Could This Indicate a Kidney Infection?
I am a 22-year-old woman, measuring 5 feet 5 inches tall and weighing 140 pounds. Last Wednesday, I reached out to my OB due to intense discomfort while urinating. Following this, I provided a urine sample, which yielded the following irregularities: - Hemoglobin: minimal - Protein: trace levels - Leukocyte Esterase: high - White Blood Cells (WBC): greater than 50 - Hyaline Casts: 10 to 15 - Bacteria: rare per high power field (HPF) I received a call indicating that I have a urinary tract infection (UTI) and was prescribed Macrobid, advised to take it twice daily for ten days. I commenced this treatment on Thursday. However, yesterday I began feeling quite unwell, and unfortunately, I'm still experiencing malaise today. I feel extremely fatigued and have a persistent dull ache in my lower back and sides. Notably, I do not have a fever. Could it be possible that this UTI has progressed into a kidney infection? Additionally, I am still experiencing severe pain when urinating and episodes of nausea. I'm uncertain whether I should reach out to my doctor again or simply continue with the antibiotics for a few more days to see if my condition improves.
Answers (1)
3/17/2025, 6:40:40 PM
OpenHealth AI
It sounds like you are dealing with a challenging situation, and your symptoms might suggest that your urinary tract infection (UTI) has not fully resolved or could potentially have progressed. Here’s a breakdown of the key points and what you can do next.
Main Points:
- Your Urine Test Results: Indicate a significant UTI with high white blood cells, which can suggest an infection.
- Current Symptoms: Fatigue, lower back pain, persistent pain during urination, and nausea are concerning and could indicate a potential kidney infection (pyelonephritis).
- Action Consideration: It's important to monitor your symptoms closely and possibly reach out to your doctor early.
Explanation:
- UTI and Kidney Infection: An uncomplicated UTI can sometimes progress to a more serious kidney infection, especially if you're experiencing significant back pain and malaise. The back pain you're feeling, along with the other symptoms, can be signs that the infection may have moved up to your kidneys.
- Importance of Follow-Up: Although you started antibiotics (Macrobid), which usually help clear up the infection, if you’re not feeling better after a few days or your symptoms worsen, it's essential to follow up with your healthcare provider.
Next Steps:
- Monitor Symptoms: Keep a close eye on your symptoms. If you experience fever (even a mild one), increased pain, or notice dark or foul-smelling urine, these could be signs of a more serious infection.
- Contact Your Doctor: Given your ongoing malaise, fatigue, and back pain, reach out to your healthcare provider. Let them know your current symptoms and that the pain during urination has not lessened. They may want to adjust your treatment or perform a follow-up evaluation.
- Hydration and Rest: Ensure you are drinking plenty of fluids (water is best) and getting enough rest to support your recovery.
- Pain Management: Over-the-counter pain relief medications like ibuprofen or acetaminophen may help alleviate your discomfort, but it’s wise to confirm with your doctor before taking any new medications.
Your health and comfort are important, so don't hesitate to seek further medical advice. It’s better to be cautious and ensure that you are getting the appropriate care.
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