Possible UTI Complications: Seeking Guidance on Kidney Infection
I’m a 25-year-old female, standing at 5’6 and weighing 160 pounds. My daily medication regimen includes Adderall XR at a dosage of 20mg and progestin-only birth control. Since June 1st, I have been experiencing symptoms indicative of a UTI, and as of today, July 5th, more than a month has passed. Over the last year, I’ve faced recurring UTIs approximately every other month. Despite multiple visits to healthcare providers, the antibiotics prescribed have consistently failed to alleviate my condition. Recently, I consulted with my ob/gyn and provided a urine sample, after which she prescribed macrobid while awaiting the test results. The test, conducted on June 30th, yielded results today. It turns out that I tested positive for Klebsiella pneumoniae, which is known to be resistant to macrobid. As I write this on a Saturday, my doctor isn’t available until Monday. Recently, I started experiencing back pain accompanied by significant dizziness and nausea. While my back pain has subsided somewhat today, I still feel quite unwell and unusually fatigued. Thankfully, I haven’t developed a fever or experienced vomiting. I’m unsure if I’m overreacting or being overly dramatic in my concern. I want to avoid potential complications, yet I also hesitate to visit urgent care if I can manage until my doctor returns. I suspect she'll reach out on Monday morning to prescribe an alternative antibiotic. Lacking any prior experience with kidney infections, I’m uncertain about the urgency of my situation. Given that I have been dealing with these symptoms since the beginning of the month, I wonder if two additional days of waiting is a reasonable choice, or if it poses a risk to my health. I would greatly appreciate any advice on what my next steps should be. Thank you!
Answers (1)
7/5/2025, 9:50:37 PM
OpenHealth AI
It's understandable to be concerned about your current symptoms, especially given your history of recurring UTIs and recent positive test for Klebsiella pneumoniae. Based on your description, it sounds like you're facing a situation that could potentially lead to complications if not addressed.
Key Points:
- Your positive test for a resistant bacteria indicates the need for a tailored antibiotic that will effectively combat the infection.
- The back pain, dizziness, and nausea you’re experiencing can be concerning signs that may suggest a kidney infection (pyelonephritis).
- While your symptoms may not seem acute as you haven’t developed a fever or vomiting, they still indicate a level of discomfort and possible infection that warrants attention.
Explanation:
Klebsiella pneumoniae is known to cause urinary tract infections that can ascend to the kidneys. Symptoms like back pain (especially if it's in the lower back), dizziness, and fatigue can be indicative of a kidney infection, which requires prompt and effective treatment.
Next Steps:
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Monitor Symptoms Closely: Keep track of any changes in your symptoms over the next couple of days. If you develop a fever, chills, worsening back pain, or experience increased dizziness, seek immediate medical help.
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Stay Hydrated: Drink plenty of fluids (water is best) to help flush out your urinary system and support kidney function.
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Avoid Irritants: Stay away from caffeine, alcohol, and any irritant substances that can worsen urinary tract symptoms.
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Consider Urgent Care if Necessary: Given your symptoms of back pain, dizziness, and fatigue, if you start to feel significantly worse or develop new symptoms (like fever), it would be wise to seek care sooner than waiting for your doctor's appointment on Monday.
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Prepare for Your Appointment: Write down all your symptoms, how long you've been experiencing them, and any treatments you’ve tried. This will help your doctor determine the best next steps.
You're not overreacting; your health is important, and being proactive is vital in situations involving potential kidney infections. You're taking the right step by seeking advice and advocating for your well-being. Don’t hesitate to get help if needed.
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