[18F] With frequent urination, pain during urination, and elevated kidney function

Patient Description

An 18-year-old female presents with frequent urination, which started suddenly about a week ago, occurring more than 10 times a day. The patient reports a strong smell in the urine, pain during urination, chills, lower abdominal or pelvic pain, lower back pain, and nausea. There is no blood in the urine or vomiting. The patient has a history of urinary tract infections, but no known kidney problems, although recent blood work indicated elevated kidney function. She has not taken any antibiotics or other medications recently and has not traveled to areas with different water sources or sanitation standards. The patient has a family history of diabetes and irregular menstrual periods, which she attributes to starting birth control last month. Additionally, she was diagnosed with endometriosis recently. The patient is allergic to Tylenol and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Urinary Tract Infection (UTI): UTIs are common and can cause frequent urination, pain during urination, and a strong-smelling urine. The chills and lower abdominal pain you mentioned are also consistent with a UTI.

    • Treatment: UTIs are typically treated with antibiotics prescribed by a doctor. Drinking plenty of water can help flush out the bacteria.
  • Kidney Infection (Pyelonephritis): This is a more severe type of UTI that affects the kidneys and can cause symptoms like frequent urination, back pain, chills, and nausea.

    • Treatment: Kidney infections require prompt medical treatment with antibiotics and sometimes hospitalization.
  • Interstitial Cystitis: This is a chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain. The symptoms can be similar to a UTI but without an infection.

    • Treatment: Treatment may include medications, physical therapy, and lifestyle changes.
  • Diabetes: Frequent urination can be a symptom of diabetes, especially if you have a family history of the condition. Elevated kidney function can also be related to diabetes.

    • Treatment: Managing diabetes involves lifestyle changes, medications, and regular monitoring of blood sugar levels.
  • Endometriosis: While not directly causing frequent urination, endometriosis can cause pelvic pain and may contribute to urinary symptoms.

    • Treatment: Treatment options include pain relief medications, hormonal therapies, and sometimes surgery.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of water to help flush out any potential infection.
  2. Avoid Irritants: Avoid caffeine, alcohol, and spicy foods, which can irritate the bladder.
  3. Practice Good Hygiene: Ensure proper hygiene to prevent any potential infections.
  4. Monitor Symptoms: Keep track of your symptoms, including frequency of urination, pain levels, and any changes in urine color or smell. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
  5. Pain Relief: Over-the-counter pain relievers like ibuprofen can help manage pain, but avoid Tylenol due to your allergy.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening Symptoms: If your symptoms worsen or do not improve with initial self-care measures.
  • Fever: If you develop a fever (temperature over 100.4°F).
  • Severe Pain: If you experience severe abdominal or back pain.
  • Blood in Urine: If you notice blood in your urine.
  • Persistent Nausea or Vomiting: If nausea persists or you begin vomiting.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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4 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include frequent urination, a strong urge to urinate, pain or burning during urination, cloudy or strong-smelling urine, and lower abdominal pain. Some people may also experience chills or fever.


How can I differentiate between a UTI and a kidney infection?

A kidney infection, or pyelonephritis, is a more severe type of UTI that can cause symptoms such as back pain, fever, chills, nausea, and vomiting, in addition to the typical UTI symptoms. It often requires prompt medical treatment.


Can endometriosis cause urinary symptoms?

While endometriosis does not directly cause urinary symptoms, it can lead to pelvic pain and pressure, which may contribute to urinary frequency or urgency. It's important to discuss these symptoms with a healthcare provider.


What lifestyle changes can help manage frequent urination?

To manage frequent urination, you can stay hydrated, avoid bladder irritants like caffeine and alcohol, practice good hygiene, and monitor your symptoms. Keeping a symptom journal can also help track patterns and triggers.


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