[29F] With left side pain and urinary pressure during pregnancy

Patient Description

A 29-year-old female, currently 21 weeks pregnant, reports experiencing dull pain on the left side near her back for the past three days. The pain is accompanied by a feeling of pressure, particularly when urinating. The patient notes increased frequency of urination, typically with only a small amount each time. There is no fever, chills, or blood in the urine. Mild nausea is present, but there are no significant changes in bowel movements. The patient's medical history includes kidney stones approximately 10 years ago and arthritis diagnosed three years ago. Current medications include prenatal vitamins taken nightly and Tylenol 500 mg as needed, though not daily. The patient acknowledges not drinking as much water as recommended. No known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possibilities:

  • Urinary Tract Infection (UTI): This is common during pregnancy and can cause pressure, frequent urination, and discomfort. UTIs are typically treated with antibiotics that are safe during pregnancy.

  • Kidney Stones: Given your history, kidney stones could be causing the pain and pressure. They can sometimes recur and may require imaging tests for diagnosis. Treatment can include pain management and increased fluid intake.

  • Pregnancy-Related Changes: As your pregnancy progresses, the growing uterus can put pressure on your bladder and other organs, leading to similar symptoms.

What you can do

  • Stay Hydrated: Increase your water intake to help flush out your urinary system and potentially ease symptoms.

  • Monitor Symptoms: Keep track of your symptoms using MDandMe to journal your experiences, track progress, and share insights with your healthcare provider.

  • Consult Your Doctor: It's important to see your healthcare provider to rule out a UTI or other issues, especially during pregnancy.

What you should look out for

Seek medical attention if you experience:

  • Severe pain or worsening symptoms
  • Fever or chills
  • Blood in your urine
  • Any concerns about your pregnancy

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.

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4 mo ago

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People Also Ask

What are the common symptoms of a urinary tract infection (UTI) during pregnancy?

Common symptoms of a UTI during pregnancy include frequent urination, a burning sensation when urinating, cloudy or strong-smelling urine, and pelvic pain. It's important to treat UTIs promptly to avoid complications.

How can kidney stones affect pregnancy, and what are the symptoms?

Kidney stones can cause severe pain, blood in the urine, and nausea. During pregnancy, they may also lead to urinary tract infections or preterm labor. Diagnosis often involves imaging tests, and treatment focuses on pain management and hydration.

What are some ways to increase water intake during pregnancy?

To increase water intake during pregnancy, try carrying a water bottle, setting reminders to drink water, consuming water-rich foods like fruits and vegetables, and flavoring water with lemon or cucumber for variety.

When should a pregnant woman seek medical attention for urinary symptoms?

A pregnant woman should seek medical attention for urinary symptoms if she experiences severe pain, fever, chills, blood in the urine, or if symptoms persist despite increased hydration. These could indicate a more serious condition requiring medical intervention.

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