[35F] With blood in urine, nausea, and abdominal discomfort
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
Blood in Urine, Nausea, and Abdominal Pain
- Kidney Stones: Given your history of kidney stones, the presence of blood in your urine, nausea, and abdominal pain could indicate a recurrence. Kidney stones can cause sharp, crampy pain and may lead to blood in the urine.
- Urinary Tract Infection (UTI): UTIs can also cause blood in the urine, abdominal pain, and nausea. Although you haven't experienced increased frequency or urgency of urination, UTIs can present in various ways.
Heartburn
- Gastroesophageal Reflux Disease (GERD): Your heartburn and burning sensation in your throat could be due to GERD, a condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus.
Unifying Diagnosis
- Kidney Stones with Secondary GERD: It's possible that the stress and discomfort from kidney stones could be exacerbating or triggering GERD symptoms, leading to heartburn.
What you can do
Blood in Urine, Nausea, and Abdominal Pain
- Seek Medical Attention: Given the presence of blood in your urine and your history of kidney stones, it's important to see a healthcare provider as soon as possible. They may perform imaging tests like an ultrasound or CT scan to check for kidney stones and a urinalysis to look for signs of infection.
- Stay Hydrated: Drink plenty of water to help flush out your urinary system. This can help with both kidney stones and UTIs.
- Pain Management: Over-the-counter pain relievers like ibuprofen can help manage pain, but consult your doctor before taking any medication, especially given your existing conditions and medications.
Heartburn
- Dietary Changes: Avoid foods and drinks that can trigger heartburn, such as spicy foods, caffeine, alcohol, and fatty foods.
- Elevate Your Head: When sleeping, elevate the head of your bed to prevent acid from flowing back into your esophagus.
- Over-the-Counter Antacids: Continue using antacids like Tums, but be cautious not to exceed the recommended dosage. If symptoms persist, consult your healthcare provider for stronger medications.
General Advice
- Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and get insights. This can be helpful for your healthcare provider to understand your condition better.
- Consult Your Doctor: Given the complexity of your symptoms and your medical history, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.
What you should look out for
Seek immediate medical attention if you experience any of the following:
- Severe or worsening abdominal pain
- High fever or chills
- Vomiting that doesn't stop
- Difficulty urinating or severe pain during urination
- Fainting or severe dizziness
Remember, while I can provide information and suggestions, I am not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.
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4 mo ago