[26F] With painful urination, lower abdominal pain, and back pain

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Urinary Tract Infection (UTI):

   • Rationale: Painful urination, lower abdominal pain, and back pain are classic symptoms of a UTI. Even though your culture was negative, sometimes infections can be missed or caused by less common bacteria.
   • Typical Treatments: Antibiotics like Macrobid (which you are already taking) are commonly prescribed. If symptoms persist, a different antibiotic or further testing might be needed.

2. Yeast Infection (Candidiasis):

   • Rationale: The white, thick discharge with an odor, along with itching and irritation, are typical signs of a yeast infection.
   • Typical Treatments: Antifungal medications, either oral or topical, are usually effective. Over-the-counter options like Monistat are available, but a prescription-strength medication might be necessary.

3. Pelvic Inflammatory Disease (PID):

   • Rationale: Lower abdominal pain and unusual discharge can also be symptoms of PID, which is an infection of the female reproductive organs.
   • Typical Treatments: Antibiotics are required to treat PID. It's important to follow up with a healthcare provider for a proper diagnosis and treatment plan.

What you can do

For Urinary Tract Infection (UTI):

• Continue taking Macrobid: Ensure you complete the full course of antibiotics as prescribed.
• Stay Hydrated: Drink plenty of water to help flush out the bacteria.
• Avoid Irritants: Avoid caffeine, alcohol, and spicy foods, which can irritate your bladder.

For Yeast Infection:

• Over-the-Counter Antifungals: Consider using an over-the-counter antifungal cream or suppository like Monistat.
• Wear Breathable Clothing: Opt for cotton underwear and avoid tight-fitting clothes to reduce moisture and irritation.
• Maintain Good Hygiene: Keep the vaginal area clean and dry.

For Pelvic Inflammatory Disease (PID):

• Seek Medical Attention: It's important to consult a healthcare provider for a proper diagnosis and treatment plan.
• Complete Antibiotic Course: If diagnosed with PID, ensure you complete the full course of antibiotics.

General Tips:

• Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider.
• Rest: Ensure you get plenty of rest to help your body recover.
• Pain Relief: Over-the-counter pain relievers like ibuprofen can help manage pain.

What you should look out for

Given the severity and persistence of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Fever or Chills: These could indicate a more serious infection.
• Severe Pain: If your pain becomes severe or unmanageable.
• Blood in Urine: This could be a sign of a more serious condition.
• Worsening Symptoms: If your symptoms do not improve or worsen despite treatment.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.