OpenHealth Q&A

Experiencing Urine Blood, Abdominal Pain, and Nausea: Should I Seek Urgent Care or See My Doctor?

A 34-year-old woman weighing 185 pounds presents the following medical background: she underwent her first cesarean section in 2021, followed by another in December 2024. During the initial surgery, a cyst was excised from her left ovary, and during the subsequent procedure, a bladder adhesion was identified. Her current medications include 100mg of Lamictal, 150mg of Wellbutrin, 75mg of Effexor, and 10mg of Adderall IR, although she hasn't taken the Adderall in a couple of weeks. Since her latest cesarean delivery, she has experienced persistent discomfort on the right side of her abdomen, starting approximately three inches to the right of her navel. The discomfort is described as a dull, throbbing pain that radiates downward without affecting her back. This pain tends to come and go, leading her to believe it could be part of her healing process six months after giving birth. Recently, after having had sexual activity that was nothing beyond normal intensity, she began to feel unwell. Symptoms included a headache and cramps similar to menstrual pain, along with the recurring abdominal discomfort. Following a trip to the bathroom, she noticed blood in her urine and on the tissue when wiping, accompanied by an increase in soreness radiating wider across her abdomen, moving downward and to the side. The headache intensified, and she found herself feeling increasingly nauseous after eating a small meal of rice. She has observed blood each time she urinates, though there is no burning sensation or difficulty in urination. Given the pain and the presence of blood, she is questioning whether to schedule an appointment with her primary care physician or if an urgent care visit is warranted. Notably, she has already had her menstrual cycle two weeks prior, adding to her concern.

Answers (1)

7/18/2025, 10:01:53 PM

OpenHealth AI

Given your symptoms of blood in your urine, abdominal pain, and nausea, it's important to prioritize your health and seek medical attention promptly. These signs can indicate several conditions, some of which may need urgent treatment.

Explanation:

1. Blood in Urine: This can arise from various causes such as urinary tract infections (UTIs), kidney issues, or complications related to recent surgeries. It can also indicate a more serious condition that requires immediate investigation.
2. Abdominal Pain and Nausea: Persistent abdominal discomfort, especially following recent surgeries, can be significant and might point to complications such as adhesions, infections, or other issues related to your cesarean sections.
3. Other Symptoms: Your headaches, cramps, and the fact that you're feeling unwell after eating can contribute to a more urgent picture, especially when combined with the presence of blood in your urine.

Next Steps:

1. Seek Urgent Care: It would be advisable to visit an urgent care or emergency room as soon as possible to get evaluated. Bring all relevant medical records, especially regarding your cesarean sections and any other pertinent health information.
2. Monitor Symptoms: While you are en route to urgent care, take note of any changes in your symptoms such as increased pain, changes in the amount or color of blood in your urine, or any new symptoms that may arise.
3. Stay Hydrated: While waiting to be seen, ensure you’re drinking enough water (unless instructed otherwise by a healthcare provider), which can help with urinary health.

Given the severity and nature of your symptoms, accessing medical care should be your immediate course of action. Your health and peace of mind are important, and getting the right evaluation can help address any underlying issues effectively.