Assessment
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See what questions
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During a consultation, your doctor will use various techniques to assess the symptom: Polyuria. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.
It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.
Create your printable checklist by answering questions that your doctor may ask below:
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Why: to determine if acute or chronic.
Why: it is important to clarify whether the problem is true Polyuria (frequent trips to the bathroom with excessive urination production) or frequent attempts to urinate with only reduced urine output (i.e. small amounts of urine). Frequent small amounts of urine is not classed as Polyuria and is due to different causes. (see frequency of urine).
Why: Massive Polyuria is usually due to diabetes insipidus, diabetes mellitus (especially insulin dependent diabetes mellitus) or psychogenic polydipsia (drinking excessive amounts of fluids). Mild Polyuria would suggest chronic nephritis, renal tubular acidosis, hyperparathyroidism, Fanconi's syndrome and mild diabetes mellitus.
Why: may suggest migraine, asthma and drugs such as diuretics.
Why: can help determine hydration status, detect excessive thirst in diabetes mellitus and insipidus and also detect habitual overdrinking of fluids.
Why: e.g. cloudy, clear or blood stained.
Why: e.g. previous impaired glucose tolerance or impaired fasting glycemia test; Aboriginal and Torres strait Islanders aged 35 years and over; certain high risk non- English speaking background groups aged 35 years and over (such as Pacific Islanders, Indian subcontinent, Chinese); people aged 45 years and over who have one of more of the following risk factors including obesity with BMI of greater or equal to 30, high blood pressure or first degree relative with Type 2 diabetes; previous heart attack, angina or stroke; previous gestational diabetes; obese women with polycystic ovarian syndrome.
Why: e.g. diabetes insipidus may be associated with pituitary tumor, hypothalamic tumor, brain metastasis, leukemia, tuberculosis, meningitis, sarcoidosis, base of skull fracture, brain hemorrhage, renal tubular acidosis; chronic nephritis may be caused by chronic pyelonephritis (kidney urinary tract infection), diabetes, sickle cell disease and lead poisoning; polycystic ovarian syndrome, cirrhosis, cystic fibrosis, chronic pancreatitis, hemochromatosis, pancreatic cancer, Cushing's syndrome, Acromegaly, thyrotoxicosis, phaeochromocytoma, Friedreich's ataxia, myotonic dystrophy - are all conditions which can cause diabetes mellitus; hypercalcaemia (elevated levels of calcium) may cause Polyuria and may be caused by bone metastases, multiple myeloma, sarcoidosis, hyperthyroidism or hyperparathyroidism.
Why: diuretics may cause transient passing of large amounts of urine; some medications can cause diabetes insipidus such as lithium, glibenclamide; non-steroidal anti-inflammatory medications may cause chronic nephritis.
Why: e.g. hypothalamic-pituitary surgery is the most common cause of diabetes insipidus; pancreatectomy (removal of the pancreas) may cause diabetes mellitus.
Why: excessive caffeine intake may cause frequent urination because it has a diuretic action.
Why: alcohol also has a diuretic action.
Why: e.g. type 1 or 2 diabetes mellitus.
Why: may suggest diabetes mellitus or hyperthyroidism.
Why: may suggest diabetes insipidus and psychogenic polydipsia (drinking excessive amounts of fluids).
Why: e.g. frequency of urination, excessive thirst, weight loss, fatigue, increased infections.
Why: e.g. frequency of urination, large quantities of urine produced; need to urinate at night, excessive thirst, dehydration.
Why: e.g. Polyuria (excessive urination), nocturia (urination at night), sometimes blood in the urine.
Why: e.g. staphylococcal skin infections, tingling or numbness of the feet, impotence, heart attack, intermittent claudication due to peripheral vascular disease - these complications may be the presenting features of diabetes.
Why: e.g. palpitations, increased heart rate, preference for cooler weather, increased appetite, weight loss, increased sweating, tremor, nervousness, irritability, diarrhea, lack of menstrual periods, frequent urination.
Why: e.g. bone pain, loin pain and blood in urine (from kidney stones), constipation, abdominal pain, depressed mood. May also present with Polyuria and nocturia.
The following list of conditions have 'Polyuria' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.
Select from the following alphabetical view of conditions which include a symptom of Polyuria or choose View All.
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Copyright © 2011 Health Grades Inc. All rights reserved. Last Update: 1 February, 2012 (3:55)
