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Polyuria Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

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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  1. How long have you had Polyuria (the passing of excessive volumes of urine)?

    Why: to determine if acute or chronic.

  2. How many times would you pass urine per day?
  3. How many times would you pass urine at night?
  4. Is the quantity of urine passed per time large or small?

    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).

  5. If the quantity of urine passed per time is large, is the quantity massive?

    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.

  6. Is it transient?

    Why: may suggest migraine, asthma and drugs such as diuretics.

  7. How much fluid would you drink per day?

    Why: can help determine hydration status, detect excessive thirst in diabetes mellitus and insipidus and also detect habitual overdrinking of fluids.

  8. What is the colour of the urine?

    Why: e.g. cloudy, clear or blood stained.

  9. Risk factors for Type 2 diabetes mellitus?

    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.

  10. Past medical history?

    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.

  11. Medications?

    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.

  12. Past surgical history?

    Why: e.g. hypothalamic-pituitary surgery is the most common cause of diabetes insipidus; pancreatectomy (removal of the pancreas) may cause diabetes mellitus.

  13. Caffeine intake?

    Why: excessive caffeine intake may cause frequent urination because it has a diuretic action.

  14. Alcohol use?

    Why: alcohol also has a diuretic action.

  15. Family history?

    Why: e.g. type 1 or 2 diabetes mellitus.

  16. Excessive appetite and thirst?

    Why: may suggest diabetes mellitus or hyperthyroidism.

  17. Excessive thirst, without excessive appetite?

    Why: may suggest diabetes insipidus and psychogenic polydipsia (drinking excessive amounts of fluids).

  18. Symptoms of Diabetes mellitus?

    Why: e.g. frequency of urination, excessive thirst, weight loss, fatigue, increased infections.

  19. Symptoms of Diabetes insipidus?

    Why: e.g. frequency of urination, large quantities of urine produced; need to urinate at night, excessive thirst, dehydration.

  20. Symptoms of chronic nephritis?

    Why: e.g. Polyuria (excessive urination), nocturia (urination at night), sometimes blood in the urine.

  21. Symptoms of complications of Diabetes mellitus?

    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.

  22. Symptoms of hyperthyroidism?

    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.

  23. Symptoms of hyperparathyroidism?

    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.

Conditions listing medical symptoms: Polyuria:

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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