[29F] With frequent urination and bubbles in urine

Patient Description

A 29-year-old female reports experiencing frequent urination, approximately 9 to 15 times per day, for more than 2 years. The urgency to urinate is present, and she wakes up 3-4 times per night to urinate. Over the past two weeks, she has also noticed bubbles in her urine. She has taken antibiotics recently, which did not alleviate the bubbles. The patient reports recent fever, chills, and back pain but denies any pain or discomfort during urination, blood in the urine, nausea, or vomiting. She has experienced changes in appetite and weight recently. There is no history of kidney stones, urinary tract infections, diabetes, or high blood sugar levels. The patient has traveled recently to areas with different water sources or sanitation standards. Chronic medical history includes sinusitis, and there are no known allergies.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Urinary Tract Infection (UTI): Frequent urination, urgency, and bubbles in the urine can be signs of a UTI. Although you mentioned no pain during urination, UTIs can sometimes present without pain. The fever and chills you experienced could also be related to an infection.

    • Treatment: UTIs are typically treated with antibiotics. Since you have already taken antibiotics, it would be important to follow up with a healthcare provider to ensure the infection has been fully treated.
  • Interstitial Cystitis (IC): This is a chronic condition that causes bladder pressure, bladder pain, and sometimes pelvic pain. The symptoms can be similar to a UTI but without an infection.

    • Treatment: Management of IC often includes lifestyle changes, physical therapy, medications, and sometimes bladder instillations.
  • Diabetes: Frequent urination can be a symptom of diabetes, even if you have not been diagnosed with it before. The bubbles in your urine could be a sign of proteinuria, which can occur in diabetes.

    • Treatment: Diabetes is managed through lifestyle changes, medications, and monitoring blood sugar levels. A healthcare provider can perform tests to diagnose diabetes.
  • Kidney Issues: Bubbles in the urine can sometimes indicate the presence of protein, which can be a sign of kidney issues. The frequent urination and recent fever and chills could also be related to a kidney infection or other kidney problems.

    • Treatment: Kidney issues require medical evaluation and treatment, which may include medications, lifestyle changes, or other interventions.

What you can do

  1. Consult a Healthcare Provider: It is important to see a doctor to get a formal diagnosis and appropriate treatment. They may order tests such as a urinalysis, blood tests, or imaging studies to determine the cause of your symptoms.
  2. Stay Hydrated: Drink plenty of water to help flush out your urinary system.
  3. Avoid Irritants: Avoid foods and drinks that can irritate the bladder, such as caffeine, alcohol, spicy foods, and artificial sweeteners.
  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider. This can help in identifying patterns and triggers.
  5. Follow Up on Antibiotics: Since you have already taken antibiotics, make sure to follow up with your healthcare provider to ensure the infection has been fully treated and to discuss any ongoing symptoms.

What you should look out for

Seek medical attention more urgently if you experience:

  • Severe Pain: If you develop severe abdominal, back, or flank pain.
  • High Fever: If you have a high fever (temperature over 100.4°F) or persistent chills.
  • Blood in Urine: If you notice blood in your urine.
  • Worsening Symptoms: If your symptoms worsen or do not improve with treatment.

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

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6 mo ago

People Also Ask


What could cause frequent urination without pain?

Frequent urination without pain can be caused by several conditions, including diabetes, interstitial cystitis, or an overactive bladder. It can also be a result of increased fluid intake or certain medications.


Why might there be bubbles in my urine?

Bubbles in urine can be a sign of proteinuria, which may indicate kidney issues. It can also occur due to the presence of air in the urine or after urination with force. If persistent, it should be evaluated by a healthcare provider.


Can a urinary tract infection occur without pain during urination?

Yes, a urinary tract infection can sometimes occur without the typical symptom of pain during urination. Other symptoms like frequent urination, urgency, fever, or chills may still be present.


What are the potential signs of kidney issues?

Potential signs of kidney issues include bubbles in the urine (proteinuria), changes in urination patterns, back or flank pain, swelling in the extremities, and high blood pressure. If you experience these symptoms, it's important to consult a healthcare provider for evaluation.


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