Concerns About Kidney Infection Symptoms
I'm an 18-year-old transgender male, diagnosed with hypermobile Ehlers-Danlos syndrome (hEDS), postural orthostatic tachycardia syndrome (POTS), and amplified musculoskeletal pain syndrome (AMPS). The only medication I take is a weekly injection of Testosterone Cypionate (0.25ml). Approximately two weeks ago, I noticed symptoms suggesting a urinary tract infection (UTI). Lacking health insurance, I deemed it a minor concern and opted for home remedies, increasing my fluid intake with water and electrolytes while urinating frequently. Although there was an initial worsening of symptoms—abdominal cramps, excruciating pain during urination, and even blood clots in my urine—things appeared to improve after a few days. I assumed I was in the clear, despite ongoing frequent urges to urinate, which I often experience and dismissed. However, about four to five days ago, I began to notice mild urinary incontinence. Now, I sometimes feel the sudden urge to urinate, but my body immediately releases urine, making it impossible for me to hold it back. This issue becomes particularly problematic at night, as I often don't wake in time to respond to the urge. At this point, the painful urination also returned. Then, just two days ago while at work, I started experiencing intense pain in my lower back and hip area. Typically, I would attribute this discomfort to my EDS, which causes me frequent pain, but this sensation was so pronounced that it hindered my ability to stand up straight and walk. This pain then shifted to my lower right abdomen, just above the hip, and while it subsided after a few hours, I've been experiencing intermittent episodes since then, though the pain level hasn’t worsened. So far, no additional symptoms have appeared, and I'm uncertain whether I've had a fever, as I don't possess a thermometer. I’m concerned about whether these symptoms are connected and what steps I should take next. Given that I manage my own expenses without familial support and have no insurance, I would prefer to avoid a doctor's visit if possible, as I cannot afford the associated costs.
Answers (1)
2/4/2026, 6:40:47 PM
OpenHealth AI
Your symptoms raise important concerns, especially given your recent history with urinary issues. The combination of painful urination, blood in your urine, mild urinary incontinence, and now significant back and abdominal pain suggests that you might have a urinary tract infection (UTI) that could be progressing or may involve your kidneys. While it’s understandable that you're hesitant to seek care due to financial concerns, addressing these symptoms is crucial for your health.
Explanation:
The progression of your symptoms—especially the presence of blood, intense pain, and the development of incontinence—indicates that the situation may not resolve on its own and could potentially lead to more serious issues, like a kidney infection (pyelonephritis). Symptoms like lower back pain, especially if it shifts, can suggest an infection that requires medical attention.
Next Steps:
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Prioritize Hydration: Continue drinking plenty of fluids, as hydration can help flush out your urinary system. Opt for water and avoid caffeine and alcohol, which can irritate your bladder.
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Monitor Symptoms: Keep track of your symptoms, particularly the frequency of urination, presence of blood, pain levels, and any new symptoms (like fever or chills). This documentation can be helpful if you consider seeking care later.
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Home Remedies: Some people find relief from urinary discomfort through home remedies like cranberry juice or supplements. These may help prevent bacteria from attaching to the urinary tract, but they aren't a substitute for proper medical treatment if your symptoms worsen.
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Consider Low-Cost Care Options: Since you have financial constraints, look into community health clinics, urgent care facilities, or telehealth services which may offer reduced fees or sliding scale payments based on income. They may also provide medications or testing at lower costs.
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Be Aware of Warning Signs: If you develop a high fever, chills, worsening pain, or your symptoms escalate, seek medical care immediately, as these could indicate a more serious condition requiring urgent attention.
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Self-Care for Pain Management: Over-the-counter pain relievers, like ibuprofen or acetaminophen, may help with the pain you’re experiencing, if you're not contraindicated to use them due to other health conditions.
Please take these symptoms seriously, as what seems minor could escalate into something more serious. Engage with support networks in your area that could help you navigate healthcare access. Your health is important, and seeking assistance could be vital.
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