[38F] Experiencing urinary changes and pelvic discomfort post-hysterectomy

Patient Description

A 38-year-old female presents with a 3-day history of cloudy, dark, and strong-smelling urine, accompanied by increased frequency of urination. She reports concurrent low back and lower abdominal pain, as well as fatigue. The patient also notes occasional minor itching of the vulva, which is relieved by maintaining cleanliness. She has not noticed any specific triggers for the cloudy urine, which persists throughout the day. She denies any recent changes in medications, diet, or sexual activity. The patient's medical history includes a total hysterectomy performed 8 weeks prior. She has no known drug allergies and her current medications include Concerta, Venlafaxine, a multivitamin, and vitamin D. No other medications or new symptoms were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possible conditions:

  • Urinary Tract Infection (UTI): This is a common condition that can cause cloudy, strong-smelling urine, lower back and abdominal pain, and an increased urge to urinate. UTIs occur when bacteria enter the urinary tract, often through the urethra, and begin to multiply in the bladder.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Kidney Infection: This is a type of urinary tract infection that generally starts in your urethra or bladder and travels up into your kidneys. Symptoms can include back pain, abdominal pain, frequent urination, strong-smelling urine, and fatigue.

    • Treatment typically involves antibiotics. In severe cases, hospitalization may be necessary.
  • Vaginal Yeast Infection: This is a fungal infection that causes irritation, discharge, and intense itchiness of the vagina and the vulva. It can sometimes cause changes in urine due to inflammation of the urethra.

    • Treatment typically involves antifungal medications, which can be either oral or topical.

What you can do

  1. Seek medical attention: Given your symptoms, it's important to consult with a healthcare professional who can provide a proper diagnosis and treatment plan.

  2. Stay hydrated: Drinking plenty of water can help dilute your urine and help you urinate more frequently, flushing bacteria out of your urinary tract.

  3. Avoid irritants: Until you can see a doctor, avoid products that might irritate your genital area, such as harsh soaps, bubble baths, or feminine sprays.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • High fever
  • Severe pain in your back or side, below your ribs
  • Nausea and vomiting
  • Blood in your urine
  • Discharge from your vagina

Please remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional for a proper diagnosis and treatment.

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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 cloudy or strong-smelling urine, a frequent urge to urinate, burning sensation during urination, and lower abdominal or back pain.


How can a kidney infection be distinguished from a regular UTI?

A kidney infection, which is a more severe form of UTI, often includes symptoms like high fever, chills, nausea, vomiting, and severe back or side pain, in addition to the typical UTI symptoms.


What are the typical treatments for a vaginal yeast infection?

Typical treatments for a vaginal yeast infection include antifungal medications, which can be administered orally or applied topically as creams or suppositories.


What lifestyle changes can help prevent urinary tract infections?

To help prevent UTIs, it's recommended to stay hydrated, urinate frequently, wipe from front to back after using the toilet, and avoid irritants like harsh soaps or douches.


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