[18F] With urinary blockage, hematuria, and burning sensation

Patient Description

An 18-year-old female reports experiencing a burning sensation in the urethra for at least three months, occurring randomly and after urination, particularly in the mornings and evenings. The patient finds some relief with pyridium (100mg as needed). Today, she started experiencing a moderate urinary blockage, where she can let out a bit of urine but still feels a full bladder. She has also noticed blood in her urine, a stronger ammonia-like odor, and a yellower color even after drinking a lot of water. Additionally, she experiences throbbing in the lower abdomen, usually at the end of the day, described as feeling like really bad period cramps. There is no fever or chills reported. The patient's medical history includes a medical abortion in April. She has no other pre-existing conditions or chronic illnesses. The patient is allergic to penicillin and is currently taking iron supplements (20mg daily). No other over-the-counter medications, vitamins, or herbal supplements are being taken, and there have been no recent changes to her medications or dosages.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible conditions that could be causing your symptoms:

  • Urinary Tract Infection (UTI): UTIs are common infections that can cause burning during urination, frequent urges to urinate, and blood in the urine. They can also cause a strong-smelling urine and lower abdominal pain.

    • Treatment: UTIs are typically treated with antibiotics. Over-the-counter pain relievers and drinking plenty of water can help alleviate symptoms.
  • Bladder Stones: These are hard masses of minerals that can form in the bladder and cause pain, difficulty urinating, and blood in the urine.

    • Treatment: Treatment may involve medication to dissolve the stones, or procedures to break them up or remove them.
  • Interstitial Cystitis: This is a chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain. The pain ranges from mild discomfort to severe.

    • Treatment: There is no cure, but treatments can help relieve symptoms, including medications, physical therapy, and bladder training.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain, blood in the urine, and sometimes urinary blockage.

    • Treatment: Treatment may include pain relievers, drinking lots of water to help pass the stone, or medical procedures to remove or break up larger stones.

What you can do

While it's important to 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 your urinary system.
  2. Avoid Irritants: Avoid caffeine, alcohol, spicy foods, nicotine, and artificial sweeteners, which can irritate your bladder.
  3. Over-the-Counter Pain Relief: You can take over-the-counter pain relievers like ibuprofen or acetaminophen to help manage pain.
  4. Monitor Symptoms: Keep track of your symptoms, including any changes in the color or smell of your urine, and any pain or discomfort you experience.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Pain: If you experience severe pain in your lower abdomen or back.
  • High Fever: If you develop a high fever (over 100.4°F) or chills.
  • Inability to Urinate: If you are unable to urinate at all.
  • Worsening Symptoms: If your symptoms worsen or do not improve with home care.

Remember, I am not a doctor, and it is important to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


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

Common symptoms of a UTI include a burning sensation during urination, frequent urges to urinate, cloudy or strong-smelling urine, blood in the urine, and lower abdominal pain.


How can bladder stones affect urination?

Bladder stones can cause pain, difficulty urinating, a frequent need to urinate, and blood in the urine. They may also lead to urinary blockage, making it hard to fully empty the bladder.


What is interstitial cystitis and how is it managed?

Interstitial cystitis is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain. It is managed through a combination of medications, physical therapy, bladder training, and lifestyle changes to relieve symptoms.


What should I do if I suspect I have kidney stones?

If you suspect you have kidney stones, it's important to stay hydrated by drinking plenty of water, take pain relievers as needed, and consult a healthcare provider. They may recommend imaging tests to confirm the diagnosis and discuss treatment options, which could include medication or procedures to remove or break up the stones.

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