[25F] Experiencing urinary urgency and right kidney pain

Patient Description

A 25-year-old female presents with a one-week history of urinary urgency, with urination occurring every 2 hours. The urine flow varies between trickling and gushing. She fills a drug screening cup halfway each time. The patient has noticed blood in her urine and experienced right kidney pain at the onset of symptoms. Urine color is typically clear or light yellow but darkens with decreased fluid intake. There is no associated odor, fever, chills, lower abdominal pain, or burning sensation with urination. The patient has a history of Hepatitis C due to intravenous drug use but reports no complications or other symptoms. She has severe allergic reactions to Tramadol and Flexeril, with symptoms including throat closure, hives, and difficulty breathing. No other medications were reported. There is no history of previous urinary tract infections or family history of urinary conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely cause of your symptoms is a urinary tract infection (UTI). UTIs are infections that occur when bacteria enter the urinary tract. They can cause symptoms such as frequent urination, a strong urge to urinate, and discomfort during urination.

  • Urinary Tract Infection (UTI): This is a common condition, especially in women, and is often caused by bacteria entering the urinary tract. The symptoms can include frequent urination, a strong urge to urinate, and discomfort during urination.
    • Treatment typically involves antibiotics to clear the infection. It's important to take the full course of antibiotics, even if symptoms improve before the medication is finished.

Other possible causes include:

  • Overactive Bladder (OAB): This is a condition where the bladder can't hold urine normally. Symptoms can include a sudden urge to urinate, frequent urination, and nocturia (waking up from sleep to urinate).

    • Treatment can involve lifestyle changes, bladder training exercises, medications, or even surgery in severe cases.
  • 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 typically involves medications to help control symptoms and lifestyle changes.

Please remember that while these are possible causes, only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Make an appointment with a healthcare provider for an evaluation. They may need to perform a urine test to check for infection or other abnormalities.

  2. In the meantime, drink plenty of water to help flush out any bacteria that may be present in your urinary tract. Avoid drinks that may irritate your bladder, such as coffee, alcohol, and soft drinks containing citrus juices or caffeine.

  3. Over-the-counter pain relievers may help with discomfort. However, they won't treat the underlying cause of your symptoms.

What you should look out for

If you develop any of the following symptoms, seek medical attention immediately:

  • Severe pain in your lower back or side (this could indicate a kidney infection)
  • Blood in your urine
  • Fever or chills (these could be signs of a more serious infection)
  • Nausea or vomiting
  • If your symptoms worsen or do not improve after a few days

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


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

Common symptoms of a UTI include frequent urination, a strong urge to urinate, discomfort or pain during urination, cloudy or strong-smelling urine, and sometimes blood in the urine.


How is a urinary tract infection (UTI) typically treated?

A UTI is typically treated with antibiotics prescribed by a healthcare provider. It's important to complete the full course of antibiotics even if symptoms improve before finishing the medication.


What lifestyle changes can help manage an overactive bladder (OAB)?

Lifestyle changes for managing OAB include avoiding bladder irritants like caffeine and alcohol, practicing bladder training exercises, maintaining a healthy weight, and scheduling regular bathroom visits.


What should I do if I notice blood in my urine?

If you notice blood in your urine, it's important to consult a healthcare provider for evaluation. They may perform tests to determine the cause and recommend appropriate treatment.

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