[33F] Experiencing blood in urine and chronic constipation

Patient Description

A 33-year-old female has been experiencing light pink, cloudy urine with no pain for 2 days, alongside a few weeks of urinary urgency. Additionally, she has been dealing with severe constipation for over a year, with instances of not having a bowel movement for up to 34 days, requiring laxatives or stool softeners for relief. Her stools are described as hard, ball-shaped, and infrequent. She also reported a brief episode of abdominal pain that was tender to the touch, lasting for 2 days, about 5 days ago, along with recent fatigue and a slight weight gain, despite historically being under 100 lbs. The patient has a past medical history of gastritis, a severe tailbone fracture, and has had 5 full-term vaginal deliveries. She is currently on 12mg/day of Suboxone (8mg strips) for an unspecified condition and has allergies to pineapple, penicillin, and codeine. There is a family history suggestive of kidney stones and bladder infections.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possibilities:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs are more common in women, and they can cause symptoms like a strong urge to urinate, cloudy or strong-smelling urine, and even pink or red urine, which indicates blood.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water can help to flush bacteria out of your system.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause blood in the urine and a strong urge to urinate. Some stones are small enough to pass in the urine, but others may require medical intervention.

    • Treatment can range from pain management and drinking lots of water to help pass the stone, to medical procedures to remove or break up larger stones.
  • Chronic Constipation: This is infrequent bowel movements or difficult passage of stools that persists for several weeks or longer. It can be a symptom of a number of digestive disorders.

    • Treatment typically involves lifestyle changes such as increasing your intake of fiber and fluids, regular exercise, and possibly over-the-counter or prescription medications.

What you can do

  1. Drink plenty of water: This can help to flush out your urinary system and may help with your constipation.
  2. Eat a high-fiber diet: Foods high in fiber can help to alleviate constipation.
  3. Seek medical attention: Given the duration and severity of your symptoms, it would be best to consult a healthcare professional for a proper diagnosis and treatment.

What you should look out for

  • If you notice a significant increase in the amount of blood in your urine or if you start to pass blood clots
  • If your abdominal pain becomes severe or if you start to vomit
  • If your constipation worsens or if you notice blood in your stool

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.

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7 mo ago


People Also Ask


What could cause light pink, cloudy urine without pain?

Light pink, cloudy urine without pain could be caused by a urinary tract infection (UTI) or kidney stones. Both conditions can lead to blood in the urine, which may appear pink. It's important to consult a healthcare professional for a proper diagnosis.


How can chronic constipation be managed effectively?

Chronic constipation can be managed by increasing fiber and fluid intake, engaging in regular physical activity, and possibly using over-the-counter or prescription medications. It's important to consult a healthcare provider for personalized advice, especially if constipation is severe or persistent.


What are the symptoms and treatments for kidney stones?

Symptoms of kidney stones include severe pain in the back or side, blood in the urine, and a strong urge to urinate. Treatment can involve drinking plenty of water to help pass the stone, pain management, and in some cases, medical procedures to remove or break up larger stones.


How does a family history of kidney stones and bladder infections affect my health?

A family history of kidney stones and bladder infections can increase your risk of developing these conditions. It's important to stay hydrated, maintain a healthy diet, and consult with a healthcare provider for regular check-ups and personalized advice on prevention and management.

6 Comments


Madelyn#94

7 mo ago

One other thing I would suggest looking into because the constipation is so severe (i'm so sorry to hear you've been dealing with it btw!) is slow transit constipation associated with gastrointestinal nervous system issues. Not sure how to fix it but something to ask your doctor

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Madelyn#94

7 mo ago

This sounds most similar to a UTI. You've probably had one before, but if not, from my past experiences, they can be confirmed by a simple lab test and treated with antibiotics. The doctor's just gotta confirm you have one.

Also did you actually not poop in 34 days at one point? Did you have to go to the hospital to get that resolved??

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Madelyn#94

7 mo ago

If the tailbone is compressing the rectum, then it'd be a small surgery most likely. If it is slow transit constipation im not too sure

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Anonymous#7793

7 mo ago

Do you know what kind of treatment they would do for that?

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Anonymous#7793

7 mo ago

Yes i literally went 34 days without going and I was miserable. I had to take a laxative too be able to go and even then was very uncomfortable. Since January I have went a total of 12 times. Something is wrong. I have changed diets, I'm active, I just don't know what's causing this. I have a doctor's appointment coming up next week hopefully to get some answers. Also I do have a broken tailbone. Very bad break, the doc said I would end up growing another one because it's broke so bad, but this happened years ago. Like in 2017. Just wondering if maybe that could cause this pushing it another direction.

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Madelyn#94

7 mo ago

I guess its possible that your tailbone is compressing your rectum, which could cause a tendency to get "stool balls" at the end of your colon right before the anus. This can be diagnosed on CT and looks like this image here: https://prod-images-static.radiopaedia.org/images/51915378/e6337105f1a575ef581c67bd7c2323_gallery.jpeg

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