partjfos Posted June 20, 2018 Share Posted June 20, 2018 Hi, maybe somebody can help to diagnose my condition. I realise I will probably need tests at a doctors to diagnose accurately but they're expensive and I want to try and best guess what it is I might have, so I can get that test first, and so on. I have had brown wee on 3 separate occasions, at least a week or two between each time. It's just one visit to the toilet, not a thing that lasts all day. Just before the first time I was also severely fatigued for about one week, this was when I first suspected something was wrong, I went from sleeping a normal 8 hours or so to more like 13-15 hours. It was very noticeable fatigue. The fatigue has not returned since then (that was about 2 months ago). I understand fatigue and brown wee are two classic hepatitis symptoms. I have had unprotected sex with too many people, and I also sometimes drink untreated water high up in the mountain streams (lazy to carry bottled water so far). So I went to the red cross centre and got the hepatitis B test which was negative. I understand there are also A, C, D and E tests but you cannot have D without also having B. So I could still have A, C or E. A doesn't sound that serious and goes away by itself after a month or two, so I'm only really worried about C and E. C seems more prevalent, so would it be sensible to get the C test first? To complicate matters I also run a lot, and I push myself I think more than your average person, I'm not a professional athlete by any stretch but I regularly place inside the top 10 in 10km-70km races in Thailand. Brown wee can be caused by Rhabdomyolysis - muscle breakdown from exerting yourself too much which can cause serious liver problems? That wouldn't explain the severe fatigue I experienced but maybe that was a separate bacterial infection or something else not related. I run barefeet which might cause hemolytic-anemia but this should turn your wee red (because of the blood) not brown? Is the red obviously red i.e. bright red similar to a blood colour, or could it be confused as brown? I also read that Rhabdomyolysis can be caused by viral infections such as HIV and Herpes. I have herpes. Also it can be caused by insect bites or snake bites - I'm regularly in the jungle and get bitten by insects, leeches and ticks a lot. I've just assimilated myself with rhabdomyolysis today and it seems serious with most people saying get to the doctors (or even the emergency room) the same day if you exhibit symptoms..? Is the red cross centre an okay place to go for this because it's not necessarily linked to an STD? Apart from the initial fatigue and the brown wee, I feel absolutely fine. No nausea or dizziness or anything else. Can anybody make sense of all that and offer their best guess or any other possible causes? Link to comment Share on other sites More sharing options...
Popular Post Kinnock Posted June 20, 2018 Popular Post Share Posted June 20, 2018 (edited) There's a real expert on TV - so I'll leave any medical advice to the experts - but as a runner I can add some extra observations .... 1. Stop worrying so much - you suggest a range of possible causes, which suggests you've been doing some research, but the more you Google medical issues, the more symptoms you start to feel. Leave diagnosis to the experts. 2. As you say - dehydration is a likely cause - drink more water ..... much more ..... running in heat causes a lot of water loss. 3. Start to use some sensible precautions in your sex life - there's no point running barefoot to stay fit, if you also go bareback! Edited June 20, 2018 by Kinnock 2 3 Link to comment Share on other sites More sharing options...
lopburi3 Posted June 20, 2018 Share Posted June 20, 2018 Although likely not the case you also need to rule out bladder cancer, especially if you have ever smoked - at least have a simple ultrasound exam which is not expensive. I say this having had this condition several years ago and having delayed hoping it was just exercise blood. Link to comment Share on other sites More sharing options...
phetphet Posted June 20, 2018 Share Posted June 20, 2018 Dehydration? 2 Link to comment Share on other sites More sharing options...
partjfos Posted June 20, 2018 Author Share Posted June 20, 2018 Thanks guys. I thought dehydration just made the urine turn dark yellow or orange. This is a definite brown. Link to comment Share on other sites More sharing options...
Popular Post jakestevernson Posted June 20, 2018 Popular Post Share Posted June 20, 2018 Pay your money and get checked out properly. No point in trying to save money when it comes to your health.Sent from my Moto G (4) using Tapatalk 5 Link to comment Share on other sites More sharing options...
Justfine Posted June 20, 2018 Share Posted June 20, 2018 Don't guess. You could drop dead. Go get checked up. $ is nothing when you are not alive. 1 1 Link to comment Share on other sites More sharing options...
Popular Post Sheryl Posted June 20, 2018 Popular Post Share Posted June 20, 2018 Dehydration is the most common cause of dark urine and the fact that it is not continuous but just on occasion would further suggest that. I suggest you start by being sure to take in enough fluid -- and be more moderate in your exercise. Regular exercise is fine but going to extremes with it is not, If despite adequate hydration and more moderate exercise the brown urine recurs or persists then the following tests would be indicated: urinalysis AST/ALT serum bilirubin Hep A antigen Hep C antibody creatine kinase serum creatnine serum myoglobulin serum potassium And if any of these come back significantly abnormal then see a doctor, what type of doctor will depend on what the tests show 8 1 Link to comment Share on other sites More sharing options...
partjfos Posted June 25, 2018 Author Share Posted June 25, 2018 I went for a general checkup today, which included the urinalysis and ast/alt as suggested by sheryl. I found a good deal on metrodeal website - 990 baht for 13 tests, usual price 2500, at bangpakok 1 hospital. Metrodeal take paypal as well, it seems similar to groupon. Results were all fine except ast which was 41 (normal range is 0-40). Alt was 35. Doctor said this could be due to alcohol or drugs/medicine or lack of sleep and not to worry because it was only slightly over. I slept fine and dont drink or take drugs/medication. I looked online later and high ast can also be caused by intense exercise... i did a half marathon the day before... Is 41 worth worrying about? Link to comment Share on other sites More sharing options...
Tacuisse Posted June 25, 2018 Share Posted June 25, 2018 7 minutes ago, partjfos said: I went for a general checkup today, which included the urinalysis and ast/alt as suggested by sheryl. I found a good deal on metrodeal website - 990 baht for 13 tests, usual price 2500, at bangpakok 1 hospital. Metrodeal take paypal as well, it seems similar to groupon. Results were all fine except ast which was 41 (normal range is 0-40). Alt was 35. Doctor said this could be due to alcohol or drugs/medicine or lack of sleep and not to worry because it was only slightly over. I slept fine and dont drink or take drugs/medication. I looked online later and high ast can also be caused by intense exercise... i did a half marathon the day before... Is 41 worth worrying about? No. There is a margin of error in all these tests, and your result is only one unit above the normal range. Start worrying when it is 50 or 60. 1 Link to comment Share on other sites More sharing options...
Sheryl Posted June 25, 2018 Share Posted June 25, 2018 41 is fine. Did they check the other tesrs?Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app Link to comment Share on other sites More sharing options...
catman20 Posted June 26, 2018 Share Posted June 26, 2018 prostate ? 1 Link to comment Share on other sites More sharing options...
helloagain Posted June 26, 2018 Share Posted June 26, 2018 (edited) For gods sake you cheap charlie. I would not play russian roulette with my life. Go straight to international or fly home and find out within 2 hours of being at a hospital exactly what is wrong with you. What looks brown to you might be blood but very weak. Bladder cancer ? And so i could go on. Be cheap but not with your life. Urine test 2 to 3000 baht with their fees included. Or your life.......der Edited June 26, 2018 by helloagain Add more 2 Link to comment Share on other sites More sharing options...
soistalker Posted June 26, 2018 Share Posted June 26, 2018 When you say Brown, I think dark yellow urine with blood in it. If that's the case, it's not serious. But with all due respect, what's wrong with you having multiple sex partners in Thailand without using condoms? That's f%&king not smart. 2 Link to comment Share on other sites More sharing options...
nauseus Posted June 26, 2018 Share Posted June 26, 2018 Well if you feel fine then hepatitis is rather doubtful. With that you feel like sh*t. Here are the main symptoms after it develops into a bad case< when the real giveaway is the white <deleted>!!: muscle and joint pain a high temperature (fever) feeling and being sick feeling unusually tired all the time a general sense of feeling unwell loss of appetite and weight abdominal pain dark urine pale, grey-coloured poo (white) itchy skin yellowing of the eyes and skin (jaundice) Yes I had all the above! Had to stop drinking for a year. Good luck. 2 Link to comment Share on other sites More sharing options...
thaipo7 Posted June 26, 2018 Share Posted June 26, 2018 I can tell you it is not hepatitis. I had it there in 1978. You would be very weak, yellow eyes where the whites are and a yellow tinge to your skin. You would be scratching you side where the liver is. Link to comment Share on other sites More sharing options...
Catoni Posted June 26, 2018 Share Posted June 26, 2018 There are 79 conditions associated with dark colored (brown) urine and fatigue. These can be either direct causes... or..... indirect ..and only secondary causes... Good luck... Make sure you are drinking enough clean water each day to flush your system. Dehydration and eating too little fresh fruits and vegatables is another possibility Possible causes: Obviously probably only one of these is the cause... all others can be ignored... but which one is it ? ?... we don't know until you get the tests. Hepatitis A Hepatitis A is an inflammation of the liver. Symptoms include fever, fatigue, yellowing of the skin, and more. Hepatitis B Hepatitis B is an inflammation of the liver that may cause fever, fatigue, dark urine, jaundice, and more. Hepatitis C Hepatitis B is an inflammation of the liver that may cause yellowing of the skin and eyes, tiredness, and more. Dehydration (Children) Dehydration, or not getting enough fluid, causes dry and sticky mouth, tearless crying, and more in children. Thalassemia Thalassemia is a rare group of genetic blood disorders effecting red blood cells and leading to anemia. Medication reaction or side-effect Medication side effects include nausea, vomiting, stomach upset, weakness, dizziness, seizures, and more. Multiple sclerosis Multiple sclerosis is a disease of the nervous system causing difficulties with balance, speech, and movement. Anemia Anemia, a lack of red blood cells, can cause fatigue, pale skin, weakness, dizziness, headache and more. Mononucleosis Mononucleosis is a viral infection causing extreme fatigue, sore throat, fever, rash, muscle aches, and more. Depression (Adult) Depression is a painful sadness that interferes with daily life and includes hopelessness, anxiety, and more. Hay fever Hay fever, an allergic reaction to outdoor pollens and molds, causes nasal congestion, itchy eyes, and more. Heart rhythm disorder Some heart rhythm disorders can cause a fluttering in the chest, shortness of breath, chest pain or dizziness. Acute sinusitis Acute sinusitis, an inflammation of the sinuses, causes sinus pain and tenderness, facial redness and more. Diabetes, type 2 Diabetes can make you feel hungry, tired, or thirsty; you may urinate more than normal and have blurry vision. Sleep deprivation Sleep deprivation occurs when the lack of restful sleep is severe enough to compromise basic body functions. Taking vitamin supplements Taking vitamin supplements can cause upset stomach, diarrhea, unpleasant taste, and changes to urine color. Acute stress reaction Acute stress reaction symptoms include shortness of breath, anxiety, nervousness, sense of doom and more. Viral syndrome Viral syndrome is an unidentified cause of typical virus symptoms sore throat, stuffy nose, aches and more. Sleep apnea People with sleep apnea stop and restart breathing multiple times while sleeping. Chronic sinusitis Chronic sinusitis, or sinus infections, cause a stuffy or runny nose, tooth pain, fever, sore throat and more. Cystic fibrosis Cystic fibrosis is an inherited disease that causes the body to produce abnormally thick and sticky mucus. Atrial fibrillation Atrial fibrillation is a heart condition that causes heart palpitations, confusion, dizziness and more. Eating disorder People with eating disorders have extreme and dangerous eating habits. Emphysema Emphysema is a chronic lung condition that causes shortness of breath, a chronic cough, wheezing, and more. Glomerulonephritis Glomerulonephritis is a type of kidney disease and causes swelling, abnormal urine, fever, achiness, and more. Heat exhaustion Heat exhaustion causes intense thirst, heavy sweating, pale, cool, and moist skin, muscle cramps, and more. Diabetes, type 1 Diabetes can make you feel hungry, tired, or thirsty; you may urinate more than normal and have blurry vision. Low blood pressure (hypotension) Low blood pressure, or hypotension, can make you feel lightheaded and dizzy Lyme disease Lyme disease is a bacterial infection spread through tick bites; symptoms include rash, fever chills, and more. Mumps Mumps is a contagious viral disease that causes painful swelling of the glands that produce saliva. Pre-leukemia (myelodysplastic syndrome) Myelodysplastic syndromes are diseases that affect the bone marrow and blood, causing anemia and tiredness. Pulmonary hypertension Pulmonary hypertension can cause shortness of breath, a fast heart rate, or lightheadedness. Rheumatoid arthritis Rheumatoid arthritis is an autoimmune disease that causes pain, swelling, and joint damage. Tuberculosis Tuberculosis usually infects the lungs, causing a bad cough with blood, chest pain, fever, chills, and fatigue. Chronic fatigue syndrome (CFIDS) Chronic fatigue syndrome is a condition that causes extreme tiredness that doesn't get better with rest. Congestive heart failure People with congestive heart failure can have shortness of breath, fatigue, irregular heartbeat and more. Depression (Child and Adolescent) Depression is a painful sadness that interferes with a child's schoolwork, family life, and social activities. Gastrointestinal bleeding The symptoms of gastrointestinal bleeding include black or bloody stool or vomit, dizziness, and cramping. Hyperthyroidism Hyperparathyroidism can cause fatigue and weakness, increased thirst, impaired thinking, and bone fractures. Iron poisoning Iron poisoning causes abdominal pain, vomiting, diarrhea, lethargy, and dehydration. Low blood sugar (hypoglycemia) Low blood sugar, or low glucose levels, causes shakiness, anxiety, clammy skin, irritability, hunger, and more. Lung cancer (non small cell) Non-small cell lung cancer is the most common type of lung cancer and can cause a cough, chest pain, and more. Cocaine withdrawal Cocaine withdrawal may cause feelings ranging from anxiety, irritability and sleepiness to suicidal thoughts. Exercise or physical activity Exercise is vital for good health, but overdoing it can lead to muscle aches, dehydration, headache, and more. Underweight Being underweight means weighing less than you need for good health. Bipolar disorder Bipolar disorder causes extreme mood swings between depression and mania. Myasthenia gravis Myasthenia gravis is caused by abnormal immune responses that weaken muscles, particularly of the face. Aortic regurgitation Aortic regurgitation, when the aortic valve doesn't close completely, can cause severe heart symptoms. Pleural effusion Pleural effusion is buildup of fluid in the pleura and can cause difficulty breathing or chest pain. Rectal cancer Rectal cancer appears in the rectum and causes bloody stool and constipation. Dementia in head injury Dementia resulting from a head injury may cause memory problems, difficulty speaking, and personality changes. Hypothyroidism (adult) Hypothyroidism your body functions slow down, making you gain weight and feel tired all the time. Lung cancer (small cell) Small cell lung cancer is the least common type of lung cancer and can cause a cough, chest pain, and more. Anemia, chronic disease Anemia of chronic disease (ACD) can cause fatigue, pale skin, weakness, dizziness, headache and more. Histoplasmosis Histoplasmosis is a fungal infection of the lungs causing muscle aches, fever, chest pain, cough, and more. Anemia, iron deficiency Anemia , a lack of red blood cells, can cause fatigue, pale skin and gums, brittle nails, irritability, and more. Carbon monoxide poisoning Carbon monoxide poisoning can be fatal, symptoms include headache, dizziness, nausea, and vomiting. Chronic kidney disease Chronic kidney disease is a condition of the kidneys that can cause high blood pressure, fatigue, and weakness. Dehydration (Adult) Dehydration, or not getting enough fluid, causes low blood pressure, weakness, dizziness, fatigue, and nausea. Porphyria Porphyria is a condition that can affect the nerves and skin, making the skin extremely sensitive to sunlight. Radon exposure Breathing in high levels of radon over time can cause lung cancer. Restless legs syndrome Restless leg syndrome causes intense discomfort in your legs and an overpowering urge to move them. Sarcoidosis Sarcoidosis is a rare disease that can cause swelling and hard lumps in the lymph nodes and organs. Supraventricular tachycardia Supraventricular tachycardia is fast heart rhythm starting in one of the upper chambers of the heart. Vitamin B12 deficiency Vitamin B12 deficiency symptoms include fatigue, pale skin, weakness, sleepiness, numbness, weakness, and more. Malnutrition Malnutrition occurs when the body isn't getting enough nutrients; sometimes the condition is life-threatening. Hyperparathyroidism Hyperthyroidism causes weight loss, shakiness, tiredness, sensitivity to heat, insomnia, and more. Anemia, hemolytic Hemolytic anemia occurs when there aren't enough red blood cells in the blood. Renal cell (kidney) cancer Renal cell cancer is a type of kidney cancer that can cause bloody urine and persistent pain in the side. Radiation sickness Radiation sickness is caused by a high dose of radiation, and causes vomiting, diarrhea, hair loss, and more. Hypopituitarism Hypopituitarism is a rare disorder of the pituitary glands, which can cause many different symptoms. Pseudohypoparathyroidism Pseudohypoparathyroidism is a rare inherited condition that can lead to cramps, muscle spasms, and more. Small intestine cancer Small intestine cancer is rare and often has no symptoms, but can cause symptoms in its advanced stages. Lead poisoning Lead poisoning causes sudden pain on either side of the lower back, urinary issues, nausea, fever, and chills. Typhoid fever Typhoid fever is a life-threatening illness and causes fever, general aches and pains, headache, and weakness. Mesenteric lymphadenitis Mesenteric lymphadenitis is an inflammation of abdominal lymph nodes causing pain, diarrhea, fever, and more. Bird (avian) flu Bird flu is spread to people from birds and causes fever, cough, sore throat and muscle aches. Throat cancer Throat cancer can cause symptoms including difficulty swallowing, hoarseness, and chronic cough. Cat-scratch disease Cat scratch disease is a bacterial infection caused by a cat scratch or bite. 1 Link to comment Share on other sites More sharing options...
upu2 Posted June 26, 2018 Share Posted June 26, 2018 Sounds very much like dehydration Link to comment Share on other sites More sharing options...
Toscano Posted June 26, 2018 Share Posted June 26, 2018 Most likely you are dehydrated , lacking electrolytes , that you are not drinking enough water . Water from mountain streams ABOVE human habitation and agricultural level maybe OK . If you are exploring in the wild you can buy small water filtration outfits to purify water from dubious sources . Link to comment Share on other sites More sharing options...
Stokakrishna Posted June 26, 2018 Share Posted June 26, 2018 I go for UTI (urinary tract infection). Or kindney stones. Link to comment Share on other sites More sharing options...
UnkleGoooose Posted June 26, 2018 Share Posted June 26, 2018 This brown "wee", did it come out of the back or the front of you, or possibly you were too drunk to tell. 1 Link to comment Share on other sites More sharing options...
moonseeker Posted June 26, 2018 Share Posted June 26, 2018 What do we have Dr. 's and hospitals for folks? We got TV that resolves just about any issues we might have.... Have a great day. MS> Link to comment Share on other sites More sharing options...
JRinPDX Posted June 26, 2018 Share Posted June 26, 2018 Kidney stones? Link to comment Share on other sites More sharing options...
moontang Posted June 26, 2018 Share Posted June 26, 2018 basic urine exam is under 100 THB at many walk in commercial labs...pretty easy to see if you are in the normal ranges. Most folks don't drink enough water. Good luck! Link to comment Share on other sites More sharing options...
Popular Post JPFIT Posted June 26, 2018 Popular Post Share Posted June 26, 2018 Check the chart but to be honest if you are trying to be healthy you are playing Russian roulette with your sex life! I know it’s like jumping in a puddle without wellegton boots on but better to be safe than sorry. Good luck hope it’s just dehydration 3 1 Link to comment Share on other sites More sharing options...
NanLaew Posted June 26, 2018 Share Posted June 26, 2018 4 hours ago, Catoni said: Restless legs syndrome Restless leg syndrome causes intense discomfort in your legs and an overpowering urge to move them. The OP needs to stop running about and all the other symptoms will probably disappear. Link to comment Share on other sites More sharing options...
moontang Posted June 26, 2018 Share Posted June 26, 2018 1 minute ago, JPFIT said: Check the chart but to be honest if you are trying to be healthy you are playing Russian roulette with your sex life! I know it’s like jumping in a puddle without wellegton boots on but better to be safe than sorry. Good luck hope it’s just dehydration Thanks, JP, I am going to send that one to my Dad, who doesn't drink enough water. Link to comment Share on other sites More sharing options...
Hardie Posted June 26, 2018 Share Posted June 26, 2018 With hepatitis, my urine was like Coca-Cola, energy levels non-existent, and "all looks yellow to the jaundiced eye" per the quote. I can't imagine that prostate would have anything to do with it, swollen or cancer, though kidney stones might. I get those, and have had them lodge in my bladder, suspect one disintegrated last week and caused me dark urine one day, then passed. They can sometimes cause extreme fatigue and pain when passing, too, so just an idea. If you're American, don't assume that they'll get it right there. I've had better luck in Thailand. Bumrungrad is high-priced, but maybe the best option. I've had good results at Sukhumvit at half the price. Good luck... Link to comment Share on other sites More sharing options...
Monkeyrobot Posted June 26, 2018 Share Posted June 26, 2018 Maybe you going colour blind ? Only joking, hope you find the problem. Link to comment Share on other sites More sharing options...
geoff65 Posted June 26, 2018 Share Posted June 26, 2018 Get your kidneys checked and see what your EGFR (kidney function)is this will give you an idea if you have early kidney damage, chronic kidney disease (CKD). I have been through this and the signs were there for a long time, cut long story short I end up with kidney failure was on dialysis for 2 years and recently had a kidney transplant in April this year.get them checked properly coz you don’t won’t to go through what I did, I’m still recovering. Link to comment Share on other sites More sharing options...
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