[29F] With hip pain and cloudy urine

Patient Description

A 29-year-old female presents with constant, dull, and tender right hip pain for the past 6 weeks. The pain is exacerbated by leaning to the left or stretching the legs straight out. There was no injury associated with the onset of pain. Additionally, the patient reports cloudy urine with clear particles and a slightly milky appearance for the same duration. There is no pain or burning sensation while urinating, no urgency, and no noticeable blood in the urine. The patient has experienced some back pain and was initially suspected to have a kidney infection, but bloodwork and a CT scan were normal. A possible bladder infection is being investigated with an upcoming x-ray and urine sample. The patient also felt something snap on the lower right side when moving quickly twice since the pain started. No nausea, vomiting, recent travel, or changes in the menstrual cycle, which is regular. Past medical history includes being HPV positive. No other chronic conditions or medications reported.

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Arora's Assessment

What might be happening

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

Hip Pain and Tenderness

  • Infection: Given that your CT scan suggested a possible infection, this could be a significant cause of your hip pain. Infections can cause inflammation and tenderness in the affected area.
  • Musculoskeletal Issues: Conditions like bursitis, tendinitis, or muscle strain could also cause hip pain, especially if the pain is aggravated by certain movements.
  • Referred Pain: Sometimes, pain in the hip area can be referred from other areas, such as the lower back or abdomen.

Cloudy Urine

  • Bladder Infection: The cloudy urine and the particles you described could be due to a bladder infection, which aligns with your doctor's suspicion.
  • Kidney Issues: Although your CT scan and bloodwork were fine, kidney issues can sometimes present with similar symptoms, including back pain and cloudy urine.

Unifying Diagnosis

  • Infection: An infection in the urinary tract or bladder could potentially explain both your hip pain and cloudy urine. The infection could cause referred pain to the hip area and also affect the clarity of your urine.

What you can do

For Hip Pain and Tenderness

  • Follow-Up Tests: Since your doctor has recommended an x-ray of your bladder and another urine sample, it's crucial to follow through with these tests to get a clearer diagnosis.
  • Pain Management: Over-the-counter pain relievers like ibuprofen (Advil) or acetaminophen (Tylenol) can help manage the pain. Always follow the dosage instructions.
  • Rest and Avoid Aggravating Activities: Try to avoid movements that worsen the pain, such as leaning too far to the left or stretching your legs straight out.

For Cloudy Urine

  • Hydration: Drink plenty of water to help flush out any potential infection and keep your urinary tract healthy.
  • Follow Medical Advice: Continue to follow your doctor's recommendations and complete any prescribed treatments.

General Tips

  • Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider. This can help in monitoring any changes and making informed decisions about your care.

What you should look out for

Given the potential seriousness of an infection, you should seek medical care if you experience any of the following:

  • Fever or Chills: These could indicate that an infection is worsening.
  • Severe Pain: If your hip pain becomes severe or unbearable.
  • Blood in Urine: Any noticeable blood in your urine should be evaluated immediately.
  • Difficulty Urinating: Any new issues with urination, such as pain, burning, or difficulty starting, should be reported to your doctor.

Remember, while I can provide information and suggestions, it's essential to consult with your healthcare provider for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to continue the conversation.

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6 mo ago

People Also Ask


What could be causing my hip pain if there was no injury?

Hip pain without an injury could be due to several factors, including infections, musculoskeletal issues like bursitis or tendinitis, or referred pain from other areas such as the lower back or abdomen.


Why is my urine cloudy with particles, and should I be concerned?

Cloudy urine with particles can be a sign of a bladder infection or other urinary tract issues. It's important to follow up with your doctor for further testing to determine the cause and appropriate treatment.


Can a bladder infection cause hip pain?

Yes, a bladder infection can potentially cause referred pain to the hip area. Infections can lead to inflammation and discomfort in nearby regions.


What should I do if I feel something snap in my hip area again?

If you feel something snap in your hip area again, it's important to rest and avoid movements that exacerbate the pain. Consult your healthcare provider to rule out any serious underlying conditions and to receive appropriate care.


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