[39F] With hematuria, pain, and systemic symptoms
Patient Description
A 39-year-old female reports bright blood in her urine for about a week, sometimes with small clots, and experiences painful urination. She describes a sharp, burning pain that started suddenly and has worsened, with a severity of 7 out of 10. Additionally, she has a headache located at her temple, described as sharp and aching, with similar intensity. She experiences chills, sweating, and flushed cheeks, and feels nauseated but has not vomited. No changes in urinary habits, bowel movements, or menstrual cycle are noted. There are no recent injuries, infections, or changes in medication. She experienced a sharp stabbing pain in her lower back that resolved. No travel or exposure to new environments is reported. She has no history of kidney stones or chronic illnesses and is not currently taking any medications.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
-
Urinary Tract Infection (UTI): This is a common condition that can cause blood in the urine, painful urination, and sometimes back pain. UTIs can also lead to chills and fever.
- Treatment: Typically involves antibiotics prescribed by a doctor. Drinking plenty of water can help flush out the bacteria.
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Kidney Stones: These can cause blood in the urine, severe pain, and nausea. The pain often starts in the back and can move to the abdomen.
- Treatment: Depending on the size, treatment can range from drinking lots of water to help pass the stone to medical procedures.
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Bladder or Kidney Infection: These can cause similar symptoms to a UTI but may be more severe, with blood in the urine and back pain.
- Treatment: Requires antibiotics and sometimes additional medical intervention.
What you can do
- Stay Hydrated: Drink plenty of water to help flush out your urinary system.
- Pain Relief: Over-the-counter pain relievers like Aleve can help manage discomfort.
- Monitor Symptoms: Keep track of your symptoms using MDandMe to journal your experiences and share them with your healthcare provider.
- Seek Medical Attention: It's important to see a healthcare provider for a proper diagnosis and treatment plan.
What you should look out for
- Seek immediate medical attention if:
- You experience severe pain that doesn't go away.
- You develop a high fever or chills.
- You notice a significant increase in blood or clots in your urine.
Remember, it's important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.
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2 mo ago