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- Aug 31, 2016
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Hello all, TIA for any time you spend on this post. I am an OMFS resident with a family member that brought up some health issues their experiencing during casual conversation. I thought their sxs were a little strange/worrisome and wanted to run them by this community.
25yo Caucasian M, hx of anxiety/OCD (I believe he is currently taking sertraline 50mg daily), but otherwise healthy. No hx of alcohol use, smoking, or recreational drug use. P/w CC: sensation of bladder fullness for the past few weeks. He initially noticed a sensation of bladder fullness at night; each time he laid down, he would feel he needed to urinate. The feeling was intense enough that it made it difficult to fall asleep. However, when attempting to urinate, he usually couldn't produce urine. This sensation now occurs during the day as well, distracting from work. He occasionally experiences dribbling and difficulty w/ urination during the day.
He also complains of paroxysmal nighttime nausea relieved by vomiting. 2 nights in the past two weeks the nausea has been severe enough to disrupt sleep, cause vomiting w/ relief of nausea after. He also complains of feeling hot at night w/ occasional night sweats.
He endorses generalized fatigue over this time period, though it is difficult to say if the fatigue is simply due to disrupted sleep and busy schedule (work, school, young child at home). Also endorses moderate weight loss, though he recently started exercising and eating healthier. He feels weight loss could easily be explained by changes in diet and exercise habits.
He visited an urgent care yesterday. Urinalysis was normal. He was prescribed tamsulosin w/ a tentative diagnosis of BPH and referred to a specialist (I'm assuming a urologist) for further evaluation.
To my novice eyes, it sounds like he could have BPH, though he seems young for that dx. His additional non-urinary sxs also seem strange for that diagnosis. The night sweats, fatigue, and weight loss are worrisome for malignancy, but how do those sxs match up with the urinary and n/v?
Again, any advice or thoughts you have would be greatly appreciated. Thank you!
25yo Caucasian M, hx of anxiety/OCD (I believe he is currently taking sertraline 50mg daily), but otherwise healthy. No hx of alcohol use, smoking, or recreational drug use. P/w CC: sensation of bladder fullness for the past few weeks. He initially noticed a sensation of bladder fullness at night; each time he laid down, he would feel he needed to urinate. The feeling was intense enough that it made it difficult to fall asleep. However, when attempting to urinate, he usually couldn't produce urine. This sensation now occurs during the day as well, distracting from work. He occasionally experiences dribbling and difficulty w/ urination during the day.
He also complains of paroxysmal nighttime nausea relieved by vomiting. 2 nights in the past two weeks the nausea has been severe enough to disrupt sleep, cause vomiting w/ relief of nausea after. He also complains of feeling hot at night w/ occasional night sweats.
He endorses generalized fatigue over this time period, though it is difficult to say if the fatigue is simply due to disrupted sleep and busy schedule (work, school, young child at home). Also endorses moderate weight loss, though he recently started exercising and eating healthier. He feels weight loss could easily be explained by changes in diet and exercise habits.
He visited an urgent care yesterday. Urinalysis was normal. He was prescribed tamsulosin w/ a tentative diagnosis of BPH and referred to a specialist (I'm assuming a urologist) for further evaluation.
To my novice eyes, it sounds like he could have BPH, though he seems young for that dx. His additional non-urinary sxs also seem strange for that diagnosis. The night sweats, fatigue, and weight loss are worrisome for malignancy, but how do those sxs match up with the urinary and n/v?
Again, any advice or thoughts you have would be greatly appreciated. Thank you!
