Cloudy Urine: When to Seek Medical Attention - Urology

Hello, doctor. I previously asked about the issue of cloudy urine, but this is really related to a very important condition, and I hope to understand it in more detail?

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Hello, doctor.
I apologize for bothering you again.
Last time, you mentioned the symptoms of cloudy urine (which I have attached below).
Since I am currently in the United States and won't be able to return to Taiwan until July, the healthcare system here is quite complicated, and I would prefer to avoid seeing a doctor if possible.
Therefore, I hope to understand whether this situation is serious enough to warrant concern and if I can wait until I return home.
After your previous response, I have been trying to drink plenty of water, and the cloudiness has diminished.
There have even been a few instances where my urine was clear and yellow, with only slight bubbles on the surface, which looks quite normal.
However, I am unsure if this is because the cloudiness has been diluted by the increased water intake or if it has genuinely improved.

The key point is that occasionally, due to special circumstances, if I drink less water, the urine can still appear very cloudy (though the frequency is not as high as before).
When it does become cloudy, it is quite opaque (to the point where I cannot see the bottom of the toilet).
Additionally, I do not notice any discharge from my urethra, so could this indicate a kidney issue? If it is a kidney problem, I wonder if I can wait until July to return home for an examination.
Thank you again for your patient response.
I have also pasted my previous question and your answer below for your reference.
--------------- My Previous Question ---------------
Hello, doctor.
Thank you very much for your patient response regarding my cloudy urine issue, which has persisted for over two years.
The frequency is about 80% cloudy and 20% clear.
I had an examination at the hospital a year ago, but the report indicated no issues (the sample tested at that time happened to be clear).
Recently, while studying in the U.S., I cannot return to Taiwan for an examination until June.
However, the cloudiness has been worsening, and it has become very noticeable, almost like pouring ink or flour, with white particles spreading.
Sometimes, the urine stream appears cloudy, and I can even see a milky suspension of particles coming from the urethra after urination.
Occasionally, wearing tighter pants for a whole day exacerbates the cloudiness.
Other symptoms include a foul odor in the urine: this has occurred once or twice in the past few days but then subsided.
Burning pain in the urethra: this happens very rarely and at a low frequency.
After ejaculation, I sometimes feel a bit of testicular discomfort.
I have measured my temperature and do not have a fever, but I often feel fatigued and experience skin and muscle tenderness (similar to the discomfort of not wanting to be touched when having a fever).
Tapping on my back in the kidney area does not cause pain (my father mentioned that he felt pain when he had pyelonephritis).
I am currently unable to return to Taiwan in the short term and am very worried about whether my health is at risk.
Thank you again for your patient response.
--------------- Doctor's Response ---------------
Hello: If drinking 2000cc of water daily does not improve the cloudy urine, you should seek medical attention.
If there is occasional discharge from the urethra, it may indicate a bladder or urethral issue; if not, it could be a kidney problem.
I recommend bringing a sample of the problematic urine (without letting it sit for more than ten minutes) for the doctor to examine.
If there is a kidney issue, do not delay; seek medical attention as soon as possible.
Thank you for your inquiry.

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A-Heng, 20~29 year old female. Ask Date: 2017/02/18