[65F] Experiencing urinary retention, vomiting, and abdominal pain

Patient Description

A 65-year-old female presents with symptoms of urinary retention, having consumed 52 ounces of fluid today but experiencing difficulty with only a small amount of urine output. The patient also reports an episode of projectile vomiting occurring once, approximately three hours after dinner. Accompanying these symptoms are mild lower abdominal and lower back pain. The patient's medical history includes a lipoma in the colon and a splenic aneurysm, both diagnosed around 15 years ago. She has an allergy to beta blockers and is currently taking daily medications for high blood pressure and anxiety every morning. No recent injuries or specific food triggers for vomiting were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, you're experiencing urinary retention, vomiting, and stomach and back pain. Here are some possible causes:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. UTIs are more common in women, and they can cause pain and discomfort in your lower abdomen and back. They can also cause urinary symptoms like the ones you're experiencing.

    • Treatment typically involves antibiotics to clear the infection.

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in your back and abdomen, and they can also cause urinary symptoms.

    • Treatment can range from pain management and drinking lots of water to pass the stone, to medical procedures to remove or break up larger stones.

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. It can cause vomiting and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies.

Please note that these are just possibilities, and it's important to get a formal diagnosis from a healthcare professional.

What you can do

Given your symptoms, it's important to seek medical attention as soon as possible. In the meantime, here are some things you can do:

  1. Stay hydrated: Drink plenty of fluids to replace those lost from vomiting and to help with your urinary symptoms.
  2. Rest: Give your body a chance to recover.
  3. Over-the-counter pain relief: Non-prescription pain relievers can help with your stomach and back pain. However, make sure to follow the instructions on the label and avoid any medications you're allergic to.

What you should look out for

If your symptoms worsen or you develop new symptoms, seek medical attention immediately. This includes:

  • Severe pain or discomfort
  • Blood in your urine
  • High fever
  • Persistent vomiting
  • Signs of dehydration, such as dry mouth, feeling dizzy when you stand up, or producing very little urine

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider.

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11 mo ago

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People Also Ask

What are the common causes of urinary retention in older adults?

Common causes of urinary retention in older adults include urinary tract infections, prostate enlargement in men, certain medications, nerve problems, and blockages in the urinary tract. It's important to consult a healthcare provider for an accurate diagnosis.

How can I differentiate between a urinary tract infection and kidney stones?

A urinary tract infection often presents with symptoms like a burning sensation during urination, frequent urge to urinate, and cloudy or strong-smelling urine. Kidney stones, on the other hand, typically cause severe pain in the back or side, nausea, and blood in the urine. A healthcare provider can perform tests to determine the exact cause.

What should I do if I experience projectile vomiting without a clear cause?

If you experience projectile vomiting without a clear cause, it's important to stay hydrated and monitor for other symptoms. If vomiting persists or is accompanied by severe pain, fever, or signs of dehydration, seek medical attention promptly.

Are there any specific precautions I should take given my allergy to beta blockers?

Given your allergy to beta blockers, it's crucial to inform all healthcare providers about this allergy. They can prescribe alternative medications for conditions like high blood pressure and anxiety. Always check with your doctor before taking new medications or over-the-counter drugs.

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