OpenHealth Q&A

Understanding My Health Condition

This week, I went for a consultation with my endocrinologist, who advised me to track my fluid consumption and elimination. After keeping records for a full day, I observed that my output exceeded my intake by nearly 500 ml. I also experimented with a combination of oxybutynin and urox, which seemed to reduce the frequency of my bathroom visits, but I still faced instances of leaking without any urge to go. When the issue first arose around October or November last year, I experienced pain during urination, but I couldn’t see a doctor until January due to work commitments and the lack of medical leave options, forcing me to extend my training to accommodate any necessary time off, even for sick leave. By March, I continued to deal with an increased need to urinate, although most tests indicated I did not have a urinary tract infection (UTI), with one exception. Unfortunately, antibiotics proved unhelpful. In April, I consulted another physician and underwent an ultrasound of my bladder and kidneys because I was also experiencing pain on my sides, which turned out to be normal. It’s worth noting that the abdominal pain I felt migrated around my stomach, shifting from the center to the right side, then to the left, and back to the right when pressure was applied. Reflecting on my medical history, I did have UTIs as a child, once as an infant and again around the ages of 7 to 9. Despite that, I was usually able to retain my bladder control for extended periods, primarily because public restrooms were often unclean. My stats are as follows: 24 years old, 160 cm tall, and weighing 47.55 kg. Here’s a breakdown of my fluid intake and output over the course of a day: | Time | Input (ml) | Output (ml) | |----------|------------|-------------| | 8 am | 0 | 90 | | 8:40 am | 0 | 50 | | 9 am | 250 | 25 | | 10 am | 0 | 170 | | 11:30 am | 0 | 140 | | 12 pm | 300 | 0 | | 1:30 pm | 0 | 90 | | 1:48 pm | 0 | 50 | | 2 pm | 500 | - | | 3 pm | 0 | 400 | | 3:30 pm | 0 | 150 | | 4:30 pm | 0 | 0 | | 5:30 pm | 0 | 110 | | 6:40 pm | 0 | 80 | | 7:15 pm | - | 50 | | 8 pm | 0 | 0 | | 8:40 pm | - | 50 | | 8:50 pm | 350 | 0 | | 9:50 pm | - | 300 | | 11 pm | - | 130 | | 2 am | - | 80 | | 2:11 am | - | 10 | | 7 am | - | 110 | | 8 am | - | 60 | In total, my recorded intake was 1650 ml, while the output reached 2195 ml.

Answers (1)

8/15/2025, 5:41:31 PM

OpenHealth AI

It seems you are experiencing a concerning issue with fluid balance and urinary function, which has been ongoing for several months. Given that your output exceeded your intake, along with the symptoms you've described, it's important to structure your approach to help manage these symptoms effectively. Here’s what to consider:

Key Points

• You are experiencing increased urination, leaking, and previous pain during urination.
• Your fluid output greatly exceeds your intake, suggesting potential issues with fluid management.
• History of UTIs and recent negative tests highlight the need for careful monitoring and symptom assessment.

Explanation

Fluid imbalance could stem from various causes, including but not limited to hormonal regulation issues (given your consultation with an endocrinologist), bladder dysfunction, medication side effects, or possible overflow incontinence. Your experience with oxybutynin and urox suggests you're exploring options that may help, indicating the need for a tailored management plan to stabilize your symptoms.

Next Steps

1. Continue Fluid Monitoring: Maintain detailed records of your fluid intake and urine output. This will help track patterns and assist your healthcare providers in diagnosis.

2. Evaluate Your Medications: Discuss with your doctor the effectiveness and side effects of oxybutynin and urox. This could help tailor your approach to decrease leaking and urgency.

3. Practice Scheduled Bathroom Visits: Timed voiding, where you go to the bathroom at set intervals (e.g., every 2-3 hours), can help train your bladder and potentially reduce unexpected leaking.

4. Limit Irritating Foods & Drinks: Avoid caffeine, alcohol, spicy foods, and artificial sweeteners as these can irritate the bladder and worsen urgency.

5. Seek Specialized Care: Considering your ongoing symptoms, it may be beneficial to consult a urologist, especially since you are experiencing a mix of urinary issues and abdominal discomfort. They can provide further evaluation and treatment options such as bladder training techniques or further diagnostic tests.

6. Manage Stress and Anxiety: Stress can exacerbate urinary symptoms. Consider stress management techniques such as mindfulness, meditation, or breathing exercises.

Conclusion

It's crucial to work closely with your healthcare team to address this complex situation. Tracking your symptoms and maintaining open communication with your doctors about medication efficacy and symptom changes will play a key role in finding an appropriate management plan. Please take care and let me know if you need further guidance.