[18F] Experiencing urinary and rib pain

Patient Description

An 18-year-old female presents with a one-week history of pain after urination described as a sensation of a stretched and weak bladder. She experiences a frequent need to urinate, even immediately after voiding, with only small amounts of urine passed. This issue has been occurring on and off for 1-2 years. Urine color is normal, but occasionally there is a stronger odor. The patient also reports intermittent sharp pain in the left rib, rated as a 5/10 in intensity, which worsens with slouching or prolonged sitting. Additionally, she experiences back and neck pain, chills, and sporadic severe abdominal pain. There is no history of recent injuries, sexual activity, or known medical conditions. The patient is not on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Urinary Tract Infection (UTI): UTIs are common and can cause symptoms like frequent urination, pain after urination, and a strong smell to the urine. They can also cause abdominal pain and chills.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Interstitial Cystitis: Also known as painful bladder syndrome, this condition can cause chronic pain and pressure in the bladder, along with a frequent urge to urinate.

    • Treatment usually involves medications, physical therapy, and sometimes surgery.
  • Overactive Bladder: This condition can cause a sudden urge to urinate and may lead to involuntary loss of urine.

    • Treatment typically involves lifestyle changes, bladder training exercises, medications, or surgery.

The pain in your ribs and back could be related to these conditions, or it could be due to something else like poor posture or muscle strain.

What you can do

You should definitely see a doctor about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, here are a few things you can do:

  1. Drink plenty of water to help flush out your urinary system.
  2. Avoid drinks that may irritate your bladder like coffee, alcohol, and soft drinks containing citrus juices or caffeine until your infection has cleared.
  3. Use a heating pad on your back or abdomen to help with pain.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Blood in your urine
  • Fever or chills
  • Severe abdominal pain
  • Vomiting or nausea

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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1 yr ago

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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, pain or burning sensation during urination, cloudy or strong-smelling urine, and sometimes abdominal pain or chills.


How is interstitial cystitis different from a UTI?

Interstitial cystitis, unlike a UTI, is a chronic condition characterized by bladder pain and pressure, frequent urination, and discomfort without the presence of a bacterial infection. UTIs are typically caused by bacteria and can be treated with antibiotics.


What lifestyle changes can help manage an overactive bladder?

Lifestyle changes for managing an overactive bladder include reducing caffeine and alcohol intake, practicing bladder training exercises, maintaining a healthy weight, and scheduling regular bathroom visits to avoid urgency.


When should I seek immediate medical attention for urinary symptoms?

You should seek immediate medical attention if you experience blood in your urine, fever or chills, severe abdominal pain, or symptoms like vomiting or nausea, as these could indicate a more serious condition.


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