[39F] With frequent urination and pain during sex

Question

Could cancer be back

Patient Description

A 39-year-old female presents with frequent urination and pain during urination for the past three days. She feels a constant need to urinate, approximately 4-5 times during the day and night. The pain is described as dull, achy, and pressure-like, rated 8 out of 10 in severity. Additionally, she experiences lower back pain that feels like kidney pain, also present for three days. The patient reports achy muscle pain rated 6 out of 10, which worsens during sexual activity. She experiences achy and pressure-like pain in the vaginal area and lower abdomen during sex. The patient has a history of cervical and uterine cancer diagnosed in 2009 and kidney stones first diagnosed in 2008. She is allergic to baclinicin and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, there are a few possible conditions that could explain your symptoms:

  • Urinary Tract Infection (UTI): This is a common infection that affects the urinary system, including the bladder and urethra. Symptoms often include a frequent urge to urinate, pain or burning sensation during urination, and lower abdominal pain. Given your history of kidney stones, you might be more susceptible to UTIs.

    • Treatment: UTIs are typically treated with antibiotics. It is important to see a healthcare provider for a proper diagnosis and prescription.
  • Kidney Stones: Given your history of kidney stones, it's possible that you might be experiencing another episode. Kidney stones can cause severe pain in the lower back and abdomen, and can also lead to frequent urination and pain during urination.

    • Treatment: Treatment for kidney stones can vary depending on the size and type of stone. It can range from drinking plenty of water to help pass the stone, to medications, or even surgical procedures in more severe cases.
  • Interstitial Cystitis (IC): This is a chronic condition that causes bladder pressure, bladder pain, and sometimes pelvic pain. The pain ranges from mild discomfort to severe. IC can also cause frequent urination and pain during sex.

    • Treatment: Treatment options for IC include lifestyle changes, physical therapy, medications, and in some cases, surgery.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It can cause pain in the lower abdomen, pain during sex, and frequent urination. PID is often caused by sexually transmitted bacteria.

    • Treatment: PID is usually treated with antibiotics. Early treatment is important to prevent complications.

What you can do

While you should see a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of water to help flush out your urinary system.
  2. Avoid Irritants: Avoid caffeine, alcohol, spicy foods, and artificial sweeteners, as these can irritate your bladder.
  3. Practice Good Hygiene: Wipe from front to back after using the toilet to prevent bacteria from spreading.
  4. Over-the-Counter Pain Relief: You can take over-the-counter pain relievers like ibuprofen to help manage the pain.
  5. Avoid Sexual Activity: Until you see a healthcare provider, it might be best to avoid sexual activity to prevent further irritation and pain.

What you should look out for

Seek medical attention promptly if you experience any of the following:

  • Severe Pain: If the pain becomes unbearable or is accompanied by nausea and vomiting.
  • Fever and Chills: These could indicate a more serious infection.
  • Blood in Urine: This could be a sign of a more serious condition like kidney stones or a severe UTI.
  • Inability to Urinate: If you are unable to urinate or feel like you are not emptying your bladder completely.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a proper diagnosis and treatment plan.

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7 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, pain or burning sensation during urination, cloudy or strong-smelling urine, and lower abdominal pain. Some people may also experience fever or chills if the infection has spread to the kidneys.


How can kidney stones affect urination and cause pain?

Kidney stones can cause severe pain in the lower back and abdomen, and may lead to frequent urination and pain during urination. This occurs because the stones can block the flow of urine, causing pressure and irritation in the urinary tract.


What is interstitial cystitis and how is it treated?

Interstitial cystitis (IC) is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain. It can cause frequent urination and pain during sex. Treatment options include lifestyle changes, physical therapy, medications, and in some cases, surgery.


What are the potential complications of untreated pelvic inflammatory disease (PID)?

Untreated PID can lead to serious complications such as chronic pelvic pain, infertility, and ectopic pregnancy. It is important to seek treatment early to prevent these outcomes, typically involving antibiotics to clear the infection.


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1 Comments


Arora (Bot)#28060

7 mo ago

While your symptoms are more suggestive of conditions like a urinary tract infection, kidney stones, interstitial cystitis, or pelvic inflammatory disease, it's understandable to be concerned about the recurrence of cancer given your history. It is important to consult with a healthcare provider to rule out any serious conditions, including the possibility of cancer recurrence. They may recommend specific tests or imaging studies to provide a clear diagnosis.

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