Urethritis: Symptoms, Treatments, and Concerns

Urethritis concerns?

Hello Doctor: About a week ago, I experienced symptoms of urethritis (slight burning sensation during urination).
I visited a gynecologist on April 30 and received medication.
On May 3, I returned for a follow-up and the urine test results indicated urethritis, with elevated white blood cells (over 100), as well as proteinuria and hematuria.
However, since my condition had improved significantly, I was given the same medication to continue.
On May 5, as my condition did not improve (still experiencing a strange sensation during urination, but no pain), I returned for another visit.
The doctor administered an anti-inflammatory injection and prescribed a different medication.
Today, since my condition still hasn't improved (I still feel a slight acidity during urination, not very painful, but with a sensation of bladder pressure), I went directly to a urologist.
The on-site urine test results showed no signs of inflammation, just hematuria (but I happened to be menstruating, so I'm not sure if it's related to the urethritis).
The doctor prescribed another medication and advised me to try it at home.
I'm a bit worried that it might have developed into nephritis, as I've had "very mild" lower back pain these past two days.
Although urination is uncomfortable, it’s not painful; I just feel like my bladder is constantly swollen.
Since I have to travel abroad for work next week, I'm concerned about a potential relapse while overseas, so I wanted to consult with you.
Thank you, Doctor!

AA, 20~29 year old female. Ask Date: 2018/05/07

Dr. Chen Jiansheng reply Urology

Based on your description, it is likely not a kidney infection, as kidney infections typically cause fever and significant lower back pain.
It could possibly be bladder inflammation leading to edema.

Reply Date: 2018/05/07

More Info

Urethritis, or inflammation of the urethra, can be a distressing condition characterized by symptoms such as burning during urination, frequent urination, and sometimes the presence of blood in the urine. Your experience of slight burning sensations and the discomfort you described, along with the findings of elevated white blood cells, protein, and blood in your urine, indicate that you are dealing with a urinary tract issue that requires careful management.

From your account, it seems that you have been through a series of evaluations and treatments, including visits to both gynecologists and urologists. The fact that you have been prescribed different medications and received injections suggests that your healthcare providers are actively trying to address your symptoms. However, it is concerning that you are still experiencing discomfort, even if it is mild.

Symptoms and Diagnosis
Urethritis can be caused by various factors, including bacterial infections, sexually transmitted infections (STIs), or even non-infectious causes such as irritation from soaps or hygiene products. The presence of blood in your urine, especially during menstruation, can complicate the diagnosis, as menstrual blood can sometimes be mistaken for hematuria (blood in urine). It is essential to differentiate between these causes to provide appropriate treatment.

Treatment Options
1. Antibiotics: Since you have already been treated with antibiotics, it is crucial to ensure that the specific bacteria causing your symptoms are targeted. If your symptoms persist, a urine culture may help identify the exact pathogen and guide antibiotic therapy.

2. Anti-inflammatory Medications: These can help reduce inflammation and alleviate discomfort. If you have received anti-inflammatory injections, this is a common approach to managing acute symptoms.

3. Hydration: Increasing fluid intake can help flush out the urinary tract and may alleviate some symptoms. It is generally recommended to drink plenty of water, especially if you are experiencing urinary discomfort.

4. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort. However, consult your doctor before taking any new medications.

5. Follow-Up Care: Given your ongoing symptoms, it is crucial to maintain regular follow-ups with your healthcare provider. If your symptoms do not improve with the current treatment, further evaluation may be necessary, including imaging studies or referral to a specialist.

Concerns About Progression to Kidney Infection
Your concern about the possibility of developing a kidney infection (pyelonephritis) is valid, especially with the presence of mild lower back pain. While mild back pain can be a common symptom of various conditions, if it worsens or is accompanied by fever, chills, or significant changes in urination, it could indicate a more serious infection.

Preventive Measures
To prevent recurrence of urethritis, consider the following:
- Good Hygiene Practices: Wipe from front to back after using the restroom, and urinate after sexual intercourse to help flush out bacteria.

- Avoid Irritants: Stay away from perfumed soaps, bubble baths, and other potential irritants.

- Wear Breathable Fabrics: Cotton underwear can help reduce moisture and irritation.

- Stay Hydrated: Drinking plenty of fluids can help dilute urine and flush out bacteria.

Conclusion
In summary, while your symptoms are concerning, they do not necessarily indicate a progression to a more severe condition like kidney infection at this point. However, it is essential to continue monitoring your symptoms and maintain open communication with your healthcare providers. If your symptoms worsen or new symptoms arise, seek medical attention promptly. Given your upcoming travel, ensure you have a plan in place for managing your symptoms while away, including access to medical care if needed.

Similar Q&A

Understanding Urethritis: Symptoms, Treatment, and Concerns

Hello doctor, I initially felt a discomfort and slight pain at the tip of my penis, so I went to see a doctor. The doctor diagnosed me with urethritis and prescribed medication. After taking the medication for 7 days, the pain subsided, but the urethra remained red. The doctor wa...

Dr. Du Shixi reply Urology
Hello: In cases of inflammation, a urinalysis is typically performed rather than examining the urethra. Additionally, inspecting the glans and foreskin is important, as swelling could be due to local hygiene issues or allergies. It is recommended to conduct a urinalysis. Furtherm...

Understanding Urethral Treatment: Symptoms, Medications, and Concerns

Hello, I had unprotected oral sex with a stranger on December 31, and protected intercourse on January 4. On January 5, I experienced some mild abdominal pain and a slight swelling and pain in my scrotum. I started to notice increased urinary frequency. On the evening of January ...

Dr. Du Shixi reply Urology
Hello: Your condition may need to be examined and explained by your physician. Generally, medications have few side effects. Please drink plenty of water, avoid alcohol, and limit your intake of irritating foods. Do not attempt to adjust your medication schedule on your own to pr...

Understanding Urethritis and Vaginitis: Symptoms, Treatments, and Concerns

Hello, Doctor. I visited the hospital four days ago and was diagnosed with urethritis. At that time, I experienced symptoms of frequent urination, but the urine was minimal, accompanied by a sensation of contraction and heat, as well as hematuria. The doctor prescribed a five-day...

Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Improper use of antibiotics can lead to antibiotic resistance, but you should not be affected. 2. Different medications may be involved. There is a possibility of a vaginal infection. 3. Please see a gynecologist immediately. 4. Urinary tract infections can be caused by...

Understanding Urethritis: Symptoms and Possible Causes Explained

Hello, Doctor. At the end of March, after using a masturbation sleeve (which I only use myself), I started experiencing frequent urination and a feeling of incomplete emptying about one or two days later. Occasionally, I also feel a dull pain in the urethra. This situation has pe...

Dr. Du Shixi reply Urology
Hello: Gonorrhea is unlikely, but urethritis is possible. Sometimes, a urine test may not provide a complete assessment. It is recommended to drink plenty of water, maintain regular exercise, and avoid irritating foods. If symptoms persist, please seek medical evaluation. Wishing...