[32F] Experiencing hematuria, joint pain, and systemic symptoms

What might be happening

Based on the information you've provided, possible diagnoses include:

• Urinary Tract Infection (UTI): Despite the hospital's initial assessment, your symptoms of painful urination, blood in urine, and dark, smelly urine could still indicate a UTI. UTIs can sometimes be missed on initial testing.

  • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water can also help flush bacteria out of your urinary system.

• Sexually Transmitted Infection (STI): Given your recent unprotected sexual activity, some STIs can cause urinary symptoms and joint pain. For example, gonorrhea and chlamydia can cause these symptoms.

  • Treatment typically involves antibiotics. It's also important to notify any sexual partners so they can get tested and treated if necessary.

• Kidney Stones: These can cause blood in the urine, back and abdominal pain, and sometimes fever. However, they don't typically cause joint pain.

  • Treatment can range from pain management and drinking lots of water to medical procedures.

• Systemic Lupus Erythematosus (SLE): This is an autoimmune disease that can cause a wide range of symptoms, including joint pain, blood in urine, and confusion. However, it would be unusual for SLE to present this acutely.

  • Treatment typically involves managing symptoms and preventing flare-ups with medication.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis.

What you can do

Since you're experiencing multiple symptoms, it's important to seek medical attention. Here are some steps you can take:

1. Consult a healthcare professional: They can conduct a thorough examination and order appropriate tests to determine the cause of your symptoms.

2. Stay hydrated: This can help with your urinary symptoms and general wellbeing.

3. Rest: This can help your body recover and may alleviate some of your symptoms.

4. Over-the-counter pain relief: Non-prescription pain relievers may help with your joint pain and headache. However, always follow the instructions on the package.

What you should look out for

Seek immediate medical attention if:

• Your symptoms worsen or you develop new symptoms
• You experience severe abdominal or back pain
• You have a high fever or your confusion worsens
• You have difficulty urinating or the blood in your urine increases

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.