Feeling Overlooked by My Healthcare Providers
Greetings, (32-year-old female, 168 cm tall, 42 kg, non-smoker) For an extended period, I have been battling troubling symptoms such as an unquenchable thirst, unexplained weight loss, dehydration, persistent weakness, low blood pressure, and irregular heartbeats. Each time I visit my doctor, my concerns seem to be brushed aside without much consideration. I’ve undergone numerous blood tests, revealing notable abnormalities such as elevated serum osmolality with decreased urine osmolality, increased chloride levels, elevated lactic acid, as well as diminished phosphates, bicarbonates, and potassium. Additionally, I consulted with a nephrologist, but after my 24-hour urine analysis returned normal results, I was similarly dismissed. It appeared there was no significant loss of calcium, sodium, or potassium through my kidneys. Clearly, there is an underlying issue affecting my health, and the symptoms are considerably hindering my quality of life. Unfortunately, my doctor has not attempted to identify the root cause or address the acidosis I am experiencing. (There are no gastrointestinal problems to speak of.) I am at a loss regarding how ill I need to become in order to receive the serious attention my condition warrants. I am in a state of desperation and would greatly value any insights or guidance. Thank you for your assistance! Blood test results: Bicarbonates: 18 mmol/L Chloride: 115 mmol/L Lactic Acid: 1.9 mmol/L Potassium: 3.3 mmol/L Phosphates: 70 mmol/L Serum Osmolality: 295 m0sm/kg
Answers (1)
6/30/2025, 8:50:45 AM
OpenHealth AI
I'm sorry to hear that you're feeling overlooked and experiencing concerning symptoms. Your situation sounds challenging, and it's understandable to feel frustrated when your health issues aren't being taken seriously. Based on your symptoms and blood test results, it appears there are potential metabolic concerns that warrant further investigation.
Key Points:
- Persistent Symptoms and Concerns: Your symptoms of unquenchable thirst, weight loss, dehydration, weakness, low blood pressure, and irregular heart rhythms are significant and suggest an underlying condition that needs attention.
- Blood Test Abnormalities: Your lab results indicate issues with your electrolytes and acid-base balance, which are vital for your overall health.
Explanation:
Elevated serum osmolality and low urine osmolality may indicate a problem with how your body is regulating fluids, potentially related to conditions like diabetes insipidus or other metabolic disorders. Low levels of bicarbonate along with elevated lactic acid can suggest acidosis, which needs to be addressed. The fact that you’ve had abnormal results but still feel dismissed by doctors can be very frustrating.
Next Steps:
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Document Your Symptoms: Start a symptom diary, noting when each symptom occurs, how severe it feels, and any triggers you notice. This will provide concrete information that can help when discussing your case with healthcare providers.
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Seek a Second Opinion: Given your concerns and lack of progress with your current doctor, consider seeking a second opinion from an endocrinologist or metabolic specialist. They may have a different perspective on your symptoms and could order additional tests if needed.
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Monitor Hydration and Diet: Pay attention to your hydration status. Increase fluid intake, especially electrolytes, if you become dehydrated. Focus on a balanced diet rich in fruits, vegetables, and whole grains to address nutrient deficiencies, especially potassium and phosphates, although ensure these are safe for you based on your medical guidance.
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Prepare for Your Appointment: When you do meet with a new healthcare provider, come prepared with your symptom diary, any previous test results, and a clear list of concerns. This may help convey the gravity of your situation and foster a more thorough investigation.
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Consider Other Symptoms: If you notice new symptoms or if your current symptoms worsen (e.g., severe chest pain, difficulty breathing, extreme fatigue), seek immediate medical attention.
Remember that your health concerns are valid, and you deserve thorough evaluation and effective care. You are not alone in this journey, and it’s important to advocate for yourself. If you have any further questions or need clarification, feel free to reach out.
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