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DEPRESSION, ANXIETY with stronger urine smell. Cause.

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Let me start by saying I have severe depression and anxiety, and this medical issue is stressing me out really hard. I also have Crohns disease (terminal ilium, about to start immunomodulators)

I think i may have a urinary tract infection or something, and its stressing me out as i cannot get to a doctor until tuesday, and i'm worried that it may be a sign of diabetes or something.

Last week I had cloudy urine 1 times a day, with no burning sensation, though i have felt a tiny amount of burning occasionally. recently the cloudiness has improved, and is very slight if at all. My urine has a very strong smell to it, but it just smells like normal urine but stronger. I've been urinating fairly frequently but with not much urine output some of the time. From what i've read this can be caused by a UTI. I've also got a fever now, that started 12 hours ago, but has improved since. I'm really stressed out by this, and would like to know what it may be and whether or not i should be worrying.

The urine smell is what worries me, and the fact i have no burning sensation plus a fever. I'm really worried about diabetes as a few members of my family have the disease. I'm really really hoping this isnt a sign of diabetes. My anxiety is extreme at the moment.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 27 Doctors Online

Thank you for your query at
I understand your concern.
From your description, it seems like you have picked up an UTI, and thee is nothing suggestive of Diabetes from your history. I understand your stress stems from the fact that some of your family members have diabetes, but one episode of passing of cloudy urine, and slight fever with burning sensation all points toward UTI. I will advise you give your urine for routine examination and culture if possible. Once the sensitivity is identified, appropriate antibiotics will be started and your infection will subside.
If it is not possible to you to go to a doctor till tuesday then i will advise you keep drinking plenty of water and if the burning persists, then cranberry juice 2-3 glasses per day will be helpful. It helps by making the urine alkaline and hence the bacteria in the tract can't multiply. If you can't get the test done, you can start Tab. Norfloxacin 400 mg twice daily for 5 days along with plenty of water ( 3-4 liters ) per day. This will limit the infection and help it subside.

Patient replied :

Hi there, thank you for responding. Just to clarify, as it helps with the anxiety. I'm not sure if i've experienced burning, maybe twice when i've stopped urinating i feel burning a little bit, but it may be because of anxiety and the fact that i'm stressing over it, i may be seeing what im looking for, so to speak. Also the frequent urination and the strong smell still kinda freaks me out. When i think about it, it definitely seems like a UTI but im always concerned about diabetes. Should i be concerned that there is no burning sensation? I read that it is possible to have a UTI without burning, and i think it has burned a little bit. The biggest problem by far is my anxiety, so just trying to rule out possibilities. Thank you for responding, it's very helpful to clarify these things.

Definitely Sir. You should clarify all your doubts.
Anxiety is itself detrimental for health and anything causing anxiety should be clarified, and hence i am here to help you.
See at times the urine smells strong, possibly because it is more acidic, and it happens in UTI too. Some UTIs can be there with very minimal burning or no burning at all.
As i assess your overall history, i can assure you there is nothing suggestive of diabetes. I hope it helps your anxiety. However please do get treated for UTI soon,before the infection gets worse.
Hope this was helpful,

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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