Cloudy Urine: When to Seek Medical Attention - Urology

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Cloudy urine


Hello Doctor: I have had cloudy urine for about 3.4 weeks, but I don't seem to have any discomfort.
Do I need to go to the hospital for a consultation urgently, or is it not that urgent, and I can wait until the pandemic situation improves? I haven't been very willing to go for a check-up lately.
Last week, I experienced lower abdominal pain for five days and consulted a gynecologist, who performed an internal examination and a bacterial culture, but did not conduct a urinalysis.
The test results showed Group B Streptococcus, and the doctor said no medication was necessary.
However, I forgot to mention the cloudy urine to the doctor.
If I have a bladder infection, will the bacterial culture from the gynecological examination detect it? Thank you.

c, 30~39 year old female. Ask Date: 2021/05/28

Dr. Li Xinyi reply Urology


During the severe pandemic period, it is recommended to drink plenty of water, aiming for a daily urine output of approximately 1800cc to 2000cc, and then monitor the situation.

Reply Date: 2021/05/28

More Info


Cloudy urine can be a concerning symptom, and understanding when to seek medical attention is crucial for your health. In your case, you have been experiencing cloudy urine for about 3 to 4 weeks without any accompanying discomfort. While it may seem manageable, there are several factors to consider before deciding whether to visit a healthcare provider.

Firstly, cloudy urine can result from various causes, including dehydration, urinary tract infections (UTIs), kidney stones, or even the presence of certain foods or medications. In your situation, the fact that you have had a recent episode of lower abdominal pain and were evaluated by a gynecologist raises some important points. Although the doctor performed a bacterial culture that did not indicate an infection, it is essential to note that not all urinary issues are detected through gynecological examinations. A UTI, for instance, may not always present with obvious symptoms, and a urine test specifically looking for signs of infection would be more definitive.

Given that you have experienced cloudy urine for several weeks, it is advisable to seek medical attention sooner rather than later. While you may not feel acute discomfort, persistent changes in urine appearance can indicate underlying issues that may require treatment. For example, if the cloudiness is due to a UTI, early intervention can prevent the infection from worsening and potentially leading to more severe complications, such as kidney infections.

Regarding your concern about the bacterial culture performed during your gynecological visit, it is important to understand that while some bacteria can be identified through such tests, a specific urine analysis is typically more effective in diagnosing urinary tract infections. If the culture was focused on vaginal flora, it may not have adequately assessed the urinary tract. Therefore, if you have not yet had a urinalysis, it would be prudent to request one from your healthcare provider.

In summary, while you may not be experiencing significant discomfort, the persistence of cloudy urine for several weeks warrants a medical evaluation. It is better to err on the side of caution, especially since urinary issues can sometimes escalate if left untreated. If you are concerned about visiting a healthcare facility due to the ongoing pandemic, consider contacting your provider to discuss your symptoms and see if a telehealth appointment is an option. This way, you can receive guidance on the next steps without unnecessary exposure.

In conclusion, do not delay seeking medical attention for your cloudy urine. A thorough evaluation, including a urinalysis, can help identify the cause and ensure appropriate treatment. Your health is paramount, and addressing these symptoms early can lead to better outcomes.

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