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What to do for frequent urination and low specific gravity with no UTI?
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Kidney & Urinary Health
Question #29091
12 hours ago
23

What to do for frequent urination and low specific gravity with no UTI? - #29091

Client_7b14ef

I have done 3 cue tests and in all tests my sg is very low-1.002/1.003. My ultrasound of abdomen and pelvis is normal, uroflowmetry normal, cbp normal. But still I have frequent urination(5-15 min), urgency to urinate, polyuria, most times i uriante in large volumes(100ml or above). Is it really oab or something else? I don't have uti also neither i ahve any stress or anxiety of this. The problem since 7 months is creating stress and anxiety to me.What to do now?

How long have you been experiencing frequent urination?:

- More than 6 months

How would you describe the urgency of your urination?:

- Extreme — can't hold it

How much fluid do you typically drink in a day?:

- Less than 1 liter

Have you noticed any changes in your diet or fluid intake recently?:

- No, my diet has been consistent

Do you have any other symptoms accompanying the frequent urination?:

- Changes in appetite

How is your sleep affected by your urination?:

- I wake up occasionally

Have you tried any treatments or lifestyle changes for your symptoms?:

- Prescribed medication
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
11 hours ago
5

Hello dear I think it is urinary retention It can be due to excessive water retention by kidney by raas system Secondary hypertension Iam suggesting some tests Please share the result with urologist in person for better clarity Cbc Esr Serum ferritin Serum tsh Serum hb Rft Lft Gfr Serum creatinine Serum bilirubin Hemogram Kidney USG Hopefully you recover soon Regards

2175 answered questions
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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
10 hours ago
5

very low urine specific gravity (1.002–1.003), frequent urination with large volumes, normal ultrasound and uroflowmetry, and no UTI—suggest that this is less likely to be typical overactive bladder (OAB) and more likely related to a water-balance issue such as diabetes insipidus (DI) or primary (habitual) polydipsia, even if you feel you are not drinking much. In OAB, urine volumes are usually small and urgency is the main feature, whereas in your case large volumes + very dilute urine point toward a problem with urine concentration. The next important step is further evaluation with tests like serum sodium, serum and urine osmolality, and possibly a supervised water deprivation test, which can clearly differentiate between these conditions. Since this has been ongoing for 7 months and is severe, you should see a urologist or endocrinologist rather than continuing trial medications, as the treatment depends entirely on the correct diagnosis. In summary, your condition is real and likely not just OAB, and with the right targeted tests, a clear diagnosis and effective treatment can be achieved.

1776 answered questions
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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
9 hours ago
5

Hello

Frequent urination every 5–15 minutes with very low specific gravity (1.002–1.003) and normal scans usually means the urine is too dilute, so this is often not simple overactive bladder. One important condition to rule out is Diabetes Insipidus, where the body cannot concentrate urine properly, causing large volumes of urine even when fluid intake is low.

The next step is to see a physician or endocrinologist for specific tests such as fasting blood sugar, serum electrolytes (especially sodium), serum and urine osmolality, and possibly a water deprivation test. Treatment depends on the cause, and many cases are manageable once properly diagnosed.

Take care Feel free to talk

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