[28F] Experiencing urinary urgency, abdominal and back pain

Patient Description

A 28-year-old female presents with symptoms of constant urination, abdominal pain, pressure on the bladder, and pain in the lower back and sides. These symptoms have been persistent for 3-4 days. The patient experiences urinary urgency, with a sensation of incomplete bladder emptying, and has to urinate sometimes twice within an hour. The pain is described as sharp, occurring in waves, and is rated 8 out of 10 in severity. The patient also reports sharp vaginal pains and a sensation of swelling, which sometimes improve after sexual intercourse. There is no reported blood in the urine, severe flank pain, shaking chills, nausea, vomiting, or unusual vaginal discharge or odor. The patient is sexually active, does not use protection, and has no new partners. There is no known family history of kidney stones or other urinary conditions, no known drug allergies, and the patient is not on any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Urinary Tract Infection (UTI): This is a common condition where bacteria enter the urinary tract, causing symptoms such as frequent urination, discomfort or pressure in the lower abdomen, and lower back pain. UTIs can also cause a feeling of incomplete bladder emptying. They are more common in sexually active women and can sometimes cause pain in the vaginal area.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Interstitial Cystitis: This is a chronic condition characterized by bladder pressure, bladder pain and sometimes pelvic pain, ranging from mild discomfort to severe pain. The symptoms of interstitial cystitis may vary from person to person and may even vary in the same person over time.

    • Treatment typically involves lifestyle changes, physical therapy, and medications prescribed by a doctor.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the back, side, abdomen, groin, or genitals, and can also cause frequent urination and a feeling of incomplete bladder emptying.

    • Treatment can range from pain management and drinking lots of water to help pass the stone, to medical procedures to remove or break up larger stones.

What you can do

You should definitely seek medical attention for your symptoms. In the meantime, here are some things you can do:

  1. Drink plenty of water: This can help flush bacteria out of your urinary system.
  2. Avoid drinks that may irritate your bladder: Coffee, alcohol, and soft drinks containing citrus juices or caffeine may exacerbate your symptoms.
  3. Use a heating pad: Applying a heating pad to your lower abdomen can help reduce bladder pressure and relieve pain.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve within 24 hours
  • You develop a fever, shaking chills, or severe nausea and vomiting
  • You notice blood in your urine
  • You experience severe pain that prevents you from going about your daily activities

Please remember that while I strive to provide accurate information, I am an AI and cannot replace a consultation with a healthcare professional. It's important that you see a doctor to get a proper diagnosis and treatment.

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10 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, a burning sensation when urinating, cloudy or strong-smelling urine, and pelvic pain, especially in women.


How can interstitial cystitis be managed or treated?

Interstitial cystitis can be managed with lifestyle changes such as avoiding bladder irritants, physical therapy, and medications. In some cases, bladder instillations or surgery may be recommended.


What are the signs that a kidney stone might be present?

Signs of a kidney stone include severe pain in the back, side, abdomen, groin, or genitals, frequent urination, a feeling of incomplete bladder emptying, and sometimes blood in the urine.


When should I seek immediate medical attention for urinary symptoms?

You should seek immediate medical attention if your symptoms worsen or do not improve within 24 hours, if you develop a fever, shaking chills, severe nausea and vomiting, notice blood in your urine, or experience severe pain that prevents you from going about your daily activities.


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