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Concerned About Deteriorating UTI and Kidney Infection

3/28/2025, 1:30:26 AMMale25-34

I am a 20-year-old female weighing 128 pounds. Yesterday, I sought urgent medical attention due to severe discomfort while urinating. After providing a urine sample, the presence of blood prompted a referral to the emergency room. I underwent an ultrasound to eliminate the possibility of kidney stones, but I continued to experience bleeding during a follow-up sample, which was notably bright red. The diagnosis indicated a serious urinary tract infection along with the onset of a kidney infection. I was discharged with an initial course of antibiotics and advised to return if my condition deteriorated. However, shortly after leaving, I felt incredibly nauseous and nearly vomited in the parking lot. Throughout the night, I experienced intense waves of nausea, but there was nothing in my stomach to expel. My body was shivering, and my partner noticed that my skin felt hot to the touch, except my forehead, which felt normal. Now that I am back home on antibiotics, I’m noticing increased pain in my left kidney along with severe back aches. Although the pain from the UTI has decreased somewhat, I have been prescribed numbing medication that causes my urine to appear brown. This morning, I observed some blood in my urine, which has since subsided. Currently, I am contending with nausea and significant discomfort in my left kidney, and I’m beginning to experience pangs in my right kidney as well. I feel an urgent need to have a bowel movement, yet it hasn't happened. I'm uncertain whether I should return to the emergency room or if I should give the medication more time to take effect. Would it be wise to wait it out or should I seek immediate medical assistance?

Crohn's DiseaseCOPDInternal Medicine

Answers (1)

Cony

3/28/2025, 1:30:45 AM

OpenHealth AI

It sounds like you're experiencing significant discomfort and concerning symptoms related to a urinary tract infection (UTI) and possible kidney infection. Given your situation, it’s important to prioritize your health and safety above all else.

Key Concerns:

  1. Ongoing Symptoms: Increased pain in your left kidney, nausea, blood in urine, and back pain indicate that your condition may not be improving as expected.
  2. Nausea and Vomiting: This could be a response to pain or an issue with the infection, possibly affecting your hydration and health status.
  3. Heat Sensation: Being hot to the touch could suggest a fever or infection response.

Recommended Next Steps:

  1. Seek Immediate Medical Attention: Given your increasing pain, nausea, and the return of blood in your urine, it's critical to return to the emergency room. It's better to be safe, as these symptoms can indicate a worsening infection or other complications.

  2. Hydration: While waiting for assistance, try to stay hydrated by sipping on clear fluids if you can manage it without worsening nausea. Staying hydrated supports your recovery and helps dilute urine.

  3. Monitor Symptoms: Keep track of any changes in your symptoms, such as worsening pain, more frequent bleeding, fever, or inability to keep fluids down. This information will help medical staff understand your condition when you arrive at the emergency room.

  4. Rest: Avoid physical exertion and give your body the chance to rest. Find a comfortable position to help manage the discomfort while you're waiting for care.

Given your current state, don’t hesitate to seek immediate medical help. Your health is the top priority, and addressing these symptoms promptly is crucial. Please take care, and I hope you find relief soon.

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