OpenHealth Q&A

Get answered by medical professionals

Seeking Guidance After Urgent Care Visit for Discomfort While Urinating

12/14/2025, 2:00:34 AMMale25-34

I’m a 20-year-old male and today I began feeling an intense, sharp pain while urinating, similar to being cut with a blade. My discomfort was present yesterday, albeit less severe, and I noticed some blood in my urine. The healthcare professionals conducted a urine analysis and detected microscopic blood, which isn’t discernible to the naked eye. They inquired about sexually transmitted infections (STIs), and I mentioned that the last intimate encounter I had was approximately two and a half months ago with a friend of a friend, during which we did not use protection. However, I don’t believe that this incident is the source of my current issues, although they are sending in samples for further testing. The doctor mentioned that it might turn out to be inconsequential. The pain is sporadic—I don't experience discomfort every time I urinate. I’m inclined to think it’s not kidney stones, as I have no previous incidents or pain elsewhere. I am quite anxious about the possibility of an STI, and the thought of having to explain it to my girlfriend if that were the case is overwhelming. Is there any chance that this could just be a minor issue? The tests for a urinary tract infection came back negative.

Stomach PainIndigestionNutrition

Answers (1)

Cony

12/14/2025, 2:00:53 AM

OpenHealth AI

It sounds like you’re understandably anxious about the pain and blood in your urine, especially after your recent visit to urgent care. Based on what you've described, there are a few potential causes for your symptoms, and it’s good to know that the initial tests for a urinary tract infection came back negative.

Explanation

Sharp pain while urinating can stem from various issues, such as urinary tract problems, potential kidney issues, or, indeed, sexually transmitted infections (STIs). While it’s valid to feel concerned about the possibility of an STI due to the circumstances you mentioned, it's important to wait for the results of the further tests to have a clearer understanding.

The presence of microscopic blood in your urine, along with the pain, could be indicative of several conditions. Common considerations include:

  • Urethritis: Inflammation of the urethra, often due to infection, which can cause sharp pain.
  • Intermittent urinary obstruction: Can be related to swelling or stones, even if you haven’t experienced this before.
  • STIs: Some infections can lead to discomfort and blood in urine, so it’s wise to wait for test results for a definitive answer.

Next Steps

  1. Monitor Symptoms: Keep track of when the pain occurs, its intensity, and any changes in your urine (like color or consistency). This can help provide clarity in the next follow-up.

  2. Hydration: Ensure you’re drinking plenty of fluids, which may help alleviate some discomfort and flush your urinary system.

  3. Avoid Irritants: Stay away from caffeine, alcohol, spicy foods, and acidic foods that can irritate the bladder and urethra while you are experiencing symptoms.

  4. Follow-Up on Test Results: Since further tests are being done, make sure to follow up with your healthcare provider about those results. They will help clarify the nature of your condition.

  5. Self-Care: Consider using over-the-counter pain relief like acetaminophen or ibuprofen as needed for discomfort, but ensure you’re not allergic to these medications.

It's completely normal to feel anxious about health concerns, especially regarding potential STIs with an intimate partner. Once you have more information from your test results, you can approach the situation with clearer insights. If your symptoms worsen or you experience additional concerning symptoms (like high fever, severe pain, or persistent bleeding), don't hesitate to seek care again.

Take care, and don't hesitate to reach out if you need further clarification or support while you wait for answers.

Related Questions

Seeking Answers for Digestive Distress: Recommended Tests and Advice

I am a 34-year-old Caucasian female, standing at 165 centimeters tall and weighing 78 kilograms. On a daily basis, I take several medications: Prestance (5/5), Aerius, a hormonal contraceptive vaginal ring, and magnesium bisglycinate (365 mg). Occasionally, I also use Lexaurin (bromazepam) at a dosage of 0.75 mg every two or three weeks, primarily for anxiety and sleep disturbances, though I have not taken it in the last three weeks. Previously, I underwent multiple tests. Initial blood tests indicated a slight increase in amylase levels, which led to an abdominal ultrasound, yet nothing abnormal was detected. Both flexible sigmoidoscopy and a subsequent abdominal ultrasound were performed, revealing only hemorrhoids and an anal fissure. Throughout my life, I’ve grappled with digestive issues. Since childhood, I dealt with constipation, which ultimately resulted in hemorrhoids and my first anal fissure. To address this, I became conscious of my diet and utilized osmotic laxatives, which significantly improved my situation for many years, allowing me to have regular bowel movements without bleeding. However, approximately one year ago, I began experiencing unexpected episodes of diarrhea that can last between a couple of days to a week at a time. Mornings are particularly challenging, as I often experience loose stools, which eventually stabilize later in the day. During these episodes, I feel continually fatigued; after waking up, all I want is to return to bed, and merely completing my workday feels incredibly taxing. I also suffer from persistent nausea without vomiting, and this typically follows a pattern of ten days of normal or firmer stools followed by three days of diarrhea. Thankfully, I managed to avoid any diarrhea for over two months and even found myself needing to use Miralax occasionally. However, this past Wednesday, I awoke to an upset stomach once again. My meals consist of homemade food, which I ensure is not overly greasy or heavy, avoiding fast food and excessive sweets altogether. My overall daily functioning is severely impacted by the fatigue and frequent headaches I experience. Although I don’t encounter much abdominal pain, I do feel cramping in the lower central abdomen along with considerable gas and rumbling. I have scheduled an appointment with my general practitioner for Monday, though I find her approach somewhat passive; she tends to follow my requests rather than take the lead. What diagnostic tests should I consider requesting? While I am open to the possibility of upper endoscopy, a full colonoscopy seems daunting due to my anal fissure. I would greatly appreciate any insights regarding what might be happening. I understand it’s difficult to provide specific answers, but any guidance would be immensely appreciated!

DiarrheaIndigestionConstipation
Male25-34
32 minutes ago

Concerns About Abdominal Discomfort

To start with, I feel compelled to mention that I struggle with severe health-related obsessive-compulsive disorder, which leads me to intensely focus on any symptoms I experience, resulting in unnecessary worry. Recently, I began to experience some discomfort in my abdomen, specifically in the area just below my right breast, which has now evolved into tenderness upon touch. This soreness is located beneath my rib cage, and I haven't experienced any changes in my appetite or feelings of nausea. My last bowel movement occurred on Thursday, and as of this morning, the discomfort has shifted slightly, now positioned just above my belly button. I had a regular bowel movement this morning and was able to take a walk without any issues. The pain only manifests when I cough or during the transitions between sitting and standing. Initially, I was concerned about the possibility of a hernia, but I understand that the pain associated with a hernia typically does not shift in location like mine seems to. I should also note that I am classified as overweight and have been living with gastroesophageal reflux disease (GERD), for which I’m taking a proton pump inhibitor. Fortunately, my heartburn symptoms have remained stable, largely influenced by my dietary habits. Over the past year, I've dealt with some weight fluctuations due to medication side effects and stress (ranging from 330 pounds to 275 pounds and back to 310 pounds). Thankfully, I have not encountered vomiting or any changes in my bowel movements. I would appreciate any insights or advice on this matter.

HeartburnStomach PainAcid Reflux
Male25-34
3 hours ago

Lymph Nodes Observed in Abdominal CT Scan

A 26-year-old female, standing at 5'1" and weighing 70 kg, who does not smoke and drinks alcohol occasionally, has been experiencing gastrointestinal problems characterized by alternating periods of constipation and softer stools since January 24th. Additionally, she was diagnosed with a bladder infection on February 3rd, which was treated with a single dose of antibiotics totalling 3000 mg. She sought emergency medical attention due to significant discomfort in her lower left back, initially feeling colicky before becoming a constant dull ache, leading to an overnight stay for an abdominal CT scan the following morning. The findings from this scan have caused her some concern, particularly regarding identified lymph nodes. **Medical Findings:** Diagnosis: Lumbosacral radiculopathy and fecal impaction. **Treatment Approach:** The patient has been prescribed spasmolytic analgesics and will undergo further radiological evaluation. **CT Scan Results:** The low-dose native abdominal CT revealed normal appearances of the kidneys and urinary tract on both sides, with no signs of urinary retention or kidney stones in the renal pelvis or ureters. However, a few small, nonspecific mesenteric lymph nodes were detected in the mesenteric root and perizocecal areas, along with small inguinal lymph nodes on both sides. There is also no indication of appendicitis, and the colon contains a moderate volume of stool. The remainder of the low-dose CT findings are within normal limits. **Ultrasound Findings:** The abdominal ultrasound indicates grade I ectasia of the left renal pelvis, while no abnormalities were noted in the left renal pelvis, and the bladder was observed to be empty following urination. **Next Steps:** A referral for further urological evaluation is recommended alongside maintaining adequate hydration, with analgesics suggested if pain management is necessary.

Stomach PainConstipationAcid Reflux
Male25-34
4 hours ago

Could This Be IBS or Something Else?

Greetings! I’m a 27-year-old male, standing at 172 cm and of European descent, currently using Iqos. My medical troubles began roughly four months ago, around October 5, 2025. Initially, I experienced intense back pain lasting for two days, which I recognized as kidney stone pain. To alleviate this discomfort, I took NSAIDs, predominantly Metamizole-Natrium. Afterward, I visited urgent care, where I was given Diclofenac and Monural, an antibiotic for urinary tract infections. I took one of each at night. **A couple of days later, I started experiencing several troubling symptoms:** - Frequent diarrhea (4-5 times a day, often watery) - Significant gas and belching - Persistent nausea that greeted me each morning, sometimes relieved by eating - A general sense of malaise - A loss of 5 kg (I dropped from 63 kg) because I lacked appetite, especially under stress. These symptoms developed quickly and intensified through October, fluctuating over time. Blood tests showed no abnormalities, with normal CRP levels. Then in November, I underwent a colonoscopy and gastroscopy. - I had three very small erosions, about 1-2 mm, in the terminal ileum, but no signs of inflammation. Histology revealed no pathological issues, all was well. - There was one small erosion in the sigmoid colon, with minor inflammation around it. Histological findings indicated small infiltration in the lamina propria but no chronic signs, leading to a diagnosis suggesting a high likelihood of infection. - The areas were healing, with fibrin present. The rest of my colon appeared healthy. The doctor attributed the ulcers to NSAID-induced damage. I was later diagnosed with LA-A GERD. Due to my anxiety about health, I spent the month consumed by fears of complications such as colon cancer, PC, or Crohn's disease. I finally found some relief and felt symptom-free for the subsequent two weeks. However, in December the troubles resurfaced, though to a lesser degree, with occasional loose stools—2-3 times for a few days— and lingering gas. My anxiety about Crohn's returned, and I mistakenly took Algopyrin Complex, which triggered additional stress. **In December, my primary worries included:** - Loose stools resembling Bristol type 5-6, mainly occurring once each morning - Excessive gas often felt trapped in my rectum - My weight stabilized at 62 kg **I underwent various tests:** - Negative results for Giardia and E. coli - Negative FIT tests - Negative MRI (everything appeared normal) - Negative MRE (all normal) - Calprotectin level measured at 18.7 - I was found to have low levels of B9 and Vitamin D, with B12 at 320 and LDL at 5.9 **Moving into January:** - I only had one bowel movement each morning, sometimes loose, but mostly firm in the past three weeks (Bristol 4), compared to my usual Bristol 2. - After meals, I often felt gas building in my rectum, sometimes getting stuck before eventually releasing. This gas, thankfully, rarely had an odor. - Mornings have been troublesome, as I needed to pass gas 2-4 times, and in bed at night, I felt bloated with gas movements. **What I have observed:** - No signs of blood in my stools - No pain - No nocturnal symptoms affecting my sleep - No extraintestinal symptoms - My weight has stabilized without additional loss after recovering some weight Overall, I feel fine, yet the worry about my condition persists in my mind. Previously, I would have bowel movements twice weekly, with little to no gas. It baffles me that I often wake up feeling this uncomfortable. My primary concern is whether I should be worried about Crohn's disease (which occupies my thoughts constantly) or if my symptoms might stem solely from anxiety. Currently, I'm taking the following medications and supplements: - Itopride (doctor suggested it for motility issues) - L-Glutamine - Curcumin - A B-complex supplement - Ashwagandha - I briefly tried rifaximin for three days, but it did not yield significant changes. - I had also experimented with antacids previously, though they proved ineffective. Thank you for your assistance in advance!

IBSIndigestionConstipation
Male25-34
6 hours ago

Can Eating More Fiber Alleviate Menstrual Cycle-Related Constipation?

Every month, during the week and a half leading up to my menstrual period, I experience constipation. I'm curious if boosting my fiber consumption might ease this issue. I already ensure that I drink plenty of water throughout the day. I am a woman in my mid-20s.

Stomach PainNutritionConstipation
Male25-34
12 hours ago