[29M] Experiencing frequent urination, stomach pain, and fatigue

Patient Description

A 29-year-old male reports frequent urination over the past 2 days, with an increased urgency to go and a decreased ability to hold urine, without an increase in fluid intake. Additionally, he has been experiencing a dull, uncomfortable stomach pain that moves from left to right for the past week, accompanied by stomach noises that resemble hunger growls, despite adequate food intake. The patient also feels tired but has no fever, chills, or changes in bowel movements, which remain normal. There is no recent history of new sexual partners or unprotected sex. The patient's medical history is unremarkable with no known chronic illnesses, allergies, or adverse reactions to medications. He is currently taking Lexapro and reports no other medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Urinary Tract Infection (UTI): This is a common condition that can cause frequent urination and stomach pain. UTIs are typically caused by bacteria and can be easily treated with antibiotics.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

    • Treatment of IBS typically involves long-term management of diet, lifestyle and stress. More-serious symptoms might benefit from medication and counseling.
  • Anxiety: Frequent urination and stomach noises can be symptoms of anxiety. You mentioned that you're currently taking Lexapro, which is often used to treat anxiety and depression. If your symptoms are due to anxiety, they may improve as you continue your treatment.

    • Treatment typically involves a combination of psychotherapy (counseling) and medication.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

  1. If you suspect a UTI, it's important to see a healthcare provider as soon as possible. They can confirm the diagnosis and prescribe antibiotics if necessary.
  2. If you suspect IBS, consider making dietary changes to see if your symptoms improve. This might involve eating high-fiber foods, drinking plenty of fluids, and avoiding caffeine.
  3. If you suspect anxiety, continue taking your Lexapro as prescribed and consider seeking additional support from a mental health professional.

What you should look out for

If your symptoms worsen or if you develop new symptoms such as fever, back pain, blood in your urine, or severe abdominal pain, you should seek medical attention immediately. These could be signs of a more serious condition.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


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

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain in women.


How can Irritable Bowel Syndrome (IBS) be managed effectively?

IBS can be managed through dietary changes, such as increasing fiber intake, avoiding trigger foods, and staying hydrated. Stress management techniques and regular exercise can also help. In some cases, medication and counseling may be necessary.


Can anxiety cause physical symptoms like frequent urination and stomach noises?

Yes, anxiety can manifest in physical symptoms such as frequent urination, stomach noises, and discomfort. These symptoms may improve with appropriate treatment for anxiety, including medication and therapy.


What should I do if my symptoms worsen or new symptoms develop?

If symptoms worsen or new symptoms like fever, back pain, blood in urine, or severe abdominal pain develop, it is important to seek medical attention immediately as these could indicate a more serious condition.


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