PLEASE HELP ME UNDERSTAND MY SYMPTOMS

Hi everyone,

I’m new here and would really appreciate some help understanding my situation.

Back in June 2025, I noticed that I wasn’t drinking enough water and my urine output seemed less than usual. I panicked and increased my water intake, but my urine output still didn’t feel like it used to. Around the same time, I started developing under-eye bags and facial puffiness.

Since then, I’ve seen a doctor and had complete blood tests done every month from June 2025 until February 2026. All my kidney-related numbers have consistently been normal, and my doctor has never been concerned about my kidney function.

Currently:

My daily fluid intake is around 2–2.5 liters.

My urine output ranges between 1.5–1.8 liters.

I pass most of my urine between 5:00 AM and 5:00 PM.

After 6:00 PM, my body seems to “slow down.” I don’t usually urinate in the evening unless I drink a much larger amount of water.

I never wake up at night to urinate.

Another important detail: Over the past 6 months, I’ve reduced my weight from 89 kg to 79 kg through diet changes.

Despite normal lab results, I still experience puffy eyes and some facial puffiness, and I feel like my body conserves fluids after 6 PM.

Has anyone experienced something similar? I would really appreciate any advice or insight.

Urine Routine Analysis (Automated)
Sampled: 11-12-2025 10:50

•	Color: Light Yellow

•	Clarity: Clear

•	Glucose: Negative

•	Protein: Negative

•	Bilirubin: Negative

•	Urobilinogen: Normal

•	pH: 6.5 (Reference: 4.5 – 7.5)

•	Blood (Haemoglobin): Negative

•	Ketone: Negative

•	Nitrite: Negative

•	Leukocyte Esterase: Negative

•	Specific Gravity: 1.002 (Reference: 1.005 – 1.035)

•	Red Blood Cells: 0–2 /hpf (Reference: 0 – 5)

•	White Blood Cells: 0–2 /hpf (Reference: 0 – 5)

•	Epithelial Cells: Few

•	Casts: Nil

•	Crystals: Nil

Biochemistry

Total Protein, Serum

•	Result: 7.5 g/dL

•	Reference Range: 5.7 – 8.2

Microalbumin, Urine (per Litre)

•	Result: < 3 mg

•	Reference:

•	Normal: < 30

•	Microalbuminuria: 30 – 300

•	Clinical albuminuria: > 300

CRP (C-Reactive Protein), Quantitative

•	Result: 6.3 mg/L

•	Reference: < 3.3

Creatinine, Serum

•	Result: 0.73 mg/dL

•	Reference: 0.55 – 1.01

Chloride, Serum

•	Result: 103 mmol/L

•	Reference: 98 – 107

Blood Urea, Serum

•	Result: 21.4 mg/dL

•	Reference: 19.2 – 49.2

Potassium, Serum

•	Result: 4.4 mmol/L

•	Reference: 3.5 – 5.1

Sodium, Serum

•	Result: 138 mmol/L

•	Reference: 136 – 145