[21F] Experiencing dysuria with hematuria and lower back pain

Patient Description

A 21-year-old female presents with a 2-day history of painful urination (dysuria), characterized by pain at the onset, during, and after urination. She reports a persistent urge to urinate, even after voiding, and describes her urine as bright orange/red, which may indicate hematuria. The patient also notes a similarly colored vaginal discharge. Additionally, she experiences itchiness in the vaginal area, which is particularly bothersome during bathroom use, and has not tried any remedies. The patient mentions mild lower back and side pain. She denies any new sexual partners and did not use protection with her current partner. There is no history of similar symptoms, and she has not been around anyone with comparable issues. The patient is not pregnant and has not experienced any fever or chills.

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Arora's Assessment

What might be happening

Based on the information you've provided, you might be experiencing one of the following conditions:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are more common in women than men. They can occur at any age but are more common in people who are sexually active, pregnant, or menopausal. The symptoms you've described, such as pain during urination, burning sensation, and discolored urine, are common symptoms of a UTI.

    • Treatment typically involves antibiotics prescribed by a healthcare professional.
  • Sexually Transmitted Infection (STI): Certain STIs, such as chlamydia or gonorrhea, can cause symptoms similar to those you're experiencing. These infections are spread through sexual contact.

    • Treatment typically involves antibiotics. Both you and your partner would need to be treated to prevent reinfection.
  • Vaginal Yeast Infection: This is a fungal infection that causes irritation, discharge, and intense itchiness of the vagina and the vulva. It's not considered a sexually transmitted infection, but the risk of developing a yeast infection may increase with sexual activity.

    • Treatment typically involves antifungal medication, which can be either over-the-counter or prescription.

What you can do

You should seek medical attention to get a proper diagnosis. In the meantime, here are some things you can do to help alleviate your symptoms:

  • Drink plenty of water to help dilute your urine and ensure you urinate more frequently. This can help flush bacteria out of your urinary system.
  • Avoid drinks that might irritate your bladder, such as coffee, alcohol, and soft drinks containing citrus juices or caffeine.
  • Use a heating pad to help manage any pain in your lower back or side.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms persist or worsen
  • You develop a fever
  • You experience severe pain in your back or side
  • You notice blood in your urine

Please remember that while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


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

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain in women.


Can a sexually transmitted infection (STI) cause symptoms similar to a UTI?

Yes, certain STIs like chlamydia and gonorrhea can cause symptoms similar to a UTI, such as painful urination and unusual discharge. It's important to get tested to determine the exact cause.


What are the signs of a vaginal yeast infection?

Signs of a vaginal yeast infection include intense itchiness in the vaginal area, a thick, white vaginal discharge that resembles cottage cheese, redness and swelling of the vulva, and a burning sensation, especially during intercourse or urination.


How can I alleviate the symptoms of a UTI at home before seeing a doctor?

To alleviate UTI symptoms at home, drink plenty of water to help flush out bacteria, avoid irritants like caffeine and alcohol, and use a heating pad on your abdomen to ease discomfort. However, it's important to see a doctor for proper diagnosis and treatment.


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