[38F] Experiencing blood in urine, hip pain, and heart palpitations

Patient Description

A 38-year-old female presents with heavy bright red blood in the urine accompanied by large clots, and this symptom has been occurring for the past two days. The bleeding is noted only during urination and is particularly noticeable in the morning. She has not experienced this symptom before. The patient also reports sharp hip pain, which has been present since a car accident two years ago, causing her to feel crooked and experience significant discomfort. The pain is exacerbated by sleeping and feels like the bones are locked, leading to extreme pain. Additionally, she has been experiencing a racing heart for about a week, described as a stomach-dropping sensation similar to being on a roller coaster. This occurs more frequently in public and feels like a fight-or-flight response. She has a history of Restless Leg Syndrome and ADHD but is not currently on any medication due to lack of insurance. The patient also mentions a recent loss in the family, which has led to increased anxiety and stress. There is no known history of bleeding disorders or kidney diseases, but there is a significant family history of various cancers. No known drug allergies have been reported.

Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

Urinary Tract Infection (UTI): This is a common condition that can cause blood in the urine, discomfort in the kidney area, and a racing heart. UTIs are typically caused by bacteria and can be diagnosed with a urine test.
- Treatment usually involves antibiotics prescribed by a doctor.
Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause blood in the urine and pain in the back or side below the ribs.
- Treatment can range from pain medication and drinking lots of water to pass the stone, to medical procedures to remove or break up larger stones.
Bladder or Kidney Infections: These can cause symptoms similar to a UTI, but can also cause lower back pain and a fever.
- Treatment usually involves antibiotics prescribed by a doctor.
Anxiety: This can cause a racing heart, feelings of panic, and physical symptoms like stomach discomfort. It's common to feel increased anxiety after traumatic events, such as the loss of loved ones.
- Treatment can involve therapy, medication, and lifestyle changes.
Hip Pain: This could be due to your previous car accident. If your hip was injured in the accident, it could be causing the ongoing pain and feelings of misalignment.
- Treatment can involve physical therapy, pain medication, and in some cases, surgery.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis. It's important to consult with a healthcare provider for a formal diagnosis.

What you can do

Seek medical attention as soon as possible. The presence of blood in your urine, especially with clots, is a serious symptom that needs immediate evaluation.
Keep track of your symptoms. This can help your healthcare provider make a diagnosis.
Stay hydrated. This can help flush bacteria out of your urinary system and may help if you have kidney stones.
Seek support for your anxiety. This could be through a mental health professional, a support group, or trusted friends and family.

What you should look out for

You should seek immediate medical attention if you experience:

Severe pain
Fever
Difficulty urinating
Increased blood in your urine
Any new or worsening symptoms

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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1 yr ago

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