[41F] With abdominal pain and bloating post-UTI treatment

Patient Description

A 41-year-old female presents with sharp abdominal pain persisting for over a week, exacerbated by deep breaths and meals. The pain is rated 8/10, increasing to 10 with certain movements. The patient reports significant abdominal bloating and enlargement over the past two weeks. She was diagnosed with a urinary tract infection and has been on Macrobid 100mg every 12 hours for six days. Initially, symptoms worsened but have been improving, except after eating. The patient feels like she has a low-grade fever for the past two days but lacks a thermometer to confirm. No changes in stool, but urination has become lighter. No nausea, vomiting, jaundice, or significant heartburn, though mild heartburn occurred once. Recent weight gain and low energy levels are noted. The patient has a history of Hepatitis C, but recent tests showed no liver abnormalities. Kidney levels indicated stage 2, but no kidney disease is diagnosed. Chronic lower back pain due to lumbardosis has worsened since an ER visit. No known allergies except to sulfa medications.

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Arora's Assessment

What might be happening

Your symptoms could be related to several issues:

  1. Gastrointestinal Concerns: The sharp abdominal pain, especially after eating, and bloating could suggest gastritis or peptic ulcer disease. These conditions can cause discomfort and pain, particularly after meals.

  2. Urinary Tract Infection (UTI): While you're being treated for a UTI, the persistence of symptoms might indicate that the infection hasn't fully resolved or that there might be another underlying issue.

  3. Hepatitis C History: Although recent tests showed no liver abnormalities, it's important to monitor liver health, as Hepatitis C can sometimes cause abdominal discomfort.

  4. Kidney Function: The mention of stage 2 kidney levels without disease could still warrant monitoring, especially given your family history of kidney issues.

What you can do

For Abdominal Pain and Bloating:

  • Dietary Adjustments: Try eating smaller, more frequent meals and avoid foods that trigger discomfort, such as spicy or fatty foods.
  • Hydration: Drink plenty of water to help digestion and reduce bloating.
  • Over-the-Counter Relief: Consider antacids or medications like simethicone for gas relief, but consult your doctor first.

For UTI Management:

  • Complete Antibiotics: Ensure you finish the full course of Macrobid as prescribed.
  • Hydration: Drink plenty of fluids to help flush out the infection.

For Low Energy:

  • Rest: Continue to get adequate rest, but try gentle activities like walking to boost energy levels.
  • Nutrition: Eat a balanced diet rich in fruits, vegetables, and lean proteins to support your energy needs.

Symptom Tracking:

  • Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Worsening abdominal pain or new symptoms like vomiting or jaundice.
  • High fever or signs of infection not improving with antibiotics.
  • Difficulty breathing or severe back pain.

Remember, it's important to follow up with your healthcare provider to ensure proper management and diagnosis of your symptoms.

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2 mo ago

People Also Ask

What could be causing sharp abdominal pain that worsens after eating?

Sharp abdominal pain that worsens after eating could be due to conditions like gastritis or peptic ulcer disease, which cause irritation or ulcers in the stomach lining, leading to pain especially after meals.

How can I tell if my urinary tract infection is not fully resolved?

If your urinary tract infection is not fully resolved, you might continue to experience symptoms like pain during urination, frequent urges to urinate, or abdominal discomfort. If symptoms persist despite completing antibiotics, consult your doctor.

What dietary changes can help with abdominal bloating and pain?

To help with abdominal bloating and pain, try eating smaller, more frequent meals, avoid spicy or fatty foods, and stay hydrated. Over-the-counter medications like antacids or simethicone may also provide relief, but consult your doctor first.

How should I monitor my kidney function if I have stage 2 levels but no diagnosed disease?

Monitoring kidney function involves regular check-ups with your healthcare provider, who may recommend blood tests to assess kidney function and urine tests to check for protein or other abnormalities. Maintaining a healthy lifestyle with a balanced diet and adequate hydration is also important.

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