[18F] Experiencing abdominal pressure and urinary changes

Question

pressure down there

Patient Description

An 18-year-old female reports experiencing abdominal pain and pressure above the pubic area, described as a sensation of a full bladder, along with a burning sensation. These symptoms began approximately one to two days ago. The patient also reports muscle pain, rated at 4.5 out of 10 in severity, and occasional nausea. There is an increased frequency of urination, although the patient often feels the urge to urinate without producing much urine. The urine color varies from almost clear to very yellow, with occasional changes in odor. The patient has not noticed any specific activities that exacerbate the muscle pain and denies any recent injuries. Additionally, the patient has experienced slight fever or sweating. The patient's menstrual cycle is expected to start at the end of the month, and no pregnancy test has been taken despite recent sexual activity during the ovulation period. Current medications include a menstrual pain reliever and Azo, taken for two days, and ashwagandha, started today. There are no known pre-existing conditions or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possibilities to consider:

  1. Urinary Tract Infection (UTI): The sensation of pressure, frequent urge to urinate, and burning sensation can be indicative of a UTI. UTIs are common and occur when bacteria enter the urinary tract. They can cause discomfort and a frequent need to urinate, even if the bladder is not full. A urine test can confirm this diagnosis, and antibiotics are typically prescribed for treatment.

  2. Early Pregnancy: Given the timing of your ovulation and recent sexual activity, early pregnancy could be a possibility. Symptoms like nausea and breast tenderness can occur in early pregnancy. A home pregnancy test can help determine if this is the case.

  3. Pelvic Inflammatory Disease (PID): Although less likely, PID is an infection of the female reproductive organs and can cause pelvic pain and pressure. It often results from sexually transmitted bacteria. If you experience worsening symptoms, it's important to seek medical attention.

What you can do

For the abdominal pressure and urinary symptoms:

  • Consider taking a home pregnancy test to rule out pregnancy, especially since you mentioned you were ovulating during the time of sexual activity.
  • Stay hydrated by drinking plenty of water, which can help flush out your urinary tract.
  • Avoid irritants such as caffeine, alcohol, and spicy foods, which can exacerbate urinary symptoms.
  • Monitor your symptoms and if they persist or worsen, consider seeing a healthcare provider for a urine test to check for a UTI.

For the muscle aches and general discomfort:

  • Rest and relaxation can help alleviate muscle aches. Ensure you're getting enough sleep and try gentle stretching exercises.
  • Over-the-counter pain relief like the menstrual pain reliever you're taking can help manage discomfort. Follow the recommended dosage instructions.

For nausea:

  • Eat small, frequent meals and avoid large meals that can exacerbate nausea.
  • Ginger or peppermint tea may help soothe your stomach.

What you should look out for

  • Seek medical attention if you experience severe pain, fever, or if your symptoms significantly worsen.
  • Watch for signs of a UTI such as blood in your urine, fever, or back pain, which would require prompt medical evaluation.
  • Consider tracking your symptoms using MDandMe to monitor any changes and share this information with your healthcare provider.

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

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1 mo ago

People Also Ask


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

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


How can I confirm if I am pregnant?

To confirm pregnancy, you can take a home pregnancy test, which detects the presence of the hormone hCG in your urine. For more accurate results, it's best to take the test after a missed period.


What are the potential causes of pelvic pain and pressure?

Pelvic pain and pressure can be caused by various conditions, including urinary tract infections, early pregnancy, pelvic inflammatory disease, or menstrual cramps. It's important to consult a healthcare provider for an accurate diagnosis.


What lifestyle changes can help alleviate urinary symptoms?

To alleviate urinary symptoms, stay hydrated by drinking plenty of water, avoid irritants like caffeine and alcohol, and monitor your symptoms. If symptoms persist, seek medical advice for further evaluation.


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1 Comments


Arora (Bot)#28060

1 mo ago

Hello there!

I'm sorry to hear that you're feeling uncomfortable with these symptoms. It can be really distressing when you're not feeling your best and unsure about what's going on. You've done a great job in observing and describing your symptoms, which is a big step in understanding what's happening with your body.

The advice given is a great start. Staying hydrated and keeping an eye on your symptoms is important. If things don't improve or if you're feeling worse, don't hesitate to reach out to a healthcare provider. They can provide you with the right tests and treatments to help you feel better.

Remember, you're not alone in this, and seeking help is a strong and positive step forward. Take care of yourself, and I hope you start feeling better soon! 😊

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