[25F] With hematuria, cough, and breathing difficulties
Patient Description
A 25-year-old female reports bright red blood in urine and when wiping for one day. Symptoms include a cough for three days, headaches, and sinus symptoms for two days, along with moderate breathing difficulties. The patient is on birth control (norethindrone) and not experiencing menstruation. She has a history of a bulging disc causing moderate to severe back pain. Urinary symptoms include increased frequency, urgency, and unusual odor, without pain or burning sensation. No fever or chills reported. Past medical history includes a disconnected aortic arch and two holes in the heart, with subclavian bypass surgeries in December 2021 and December 2022. Allergies include oxycodone and hydrocodone. Current medications: norethindrone, montelukast, pregabalin (150 mg twice daily), baclofen, vilazodone, celecoxib, and loratadine, taken twice daily.
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Arora's Assessment
What might be happening
Based on your symptoms and medical history, here are some possibilities:
-
Urinary Tract Infection (UTI):
- Blood in urine, increased frequency, urgency, and unusual odor could indicate a UTI. UTIs are common and can cause these symptoms. A urine test can confirm this, and antibiotics are typically prescribed.
-
Kidney Stones:
- Bright red blood in urine can also be a sign of kidney stones. These can cause pain and blood in the urine. Imaging tests like an ultrasound or CT scan can help diagnose this.
-
Respiratory Infection:
- Your cough, headache, and sinus symptoms might suggest a respiratory infection, such as a cold or sinusitis. These are usually viral and resolve on their own, but bacterial infections may require antibiotics.
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Medication Side Effects:
- Some medications can cause urinary symptoms or respiratory issues. It's important to review these with your doctor.
What you can do
For Blood in Urine:
- See a Doctor: It's important to see a healthcare provider to rule out serious conditions like kidney stones or infections.
- Stay Hydrated: Drink plenty of water to help flush out your urinary system.
For Respiratory Symptoms:
- Rest and Hydration: Ensure you get plenty of rest and stay hydrated.
- Over-the-Counter Relief: Consider using decongestants or saline nasal sprays for sinus relief.
For Back Pain:
- Pain Management: Continue with prescribed medications and consider physical therapy exercises if recommended by your doctor.
General Advice:
- Monitor Symptoms: Keep track of any changes or worsening of symptoms.
- Use MDandMe: Journal your symptoms and track progress to share with your healthcare provider.
What you should look out for
- Seek Immediate Care If:
- You experience severe pain, fever, or chills.
- You have difficulty breathing that worsens.
- You notice any new or worsening symptoms.
Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.
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7 mo ago
