[34F] With urinary urgency and discomfort

Patient Description

A 34-year-old female has been experiencing a frequent urge to urinate for about 2 to 2.5 weeks, starting after her last menstrual period. She often feels unable to completely empty her bladder, passing only small amounts of urine. The urine has a stronger smell and darker color, likely due to low fluid intake. She noticed mucus-like discharge and occasional blood in her urine. Discomfort is present in the lower abdomen and lower back, and she feels unwell, similar to having a cold or flu. Menstrual cycles have been irregular, but this is not new for her. No burning sensation while urinating, but discomfort from incomplete emptying is noted. She has a history of urinary tract infections, no known allergies or chronic illnesses, and recently bought women's urinary vitamins but hasn't started them yet.

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Arora's Assessment

What might be happening

Based on your symptoms, a possible explanation could be:

  • Urinary Tract Infection (UTI): This is a common condition where bacteria infect the urinary system. Symptoms often include a frequent urge to urinate, discomfort in the lower abdomen, and changes in urine color or smell. Blood in the urine and back pain can also occur.

    • Treatment: UTIs are typically treated with antibiotics prescribed by a healthcare provider. It's important to drink plenty of fluids to help flush out the bacteria.
  • Dehydration: Not drinking enough fluids can lead to concentrated urine, which may cause a stronger smell and darker color.

    • Treatment: Increase your fluid intake, especially water, to help dilute your urine and stay hydrated.
  • Bladder or Kidney Issues: Persistent symptoms like yours could indicate a more serious condition affecting the bladder or kidneys.

    • Treatment: A healthcare provider may recommend tests such as a urine analysis or imaging studies to determine the cause.

What you can do

  1. Stay Hydrated: Try to drink more water throughout the day. If you find water too plain, consider adding a slice of lemon or trying flavored water.
  2. Seek Medical Attention: It's important to see a healthcare provider to get a proper diagnosis and treatment, especially since you've noticed blood in your urine.
  3. Track Symptoms: Use MDandMe to journal your symptoms, track your fluid intake, and note any changes. This information can be helpful for your healthcare provider.

What you should look out for

  • Worsening Symptoms: If you experience increased pain, fever, or chills, seek medical attention promptly.
  • Persistent Blood in Urine: This should be evaluated by a healthcare provider as soon as possible.
  • Inability to Urinate: If you find it increasingly difficult to urinate, seek immediate medical care.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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4 mo ago

People Also Ask


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

Common symptoms of a UTI include a frequent urge to urinate, discomfort or pain in the lower abdomen, a burning sensation when urinating, cloudy or strong-smelling urine, and sometimes blood in the urine. Back pain and feeling unwell can also occur.


How can dehydration affect urine color and smell?

Dehydration can lead to concentrated urine, which often appears darker in color and has a stronger smell. This is because there is less water to dilute the waste products in the urine.


What should I do if I notice blood in my urine?

If you notice blood in your urine, it's important to seek medical attention promptly. Blood in the urine can be a sign of a UTI or other more serious conditions affecting the urinary tract.


How can I prevent urinary tract infections in the future?

To prevent UTIs, drink plenty of fluids, urinate regularly, and ensure proper hygiene. Cranberry products and probiotics may also help reduce the risk. It's important to consult with a healthcare provider for personalized advice.


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