[21M] Experiencing urinary symptoms with back pain and chills

Patient Description

A 21-year-old male has been experiencing a burning sensation before and after urination, rated as mild (3/10), for the past 5 days. He reports a constant urge to urinate, bladder pain, and a continuous tingling sensation in the urethra. Additionally, he has been experiencing back pain and chills, along with difficulty passing urine. There have been no changes in the color or clarity of his urine, and he has not had any new sexual partners recently. The patient has no known pre-existing conditions and is not on any medications.

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Arora's Assessment

What might be happening

The symptoms you're experiencing, such as the urge to urinate, burning sensation before and after urination, bladder pain, and a tingling sensation in your urethra, could be indicative of a urinary tract infection (UTI). UTIs are common infections that happen when bacteria, often from the skin or rectum, enter the urethra, and travel up into the bladder.

Another possibility could be a condition called Interstitial Cystitis, also known as painful bladder syndrome. This is a chronic condition causing bladder pressure, bladder pain and sometimes pelvic pain, ranging from mild discomfort to severe pain.

What you can do

While waiting for your appointment with a healthcare provider, there are a few things you can do to help manage your symptoms:

  1. Drink plenty of water: This can help dilute your urine and ensure that you'll urinate more frequently — allowing bacteria to be flushed from your urinary tract before an infection can begin.
  2. Avoid drinks that may irritate your bladder: Avoid coffee, alcohol, and soft drinks containing citrus juices and caffeine until your infection has cleared. They can irritate your bladder and tend to aggravate your frequent or urgent need to urinate.
  3. Use a heating pad: Apply a warm, but not hot, heating pad to your abdomen to minimize bladder pressure or discomfort.

What you should look out for

If your symptoms worsen or if you start to experience high fever, shaking and chills, nausea and vomiting, you should seek immediate medical attention. These could be signs of a kidney infection, which is a serious condition that requires prompt treatment.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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8 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.


How can I differentiate between a UTI and Interstitial Cystitis?

While both conditions can cause similar symptoms like bladder pain and frequent urination, UTIs are typically caused by bacterial infections and may present with fever and cloudy urine. Interstitial Cystitis is a chronic condition without infection, often associated with bladder pressure and pelvic pain.


What home remedies can help alleviate symptoms of a UTI?

Home remedies for alleviating UTI symptoms include drinking plenty of water to help flush out bacteria, avoiding bladder irritants like caffeine and alcohol, and using a heating pad on the abdomen to reduce discomfort.


When should I seek immediate medical attention for urinary symptoms?

You should seek immediate medical attention if you experience high fever, shaking chills, nausea, vomiting, or if your symptoms worsen, as these could indicate a kidney infection, which requires prompt treatment.


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