Dr. Mark : Hi, from what I can tell, your kidney function is normal and there is no infection. It sounds like this is a bladder and or prostate problem.
Dr. Mark : Has your prostate or bladder been evaluated?
Dr. Mark : Have you had blood work to check the hemoglobin and thyroid function?
Dr. Mark : The calcification in the prostate makes me think that your prostate may be enlarged. That causes urination problems. In addition to the above tests I inquired about, have a PSA level drawn. That helps often to determine prostate size, infection, or cancer.
Can the calcificates of the prostate cause sen sitivity to cold and more urine being past as quantity as well the urine is deluted as around 1005 - 1007 density
Dr. Mark : The calcification themselves cause no problem.
Dr. Mark : They just indicate that your prostate may be enlarged.
PSA has been checked and is 0.3, for the tyroid Free T4 was 18.2 (ref: 12-22), TSH 1.4 (ref:0.4 - 3.8)
Dr. Mark : The density of the urine is mainly determined by the amount of liquids you drink
I have been told by urologist that it's not enlarged but feels hard
Dr. Mark : Those labs are fine. My suggestion is a referral to a urologist
Dr. Mark : There can also be bladder problems. A urologist can do a variety of simple office techniques to test your bladder capacity and function.
I wake up at night and go to toilet with normal urine. Then 1 to 2 hours later without drinking water I go again with deluted urine, and again after another hour and a bit with around 1005 density, when the last water intake was the privious evening.
Dr. Mark : Not all urologists have the equipment in their office for such testing.
This happens in the morning 7 to 9 hours after the last water intake. Then I get dizzi as well
Dr. Mark : That is suggestive of a bladder problem. Either an overactive bladder or .a lazy bladder that doesn't empty fully. Both are referred to as a neurogenic bladder. Not serious and can be treated.
Dr. Mark : A urologist can do what's called cystometric testing to determine the problem.
I have been checked by urologist for left urine in the bladder after urinating but there was no urine left and they told me that it's OK
Dr. Mark : Probably did a sonogram or ultrasound. That tests for retained urine. But it doesn't sound like he tested you for an over active bladder. That's my suggestion as the next step.
Dr. Mark : It's quite common problem and treatable
Can this condition cause this deluted urine and dizziness
Dr. Mark : No, but the dilution you refer to, or what is called osmolality, is a function of the amount of fluid intake. I wouldn't be concerned about that. The frequent urination sounds like an over active bladder.
As well as having more urine then liquids intake in 24 hours as well as loss of weight. Around 5-6 Kg from 70 to 64-65kg in two months.
Dr. Mark : The dizziness is not related to the bladder unless you get concerned and hyperventilate. That could cause dizziness.
Dr. Mark : If you truly passed more urine then fluid intake, then your kidney function would not be normal.
Dr. Mark : I believe your frequent urination is due to the bladder malfunctioning.
Dr. Mark : See the urologist again and ask about an over active bladder