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Medical Forum / General / Cardiology / September 2004Normal Urinary Output?
Hi all! Is there even such a thing as normal Urinary Output, if so, what is it? For example, I drank 280 oz. of fluid in 24 hours -- I urinated 178 oz. I had a moderate workout program, but barely perspire. What happens to that other 102 oz.?? I feel like I am holding a lot of water around my mid-section, but strangely my feet and hands are not the least bit puffy. It may just be that I have gained weight, but I do feel pretty water logged. Curious, dorothy > Hi all! Is there even such a thing as normal Urinary Output, if so, > what is it? For example, I drank 280 oz. of fluid in 24 hours -- I [quoted text clipped - 8 lines] > > dorothy The short, non-technical, non-medico answer is: every breath you take and exhale gets rid of water, your organs and every cell need water and if you're a woman, you're shipping the rest. But you knew that... Zee > Hi all! Is there even such a thing as normal Urinary Output, if so, > what is it? Between 1000 and 2000 cc a day *and* depending on fluid intake. > For example, I drank 280 oz. of fluid in 24 hours -- I > urinated 178 oz. Did you not eat anything? > I had a moderate workout program, but barely > perspire. What happens to that other 102 oz.?? Evaporation. > I feel like I am holding a lot of water around my mid-section, but > strangely my feet and hands are not the least bit puffy. It may just > be that I have gained weight, but I do feel pretty water logged. Would suggest you inform your doctor(s) about your symptoms and decreased urine output. Servant to the humblest person in the universe, Andrew -- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867 > For example, I drank 280 oz. of fluid in 24 hours -- I > urinated 178 oz. I had a moderate workout program, but barely > perspire. What happens to that other 102 oz.?? Hydrogen-oxygen becomes unbonded and is released and stored in several ways in the body. >> For example, I drank 280 oz. of fluid in 24 hours -- I >>urinated 178 oz. I had a moderate workout program, but barely >>perspire. What happens to that other 102 oz.?? > > Hydrogen-oxygen becomes unbonded and is released and stored in several ways > in the body. You're saying that we have free hydrogen and free oxygen in our bodies? And neglecting respiratory and fecal water loss to explain the discrepancy between intake and urine? Good job, Mr. Physical (I know all about bodies except the science) Trainer. Idiot. Bob > Hi all! Is there even such a thing as normal Urinary Output, if so, > what is it? For example, I drank 280 oz. of fluid in 24 hours -- I [quoted text clipped - 4 lines] > strangely my feet and hands are not the least bit puffy. It may just > be that I have gained weight, but I do feel pretty water logged. I'm curious what drove you to begin measuring your output in the first place... "They" say you lose, like, 32oz of water from your feet every day - or something like that. Also, whether you are aware of perspiring or not, that doesn't mean you aren't - as a matter of fact, I think you'd be dead if you didn't. Because you don't notice it much may mean the environment is drier than places when you notice beads or drops of sweat. A carbohydrate heavy diet (as well as sodium) will cause one to retain water... perhaps that and true weight gain could account for the uncomfortable feeling in the mid-section. One last question. 280 oz of fluid is a LOT of intake. Is there a reason you're drinking over 2 gallons a day? (You're actually getting more than that as the body utilizes water from the foods we eat too.) The old recommendation of 8 glasses of water a day would only give 64-ish ounces - and that notion has been pushed aside in the last few years as an unnecessary "rule". Owen Lowe wrote > I'm curious what drove you to begin measuring your output in the first > place... > > A carbohydrate heavy diet (as well as sodium) will cause one to retain > water... perhaps that and true weight gain could account for the > uncomfortable feeling in the mid-section. > > One last question. 280 oz of fluid is a LOT of intake. Is there a reason > you're drinking over 2 gallons a day? Owen, Thanks for your reply. What lead me to measure the o/p was having three blood tests in the past year with a BUN/Creat. ratio of 65, 59, then 71. I started drinking upwards of 3 gallons/day progressively, not out of thirst so much as out of thinking "more is good". I was 90% sure my kidneys were fine given the serum creat has been 0.7, 0.7, 0.6 -- but to be certain I wanted to if i/p matched o/p. Many days it seems I only "go" 5-6 times, yet having taken in 3 gallons. This will sound like a "no brainer", but I have been feeling water-logged for a few months. I get shortness of breath, a slight pressure in the chest/abdominal cavity, and a few other symptoms that could be linked back to myriad other physical issues, not kidney or heart. So the normal response is "well just cutback on your fluid intake", but my body is very used to receiving this amount of fluid now, so I get thirsty easily and feel if I do not replenish I will "lose it". A few weeks back I had wondered if it could be the beginning of mild heart failure due to a few other symptoms that come and go. It is most likely the most minor of issues, but in all honesty I don't want to look like the hypochondriac I lately have begun to think I am. I had a blood test done last week and by BUN/creat ratio was down to 52,and the serum creat was a steady 0.6, so again I think all renal parts are working. Sodium was 138, and potass was 4.8, so they are in range. Out of nowhere my TSH shot up to 8.006, when it has always been in range -- T3, T4 are in range. WBC is 3.5. I am going to see if my naturopath can make anything out the results, but I do wish I had the nerve to go to an MD. As for my salt intake, I use Lite Salt which balances Na/Ka decently. I also use 10-15 packets of Emergen-C daily (it's an electrolyte/vitamin C powder). As for carbs, I mainly eat rice protein powder, eggs, and beef gelatin (yes I am slightly eating disordered). Unfortunately the builk of my carbs comes from stevia, and Sweet-N-Low. dorothy PS -- Dr. C. the day I measured the i/p, o/p I ate my normal 1500 cal/day. MU -- you lost me on the relevance of your reply, not to say it doesn't have a place in this thread, please clarify if you feel so lead. > Owen Lowe wrote > I'm curious what drove you to begin measuring your > output in the first [quoted text clipped - 55 lines] > PS -- Dr. C. the day I measured the i/p, o/p I ate my normal 1500 > cal/day. There is water in most foods so that one would now conclude that your urine output is abnormally low. Servant to the humblest person in the universe, Andrew -- Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867 Dr. C. wrote: > There is water in most foods so that one would now conclude that your > urine output is abnormally low. [quoted text clipped - 3 lines] > > Andrew Well my daily meals consist of protein powder mixed with very little water, and of course 6 egg whites, 2 egg yolks - IOW not much added water there. I know you are a cardio doc, so if these are not suitable feel free to tell me to buzz off -- my serum creatinine level is a steady 0.7, yet my BUN and BUN/creat ratio are slightly elevated (much less elevated in last week's blood test than they were in May). I feel like I am holding a good deal of fluid around my mid-section, yet the rings on my pinkies are looser than ever. My feet are not even puffy. Being an ex-anorectic I have my "trusty" barometers of weight gain, and one of the first places I can tell I've gained weight is when my rings get tight. It's like my hands are dehydrated, and other parts are holding water. I took Aquaban, potassium, and dandelion (diuretics) just to see if I'd lose any of the seeming water, but nothing -- even seems like I "went" less since using them. A nutritionist at a health food store recently told me you do not hold water in spots (excepting muscle injuries), so is it very odd that my abdomen is seems water logged, yet the BUN level is way lower now than 3 mos. back when I did not feel water logged at all???? Is it possible to have kidney troubles with a perfectly fine creatine level, and no other blood test results pointing to anything wrong??? The blood test results were almost perfect, excepting a TSH of 8.006. My T3 and T4 are normal. I think all the iodized salt could've elevated the TSH. It has always been normal till this test. Thanks!!! > Well my daily meals consist of protein powder mixed with very little > water, and of course 6 egg whites, 2 egg yolks - IOW not much added > water there. SNIP > Being an > ex-anorectic... Are you sure you're an "ex"? Are you saying that the only things you eat are the p.powder and eggs plus the 2 gallons of water in the earlier post? Dorothy, if the above is accurate, I think you're heading for some serious health problems and maybe the fluid retention you suspect is merely a side effect of imbalance in your system. Prior to this message, I believed you were doing yourself harm with all the fluid intake - now I'm pretty certain you have other issues than just the amount of fluid you take in and excrete. I hope I'm reading much more into this than you intend and mean... > > Well my daily meals consist of protein powder mixed with very little > > water, and of course 6 egg whites, 2 egg yolks - IOW not much added [quoted text clipped - 15 lines] > > I hope I'm reading much more into this than you intend and mean... Owen, Thanks so much for the reply, and the concern. I was a physical anorectic 21-23 years ago, now it is pretty much a mental fight, that is why I term it "ex". I don't starve myself by any stretch of the imagination -- I have 3 HEFTY meals a day, with a caloric intake apporx. 17oo cal/day. I cannot go w/o a meal -- I get VERY ornery otherwise. Ironically I have been studying nutrition as a lay person for close to 25 years, so I seem to have taken enough vites, minerals, etc. in supplement form to have all my blood tests come out sparklingly/surprisingly/shockingly normal, well except for the BUN/creatinine ratio. I am believing that the BUN stuff is from the high amount of incomplete protein in ratio to the complete protein I take in. I am eating disordered w/o a doubt -- I eat the same foods every meal because it is "safe" for me, and I really could careless on having to vary it. I could eat popcorn (if I wasn't allergic to it!!) every meal, every day till I die without getting bored with it. Again, I know it's not nutritionally smart, but those blood tests reveal it's not harming me. I am now 43 years old, so after 20+ years of this I would think it's worked. Thanks again!! dorothy > Thanks so much for the reply, and the concern. Well, you are welcome. Unfortunately, I don't know anything about BUN or creatine levels so hope someone else can offer some insight. Best wishes to you Dorothy. |
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