[43F] With blood in urine and vertigo

Patient Description

A 43-year-old female reports noticing small stringy red things in her urine for the past two days, occurring three times in total. This happened shortly after her menstrual period. The blood in the urine is described as stringy and reddish-pink. The patient denies any recent infections, flank pain, fever, recent weight loss, changes in appetite, severe abdominal pain, or changes in bowel movements. However, she has been experiencing vertigo. Additionally, the patient has small, itchy bumps on her wrists and foot. Her medical history includes anemia diagnosed at age 8. She is not currently taking any medications but has an adverse reaction to Vicodin, which makes her sick. No other allergies or medications reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Urinary Tract Infection (UTI): UTIs can cause blood in the urine and are more common in women. Although you haven't reported typical symptoms like burning during urination or frequent urination, it's still a possibility.

    • Treatment: UTIs are usually treated with antibiotics. A urine test can confirm the diagnosis.

  • Kidney Stones: Small stones can cause blood in the urine and sometimes pass without severe pain.

    • Treatment: Small stones often pass on their own, but larger stones may require medical intervention. Drinking plenty of water can help.

  • Menstrual Blood: Given that you just finished your period, it's possible that the blood you're seeing is residual menstrual blood.

    • Treatment: No specific treatment is needed if this is the case. Monitoring your symptoms is advisable.

  • Anemia-Related Issues: Anemia can sometimes cause unusual symptoms, although it's less likely to cause blood in the urine.

    • Treatment: Managing anemia typically involves iron supplements and dietary changes.

  • Dermatitis or Allergic Reaction: The small, itchy bumps on your wrists and foot could be a form of dermatitis or an allergic reaction.

    • Treatment: Over-the-counter antihistamines or hydrocortisone cream can help alleviate itching. Avoiding known irritants is also important.

What you can do

  1. Consult a Doctor: It's important to consult a healthcare provider to get a formal diagnosis and appropriate treatment. They may recommend a urine test or other diagnostic tests.
  2. Stay Hydrated: Drink plenty of water to help flush out your urinary system.
  3. Monitor Your Symptoms: Keep track of any changes in your symptoms, including the rash and vertigo.
  4. Over-the-Counter Remedies: For the rash, you can try over-the-counter antihistamines or hydrocortisone cream to relieve itching.

What you should look out for

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

  • Severe Pain: Especially in your back or sides, which could indicate kidney stones or a severe infection.
  • High Fever: A fever over 100.4°F could indicate an infection.
  • Persistent or Worsening Symptoms: If the blood in your urine continues or worsens, or if your rash spreads or becomes more severe.
  • New Symptoms: Such as difficulty breathing, swelling, or severe dizziness.

Remember, while this information can be helpful, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago

People Also Ask

What could cause stringy red things in urine after a menstrual period?

Stringy red things in urine after a menstrual period could be residual menstrual blood, which is not uncommon. However, it could also indicate a urinary tract infection or kidney stones, so it's important to consult a healthcare provider for a proper diagnosis.

Can vertigo be related to urinary symptoms or skin rashes?

Vertigo is typically not directly related to urinary symptoms or skin rashes. However, it can be a symptom of various conditions, including inner ear issues or neurological problems. It's important to discuss this with a healthcare provider to determine the underlying cause.

What are common treatments for small, itchy bumps on the skin?

Common treatments for small, itchy bumps on the skin include over-the-counter antihistamines to reduce itching and hydrocortisone cream to alleviate inflammation. It's also important to avoid known irritants that may be causing the reaction.

How can anemia affect other health conditions or symptoms?

Anemia can lead to symptoms like fatigue, weakness, and dizziness, and it may exacerbate other conditions by reducing the body's ability to transport oxygen efficiently. Managing anemia with iron supplements and dietary changes can help improve overall health and reduce related symptoms.

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