[57F] Experiencing hematuria, severe back pain, and vomiting

Patient Description

A 57-year-old female presents with acute onset of gross hematuria characterized by pink urine with blood clots and no prior history of similar symptoms. She reports severe back pain on the lower right side that is debilitating enough to cause vomiting, which she relates to the intensity of the pain, occurring two to three times daily. The patient also describes dysuria with a sensation akin to 'lemon juice in a fresh cut.' She has experienced feverish symptoms and aches suggestive of a systemic infection. The patient has a medical history of degenerative disc disease, frequent bladder infections during childhood, and a hysterectomy in 2004. She is not currently on any medications and has a known allergy to morphine. The combination of symptoms, particularly the severe pain and hematuria, may suggest a urinary tract pathology such as a kidney stone or infection, warranting immediate medical evaluation.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): UTIs can cause blood in the urine, pain or burning during urination, and a strong urge to urinate. They can also cause lower back pain and fever.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the back or side, blood in the urine, and frequent urination. Sometimes, kidney stones can lead to a UTI.

    • Treatment can involve pain medication and drinking lots of water to help pass the stone. In some cases, medical procedures may be needed to remove or break up larger stones.
  • Bladder or Kidney Infection: These can cause symptoms similar to a UTI, but also often include lower back pain and fever.

    • Treatment typically involves antibiotics.

What you can do

Given the severity of your symptoms, you should seek immediate medical attention. Please go to the emergency room or urgent care as soon as possible. In the meantime, try to stay hydrated and take over-the-counter pain relievers if you have them and are not allergic.

What you should look out for

Please seek immediate medical attention if:

  • Your pain becomes unbearable
  • You develop a high fever
  • You are unable to urinate
  • Your symptoms worsen or do not improve

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

Show More

1
 Hugs
0
 Comments

Save

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 some cases, there may also be blood in the urine.


How are kidney stones diagnosed and treated?

Kidney stones are typically diagnosed through imaging tests such as a CT scan or ultrasound. Treatment may involve drinking plenty of water to help pass the stone, taking pain relievers, and in some cases, medical procedures to break up or remove larger stones.


What should I do if I experience severe back pain and blood in my urine?

If you experience severe back pain and blood in your urine, it is important to seek immediate medical attention. These symptoms could indicate a serious condition such as a kidney stone or infection that requires prompt evaluation and treatment.


Can a history of frequent bladder infections increase the risk of kidney stones or UTIs?

Yes, a history of frequent bladder infections can increase the risk of developing kidney stones or UTIs. Recurrent infections can lead to changes in the urinary tract that make it easier for stones to form or for infections to occur.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback