[32F] Experiencing sharp pain during urination, light bleeding, and white tissue discharge

Patient Description

A 32-year-old female presents with symptoms starting last night, including a sharp pain during urination described as 'peeing glass', light bleeding, and a white, grainy tissue-like discharge. The patient also reports dull cramping pain in the lower abdomen, rated as a 4 out of 10 in severity, and back pain. Additionally, there is a rash near the eye. The patient has had a recent unprotected sexual encounter. No fever, foul-smelling urine, vaginal itching, severe abdominal pain, or heavy bleeding has been reported. The patient has no known drug allergies, no chronic illnesses, and is not currently on any medications.

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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:

  • Urinary Tract Infection (UTI): This is a common condition that can cause pain during urination, lower abdominal pain, and back pain. UTIs are often caused by bacteria and can be treated with antibiotics.
  • Sexually Transmitted Infection (STI): Given the recent unprotected sexual encounter, it's possible that you may have contracted an STI. Some STIs can cause symptoms similar to what you're experiencing, including pain during urination and abnormal discharge.
  • Vaginal Yeast Infection: This is a common condition that can cause white, grainy discharge. However, it usually also causes itching, which you did not report.

The rash near your eye may be unrelated to your other symptoms. It could be due to a variety of causes, such as an allergic reaction, dermatitis, or a skin infection.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms. They may want to perform some tests, such as a urine test or a swab of your vaginal discharge, to help determine the cause of your symptoms.
  2. In the meantime, drink plenty of water to help flush out your urinary tract and potentially alleviate some of your symptoms.
  3. Avoid sexual intercourse until you have been evaluated by a healthcare provider to prevent potentially spreading an STI to your partner.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal or back pain
  • High fever
  • Blood in your urine
  • Symptoms that worsen or do not improve within a few days

Please remember that while I strive to provide accurate information, I am not a doctor and this advice should not replace a consultation with a healthcare professional.

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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 sexually transmitted infections (STIs) be prevented?

STIs can be prevented by using condoms during sexual intercourse, limiting the number of sexual partners, getting tested regularly for STIs, and ensuring that both you and your partner are aware of each other's sexual health status.


What are the typical signs of a vaginal yeast infection?

Typical signs of a vaginal yeast infection include itching and irritation in the vagina and vulva, a burning sensation, especially during intercourse or while urinating, redness and swelling of the vulva, and a thick, white, odorless discharge that resembles cottage cheese.


What could cause a rash near the eye?

A rash near the eye could be caused by an allergic reaction, contact dermatitis, a skin infection, or conditions like eczema or psoriasis. It is important to consult a healthcare provider for an accurate diagnosis.


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