No urine: Anyone else?

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Re: No urine: Anyone else?

Post by mlbaker » Wed Jun 05, 2013 09:29 am

Can I just say that I'm truly dumbfounded by these doctors. I'm just not understanding how they are managing this pregnancy. I feel like I'm completely on my own.

Went to the MFM specialist this morning. The u/s was just fine and baby was looking good. The doc said, "Hypertension is not affecting the baby so everything is just fine." My bp when I was there was 115/80, which couldn't possibly be accurate. I haven't had a 115/80 in weeks. I've taken my bp twice today and I'm consistently at 125/90, which isn't bad at all, but it just shocked me how little care she took with taking my bp. I had to remind them to take a urine sample. I don't think they were going to do it, and they never told me the results. The MFM never gave me a chance to talk to her about the swelling, or lack of urine output, or the six pound weight gain I had over 2 days. She just said everything was fine, shuffled me out the door, and said "See you in 3 weeks." I'll be pretty close to 38 weeks by then.

I really do think everything is fine right now, but I'm just shocked. My previous doctors were big on catching things early (especially at this point in the pregnancy) so they could decrease the odds of an emergency c-section. I just don't understand why they wouldn't run labs or do the 24 hour urine. When it comes to health care costs, doing these things is FAR cheaper than a c-section. I'm just not understanding their thinking.

Re: No urine: Anyone else?

Post by sam10 » Mon Jun 03, 2013 09:24 am

If you have not had any 24-urine catch yet, I think it would be time to get one done along with some labs. A diagnosis of PE will depend on the results of a 24 urine catch.

I retained a lot of fluid in my first pregnancy, but never had any *bad* edema.

Also, if any of your symptoms worsen, please be seen earlier than Wednesday.

Re: No urine: Anyone else?

Post by MomTimesThree » Mon Jun 03, 2013 05:56 am

For what it's worth- I would call and ask for all the lab slips now, so that you can have the 24 hour and labs done before your appointment... You'll get a lot more out of that appointment with all those numbers known.

Re: No urine: Anyone else?

Post by mlbaker » Mon Jun 03, 2013 04:31 am

I'm going to talk about the fluid retention on Wednesday with the MFM doc. I'm not swollen up a great deal, but I know I'm retaining a lot of fluid. I can feel it on my body. With my last pregnancy I was retaining about 15 pounds of fluid and I never had any noticeable edema. I've also had a low grade headache and some minor visual disturbances (flashing lights and "snow" on occasion) which seem related to periods where fluid retention is greater. No point in bringing it up with the OB.

I'm thinking a 24-hour urine test is definitely warranted. I haven't had one yet (which is shocking to me). I also think it's time for weekly labs.

Re: No urine: Anyone else?

Post by sam10 » Sun Jun 02, 2013 08:28 am

I am glad to hear that your BP is stable on medication. Retaining fluid, however, can be a sign that something is up. You can read about it here: https://www.preeclampsia.org/signs-and-symptoms

Since your BP is controlled (who knows what it would be without medication) and you are retaining fluid, I would double check with your doctor, just to be sure that PE is not creeping up. When have you done your last 24-hour urine collection to check for protein?

Re: No urine: Anyone else?

Post by mlbaker » Sun Jun 02, 2013 03:06 am

I'm doing really well. No more "no urine" incidents, which is good. My bp was really high but is now controlled on labetalol. I think I'm starting to retain a lot of fluids, but there's been nothing that I've found concerning. I'd be surprised if I develop pre-e this time around. It's been nice to get to 34 weeks with just a few high bp issues rather than hospital admissions and tests all the time.

Re: No urine: Anyone else?

Post by sam10 » Fri May 31, 2013 10:15 am

How are you doing today? I am still a bit perplexed that your doctor did not think that "no urine" was ok.

Re: No urine: Anyone else?

Post by LBD30 » Tue May 28, 2013 03:06 am

For me having no urine output was a deciding factor to go with an emergency c section at 34 weeks, along with the increased BP and other labs being abnormal. My urine never came back though. Can you see your peri sooner?

Re: No urine: Anyone else?

Post by mlbaker » Sat May 25, 2013 07:24 am

My urine this time has been colored appropriately. Last time when I would start urinating again it would be very dark. I think it was brown in color.

I talked to my doctor. He didn't seem concerned at all about the no urine thing. He told me to just drink more water to try to force the urine through. That doesn't really work. If anything, I just start retaining more water, swelling more and my bp goes up more.

I'm really frustrated with how he's treating all of this. When I went to my appointment on Thursday my bp was 138/88, on the labetalol. I tried to explain to him that when I'm up moving around, my diastolic has been going up to 105, despite the medication. He ignored that, said my bp was fine, see you in 2 weeks. I was really surprised. I've always been under the assumption that if you put patients on BP meds you have to more closely monitor them.

I've decided to take it easy and have put myself of modified bed rest. It seems to help a lot in keeping my bp down. If I move around my BP shoots up high and I start getting flashes of light and headaches.

One of my biggest concerns (and I'm going to take this up with the peri. in 2 weeks, rather than the OB), I know my conception date (my husband's in the military and comes and goes a lot). They are using the first u/s for my due date, but it's about 1.5-2 weeks later than what I believe my actual due date is. Before my bp shot up I didn't think it was a big deal. Now that they'll likely induce early it's actually pretty important. If they wait to induce until I'm 39 weeks, I'll actually be more like 41 weeks. I'm simply not willing to take that chance of going past 40 weeks with this pregnancy. I think that would be foolish. How does one get their OB to take their date of conception seriously?

Re: No urine: Anyone else?

Post by sam10 » Wed May 22, 2013 06:18 am

"no urine" is definitely something you should tell your doctor sooner rather than later. A decrease in urine output can indicate that you are retaining fluid and this is usually not a good sign. Have you had any sudden weight gain, any sudden/severe swelling?

This may sound like an inappropriate questions, but it might be helpful to know. What color is your urine?

If you check the signs and symptoms (https://www.preeclampsia.org/signs-and-symptoms#protein), under proteinuria you find this little paragraph:
"Dark yellow urine is usually the result of low fluid intake and may be associated with dehydration. However, urine that looks dark, reddish or the color of cola may indicate a problem. If you observe this, contact your health care provider"

Please let us know what your doctors find out.

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