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What Causes Variations In Urine Output Along With Urge To Urinate?
Question: I have a history of PVC-induced cardiomyopathy, now cured with an ablation. I am, however, so terrified of a recurrence. My old cardio told me that I need to be urinating every two hours or I'm going into CHF again. Doctors have since told me that's not true but I was so scared and shocked that I have been measuring input and output (usually just mentally) obsessively and becoming terrified when I sometimes don't need to urinate for several hours even when I make sure to stay hydrated.
My echocardiogram is normal, creatinine .7, BUN 10, BNP 17, ProBNP 71,sodium 140 urinalysis normal.
Is it normal to have quite variable urine output even while drinking the same amount and not sweating excessively? I am so focused on fluids that I can barely think of anything else.
When I had 24-hour urine volume test it came to over 3 liters with 2.5 liters input but I eat a lot of watery fruit and vegetables. I feel that quite often it's much less output, maybe half, with same input.
Is it normal to not need to urinate for several hours even if not dehydrated? I seem to have a large bladder, don't feel
urgent need to go until my bladder is really full. I don't need to go while sleeping, although I do seem to need to urinate a few times in early morning. I also stop drinking at around 9 pm and don't have my first drink until I get to work at 9:30 AM. Could I be dehydrated from all that time not drinking even though I make sure to get at least 2 L per day?
Thank you dr. I know this is largely anxiety but since my cardiomyopathy, i can barely think of anything but fluids.
Thank
You so much
My echocardiogram is normal, creatinine .7, BUN 10, BNP 17, ProBNP 71,sodium 140 urinalysis normal.
Is it normal to have quite variable urine output even while drinking the same amount and not sweating excessively? I am so focused on fluids that I can barely think of anything else.
When I had 24-hour urine volume test it came to over 3 liters with 2.5 liters input but I eat a lot of watery fruit and vegetables. I feel that quite often it's much less output, maybe half, with same input.
Is it normal to not need to urinate for several hours even if not dehydrated? I seem to have a large bladder, don't feel
urgent need to go until my bladder is really full. I don't need to go while sleeping, although I do seem to need to urinate a few times in early morning. I also stop drinking at around 9 pm and don't have my first drink until I get to work at 9:30 AM. Could I be dehydrated from all that time not drinking even though I make sure to get at least 2 L per day?
Thank you dr. I know this is largely anxiety but since my cardiomyopathy, i can barely think of anything but fluids.
Thank
You so much
Brief Answer:
Your heart and kidneys are fine.
Detailed Answer:
Hello XXXXX and welcome to HCM.
As an Urologist, let me advise you, that you're keeping fine.
There's no need to panic, from what your reports show. All are normal.
Your ECG shows good function of the heart and kidney function tests, show normal
function. You should keep following points in mind.
1. Maintain INTAKE =urine output+500ml.
2.If you drink 10 glasses water, you'll pass about 6 glasses as urine, (60% ).
3.You should take some liquids between 9p.m. -9.30 a.m.(more than 12 hours ).
You should take some liquids in such a long gap, of more than half a day.
4.You're worrying without reason about cardiac condition, as your stress test is absolutely normal.
5. Indulge in some exercises or music, reading, etc, to avoid getting tense.
6. If you don't do that, you end up with panic attacks as in the past.
Our existence on mother earth is already decided by GOD.
Leave it to his wisdom to manage our problems. No meaning in anxiety.
Don't keep consulting various doctor's.
Wish you good health.
Your heart and kidneys are fine.
Detailed Answer:
Hello XXXXX and welcome to HCM.
As an Urologist, let me advise you, that you're keeping fine.
There's no need to panic, from what your reports show. All are normal.
Your ECG shows good function of the heart and kidney function tests, show normal
function. You should keep following points in mind.
1. Maintain INTAKE =urine output+500ml.
2.If you drink 10 glasses water, you'll pass about 6 glasses as urine, (60% ).
3.You should take some liquids between 9p.m. -9.30 a.m.(more than 12 hours ).
You should take some liquids in such a long gap, of more than half a day.
4.You're worrying without reason about cardiac condition, as your stress test is absolutely normal.
5. Indulge in some exercises or music, reading, etc, to avoid getting tense.
6. If you don't do that, you end up with panic attacks as in the past.
Our existence on mother earth is already decided by GOD.
Leave it to his wisdom to manage our problems. No meaning in anxiety.
Don't keep consulting various doctor's.
Wish you good health.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much, doctor. You are very helpful. I am trying to put my trust in God who cured me. I was told I didn't have long to live so it has been difficult to adjust. Also my one former doctor told me cure was impossible so I worry all the time.
Dear Dr- my biggest fear is of drinking a lot and retaining it all and going, without warning, into heart and kidney failure. I know it seems irrational but last October I went to dr for allergies, feeling fine, and I was critically ill and in heart failure. How could I have missed something so serious? It makes me feel like I must be always always hypervigilant to any possible signs of any illness.
Are these scenarios just my anxiety and not actually possible? Every time I drink, I get filled with terror, feeling something terrible will happen.
Thank you so much, doctor.
Dear Dr- my biggest fear is of drinking a lot and retaining it all and going, without warning, into heart and kidney failure. I know it seems irrational but last October I went to dr for allergies, feeling fine, and I was critically ill and in heart failure. How could I have missed something so serious? It makes me feel like I must be always always hypervigilant to any possible signs of any illness.
Are these scenarios just my anxiety and not actually possible? Every time I drink, I get filled with terror, feeling something terrible will happen.
Thank you so much, doctor.
Brief Answer:
You're most welcome.
Detailed Answer:
Hi again.
Your letter sounds a very cheerful self.
Good to read it.
Be positive always and keep smiling.
Maintain 8-10 glasses liquids daily in cluding water, lime juice, fruit juice, milk,tea/ coffee, soups, etc.
Don't get anxious without cause.
Wish you well.
You're most welcome.
Detailed Answer:
Hi again.
Your letter sounds a very cheerful self.
Good to read it.
Be positive always and keep smiling.
Maintain 8-10 glasses liquids daily in cluding water, lime juice, fruit juice, milk,tea/ coffee, soups, etc.
Don't get anxious without cause.
Wish you well.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr,
I am trying but finding it very difficult not to be anxious about measuring input/output. It seems to me that I need to urinate less than other people that I am around who are drinking equally and I get terrified that my heart or kidneys are starting to fail. Is this completely irrational with all my normal testing?
I have to resist the urge to go the emergency room all the time. I am so frightened so much of the time.
With all my normal testing, can I truly just relax about potential water retention?
Thank you so much, dr.
XXXXX
I am trying but finding it very difficult not to be anxious about measuring input/output. It seems to me that I need to urinate less than other people that I am around who are drinking equally and I get terrified that my heart or kidneys are starting to fail. Is this completely irrational with all my normal testing?
I have to resist the urge to go the emergency room all the time. I am so frightened so much of the time.
With all my normal testing, can I truly just relax about potential water retention?
Thank you so much, dr.
XXXXX
Brief Answer:
Indulge in some hobbies.
Detailed Answer:
Hi again.
Why don't you indulge in some recreational activity.
You're not needed to worry about intake or urine output. I don't.
We're all having a fantastic internal system, that's made by GOD.
Leave the rest to him.
Keep yourself busy watching movies, reading, listening to music, walking around,etc.
Be comfortable with yourself and content, instead of thinking about health.
If you visit the ER or see doctors' at the drop of a pin, you'll remain under some treatment or the other. Just relax and try meditation.
Wish you well.
Indulge in some hobbies.
Detailed Answer:
Hi again.
Why don't you indulge in some recreational activity.
You're not needed to worry about intake or urine output. I don't.
We're all having a fantastic internal system, that's made by GOD.
Leave the rest to him.
Keep yourself busy watching movies, reading, listening to music, walking around,etc.
Be comfortable with yourself and content, instead of thinking about health.
If you visit the ER or see doctors' at the drop of a pin, you'll remain under some treatment or the other. Just relax and try meditation.
Wish you well.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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