[31F] Experiencing painful urination, back pain, and itchy skin
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, the most likely diagnoses include:
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Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain when passing through the urinary tract. Your symptoms of back and flank pain, frequent urination, and blood in the urine are common symptoms of kidney stones. The fact that you passed what you believe to be stones or blood clots in your urine also supports this diagnosis.
- Treatment often involves pain relievers and drinking lots of water to help flush the stones out of your system. In some cases, medical procedures may be necessary to remove or break up larger stones.
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Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs can cause painful urination and cloudy urine, both of which you've reported. However, you mentioned that you've been tested for infections and the results were negative, which makes this less likely.
- Treatment typically involves antibiotics to kill the bacteria causing the infection.
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Drug Reaction: Some medications can cause itchy skin or a rash. Cefdinir, one of the medications you're taking, is known to cause these side effects in some people.
- Treatment would involve stopping the medication and managing the symptoms. However, you should not stop taking your medication without first consulting your doctor.
Please note that while these are the most likely explanations based on your symptoms, they are not the only possibilities. Other conditions could also cause similar symptoms.
What you can do
- Continue to drink plenty of water to help flush out the kidney stones.
- Apply a moisturizer or over-the-counter hydrocortisone cream to your itchy skin to help relieve the itchiness.
- Avoid scratching your skin as much as possible to prevent further irritation or damage.
- Continue taking your medications as prescribed, but contact your doctor if you believe one of them might be causing your itchy skin.
What you should look out for
You should seek immediate medical attention if:
- Your pain becomes severe or unbearable.
- You develop a fever or chills, which could indicate an infection.
- You start to feel very sick or your symptoms worsen significantly.
- You are unable to pass urine or your urine becomes very dark or smelly.
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 accurate information.
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10 mo ago