[24F] With burning urination and cramps

Patient Description

A 24-year-old female reports experiencing a burning sensation during urination and itching around the vulva for approximately two weeks. The burning is present all day and occurs when urinating, having started gradually. She also experiences cramps and lower back pain associated with the cramps. There is a watery discharge, but no fever, chills, changes in urine color or smell, increased frequency or urgency to urinate, or pain during intercourse. The patient is sexually active but has not been tested for sexually transmitted infections recently. She has not used any new personal care products or detergents. She has a history of urinary tract infections and asthma, diagnosed in childhood. There are no known allergies, and she is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Urinary Tract Infection (UTI): This is a common condition that can cause burning during urination, cramps, and lower back pain. UTIs are often treated with antibiotics prescribed by a doctor.

  • Vaginal Infection: Conditions like yeast infections or bacterial vaginosis can cause itching and discharge. These are usually treated with antifungal or antibiotic medications.

  • Sexually Transmitted Infection (STI): Some STIs can cause similar symptoms. It's important to get tested to rule this out.

What you can do

  • Consult a Healthcare Provider: It's important to see a doctor for a proper diagnosis and treatment plan.

  • Stay Hydrated: Drinking plenty of water can help flush out bacteria if it's a UTI.

  • Avoid Irritants: Use gentle, unscented products around the genital area.

  • Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share notes with your provider.

What you should look out for

  • Seek Immediate Care If:
    • You develop a fever or chills.
    • You notice blood in your urine.
    • Your symptoms worsen or don't improve with treatment.

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment.

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3 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 urge to urinate, cloudy or strong-smelling urine, pelvic pain, and sometimes lower back pain.


How can I differentiate between a yeast infection and bacterial vaginosis?

Yeast infections typically cause intense itching, thick white discharge, and redness, while bacterial vaginosis often results in a thin, grayish discharge with a fishy odor. A healthcare provider can perform tests to accurately diagnose the condition.


What are the risks of not treating a sexually transmitted infection (STI) promptly?

Untreated STIs can lead to serious health complications, including pelvic inflammatory disease, infertility, and increased risk of acquiring other STIs. Early treatment can prevent these outcomes.


What lifestyle changes can help prevent urinary tract infections?

To help prevent UTIs, drink plenty of water, urinate frequently, wipe from front to back, avoid irritating feminine products, and urinate after sexual intercourse.


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