MelissaCrystal Posted October 7, 2008 Report Share Posted October 7, 2008 So, I drank a bottle of water before traveling to the Urologist today, and gave my urine sample. It didn't look at light as it usually is, but the doctor said it was extremely diluted. I told him how much I drank, but along with my frequent, urgent urination (but in small amounts...not large amounts of fluid coming out), he wants to look into it some more. With his eyes. I guess my basic urine tests were normal overall despite the dilution, and he told me the next step is a bladder endoscopy.He rushed me out of the office like so many busy specialists I see always do. I didn't even get to ask what the procedure will be like, and if they have to put me under or anything (anesthesia doesn't work on me so that might be a problem). He mentioned that he's going to look for cysts, but there really aren't any another tests for that? And isn't diluted urine a sign of a kidney problem rather than a physical bladder issue?I tried googling these questions but I just end up getting results that have to with passing drug tests.I was wondering if any of you had to go through this same thing with a urologist after they found out about your abnormal urinating habits. Only thing I found on google was info on Diabetes insipidus (sp), which I hope they test for.Anyone ever have a bladder endoscopy before? If so, can you tell me about it?One more question, just in case anyone knows--- if the urologist doesn't find anything wrong with my bladder, is his job to investigate into the kidney functions/hormones, or do I need to see another specialist for it?This all will probably end up just being blamed on my nervous system acting up, but I'm seeing a competitive doctor at Stanford that barely has time to see patients, and in the mean-time I'm seeing specialists for my symptoms just in case they can find something (like the cause for my POTS/Dysautonomia) before Dr. Friday can. Quote Link to comment Share on other sites More sharing options...
firewatcher Posted October 7, 2008 Report Share Posted October 7, 2008 Melissa, Your urine being dilute would be completely normal if you drank a lot (over 2L/day.) Look in all the Diabetes Insipidus posts here and you'll find that a MIS-diagnosis of DI is extremely common for POTS patients. The DI test is not fun, you fast for 12 hours (nothing to drink either) then blood and urine tests every hour. I still don't have an answer for mine and the docs have been looking at it for over six months (two say DI and two say no.) The docs won't even suspect DI if your blood osmolality (viscosity) is normal; it is the comparison of blood to urine Osm. and ADH secretion that will tell you if it is DI or the "Aldo/Renin paradox" that causes POTS frequent urination. My nephrologist (kidney doc) never suggested a scope of any kind, but my symptoms are not the same as yours.Good luck! Quote Link to comment Share on other sites More sharing options...
Ernie Posted October 7, 2008 Report Share Posted October 7, 2008 Hi,When I was 17 years old I was tested and my urine was extremelly concentrated. I was only drinking 4 onces of water per day. So the doctor told me that I was dehydrated and to drink more.Maybe you don't perspire enough and you have to go through your bladder for all the excess water. I now drink 2-3 liters of water per day and it seems that my urine is normal, the output is only 1 liter. Quote Link to comment Share on other sites More sharing options...
Sunfish Posted October 7, 2008 Report Share Posted October 7, 2008 hello my fellow namesake -i don't have time for one of my more typical lengthy posts at the moment, but i have had a "bladder endoscopy", though not for the same reasons. i think i've posted about it several times, as have some others, though you'll likely have better luck if you search for "cystoscopy" as that's the actual term. just quickly, though, i would guess that the doc wants to do the test more b/c of your frequent urination (in small amounts) rather than b/c of your urine being "too dilute". otherwise it honestly doesn't make a bit of sense. and no, there's no systemic anesthesia usually used so no worries there. i'll try to get back on later this evening/ night to write more but if you look up "cystoscopy" under old posts of mine you should be able to find a least a handful of ramblings - including info on having the test done - in the meantime.be back later! melissa (the other one) Quote Link to comment Share on other sites More sharing options...
momofsara Posted October 7, 2008 Report Share Posted October 7, 2008 Melissa, Sara had numerous tests in the urologists office, all with no anesthesia and she did very well with them. I will tell you some things will cause some discomfort, but she tolerated everything well. The cystoscope was probably one of the easiest on her. Gentle hugs, and good luck---Susan Quote Link to comment Share on other sites More sharing options...
flop Posted October 9, 2008 Report Share Posted October 9, 2008 A urologist is a surgeon specialising in physical problems with the urethra, bladder, ureters and kidneys. They will look for structural problems that might cause frequent passage of small amounts of urine.If you wanted more information about the functioning of your kidneys you would probably need to see a nephrologist (kidney physician). Hormones get even more complex they could be investigated by a nephrologist or an endocrinologist (hormone physician). Like everything else in the medical world it is a complicated mix and trying to see the right doctors and getting them to talk to each other can be tricky. Do you have a good PCP who can help you co-ordinate referals and review results with you?flop Quote Link to comment Share on other sites More sharing options...
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