rest, ample fluids, and Pedialyte. Consume plenty of fruits, vegetables, and maintain a balanced diet. You'll notice improvements within days. Your issue pertains to a reversible injury in your body muscles, which is why your creatinine level is elevated. All kidney and liver tests have returned normal results. At present, there's no further action required. Everything appears well under control. For your next steps, I recommend returning with a repeat set of laboratory tests after two weeks. In the meantime, prevent strenuous exercises or physical activities and focus on staying well-hydrated.