[45M] With cloudy urine and urinary discomfort

Patient Description

A 45-year-old male presents with cloudy urine accompanied by a slight aroma and a burning sensation during urination, persisting for the past one to two months. The cloudiness varies with fluid intake, which predominantly includes soda, coffee, and juice, with inconsistent water consumption. The patient reports increased back pain since the onset of these symptoms, along with episodes of fever and chills. There is no presence of blood in the urine, and the patient denies experiencing nausea or vomiting. The patient has a history of kidney stones, last occurring approximately 18-19 months ago, treated with medication. Additionally, the patient has chronic bronchitis, diagnosed at age 16, and allergies to sage and bees. About a year ago, the patient experienced a significant infection in the right testicle, which was treated with antibiotics. Current medications include occasional ibuprofen and a men's supplement. No recent travel or changes related to sexual activity have been reported.

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Arora's Assessment

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations:

  1. Urinary Tract Infection (UTI): The burning sensation during urination, cloudy urine, and fever could indicate a UTI. UTIs are common and can cause discomfort and changes in urine appearance and smell. They are typically treated with antibiotics prescribed by a healthcare provider.

  2. Kidney Stones: Given your history of kidney stones, it's possible that you might be experiencing another episode. Kidney stones can cause back pain, cloudy urine, and sometimes fever if an infection is present. Treatment may involve pain management, increased fluid intake, and sometimes medication to help pass the stone.

  3. Prostatitis or Epididymitis: The previous infection in your testicle and the current symptoms could suggest inflammation or infection of the prostate or epididymis. This can cause urinary symptoms, fever, and back pain. Treatment usually involves antibiotics and anti-inflammatory medications.

  4. Dehydration or Dietary Factors: Your fluid intake, particularly with high amounts of soda, coffee, and juice, can affect urine appearance and odor. Increasing water intake can help dilute urine and reduce cloudiness.

What you can do

  1. Increase Water Intake: Try to drink more water throughout the day to help flush out your urinary system and reduce cloudiness in your urine.

  2. Monitor Symptoms: Keep track of your symptoms, including any changes in urine appearance, pain levels, and any new symptoms. Using MDandMe to journal these can help you and your healthcare provider understand your condition better.

  3. Seek Medical Attention: Given the presence of fever, back pain, and your history of kidney stones and testicular infection, it's important to consult a healthcare provider. They can perform tests, such as a urine analysis or imaging, to determine the cause and appropriate treatment.

What you should look out for

  • Worsening Symptoms: If you experience increased pain, high fever, or any new symptoms like nausea or vomiting, seek medical attention promptly.
  • Blood in Urine: If you notice blood in your urine, it's important to see a healthcare provider as soon as possible.
  • Persistent Symptoms: If your symptoms do not improve with increased water intake or if they persist, consult a healthcare provider for further evaluation.

Remember, while I can provide information and suggestions, it's important to seek care from a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a burning sensation during urination, frequent urge to urinate, cloudy or strong-smelling urine, and sometimes fever or chills. It's important to see a healthcare provider for diagnosis and treatment.


How can kidney stones affect urine appearance and cause pain?

Kidney stones can cause cloudy urine due to the presence of minerals and sometimes blood. They can also cause severe back or abdominal pain, especially if the stone is moving through the urinary tract. Fever may occur if an infection is present.


What lifestyle changes can help prevent urinary issues related to dehydration?

To prevent urinary issues related to dehydration, it's important to increase water intake and reduce consumption of diuretics like soda and coffee. Staying hydrated helps dilute urine and can prevent the formation of kidney stones.


When should someone with these symptoms seek medical attention?

Medical attention should be sought if symptoms worsen, such as increased pain, high fever, or the presence of blood in urine. Persistent symptoms that do not improve with increased water intake also warrant a healthcare provider's evaluation.


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