[44F] Experiencing lower abdominal pain and frequent urination

Patient Description

A 44-year-old female presents with a 3-week history of constant lower abdominal pain, which varies in severity from a 3 to a 7 out of 10. The pain is described as a constant pressure and is somewhat alleviated by ibuprofen. The patient also experiences very frequent urination and has been diagnosed with incomplete bladder emptying. Additionally, she reports random and quick shooting pains down her right leg that started last night and intermittent lower back pain. She had a single episode of loose diarrhea yesterday, which she attributes to recent antibiotic use. Her medical history includes high cholesterol diagnosed 20 years ago and asthma diagnosed 10 years ago. Current medications include Lipitor, sertraline, and tamsulosin, with Valtrex and Albuterol used as needed. She has no known allergies to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Urinary Tract Infection (UTI): Your symptoms of lower abdominal pain, frequent urination, and incomplete emptying of the bladder could be indicative of a UTI. UTIs are common and can cause discomfort and changes in urination.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of fluids can also help flush bacteria out of your urinary system.
  • Interstitial Cystitis (IC): Also known as painful bladder syndrome, IC can cause chronic pain in the bladder and a frequent urge to urinate. The exact cause of IC isn't known, but it's thought to result from an inflammation of the bladder lining.

    • Treatment can involve medications, physical therapy, and lifestyle changes, such as dietary modifications.
  • Sciatica: The shooting pains down your right leg could be due to sciatica, a condition caused by irritation or compression of the sciatic nerve. This nerve runs from your lower back, through your hips and buttocks, and down each leg.

    • Treatment can include physical therapy, medications for pain relief, and in some cases, surgery.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to conduct further tests to determine the cause of your symptoms.
  2. In the meantime, continue to monitor your symptoms. Take note of any changes or new symptoms.
  3. Stay hydrated and maintain a balanced diet. This can help your body fight off potential infections and maintain overall health.
  4. Over-the-counter pain relievers, such as ibuprofen, can help manage your pain. However, it's important to use these medications as directed and not exceed the recommended dosage.

What you should look out for

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

  • Severe pain that doesn't improve with rest or over-the-counter medication
  • Blood in your urine
  • Fever or chills
  • Nausea or vomiting
  • Loss of bladder or bowel control

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare provider for an accurate 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 a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain in women.


How is interstitial cystitis (IC) different from a UTI?

Interstitial cystitis (IC) is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain, whereas a UTI is an infection caused by bacteria. IC does not typically involve an infection, and its exact cause is unknown, making it more challenging to treat.


What causes sciatica and how can it be treated?

Sciatica is caused by irritation or compression of the sciatic nerve, which can result from a herniated disk, bone spur on the spine, or narrowing of the spine. Treatment options include physical therapy, pain relief medications, and in severe cases, surgery.


Can antibiotics cause diarrhea and how should it be managed?

Yes, antibiotics can disrupt the normal balance of bacteria in the gut, leading to diarrhea. This can be managed by staying hydrated, eating a bland diet, and possibly taking probiotics to restore gut flora. If diarrhea is severe or persistent, it's important to consult a healthcare provider.


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