UTI Symptoms: Causes of Discomfort and Bacterial Infections

Urinary tract infection (UTI)

Hello, doctor.
Since last year, I have been experiencing a slight dull pain in the area of my genitals when I am not urinating.
It does not occur frequently, just occasionally, and there is no pain during urination.
The discomfort arises when I am not urinating.
I had a urinalysis done at that time, which came back normal, so the doctor could not identify the cause.
This year, I still occasionally experience this dull pain.
In my recent urinalysis, there were two positive signs, and the doctor mentioned a bacterial infection.
My urine protein level was slightly elevated at 20.1, with no hematuria.
Recently, I have also noticed a somewhat foul odor in my urine.
Could you please explain what might be causing this dull pain when I am not urinating? I have uterine fibroids and have been undergoing regular vaginal ultrasounds for monitoring, so it should not be a gynecological issue.
Thank you.

Mimi, 50~59 year old female. Ask Date: 2023/06/12

Dr. Xu Wencang reply Urology

Urinalysis is normal? Gynecological issues such as vaginitis or hormonal deficiency can sometimes cause discomfort in the urethra.
You may visit the outpatient clinic for further examination and treatment.

Reply Date: 2023/06/12

More Info

Understanding urinary tract infections (UTIs) and their symptoms is crucial for effective diagnosis and treatment. Based on your description, it seems you are experiencing discomfort in the genital area, particularly a dull pain that occurs when you are not urinating. This can be perplexing, especially since your urine tests have shown normal results in the past, and you have been diagnosed with a bacterial infection recently.

UTIs are typically caused by bacteria entering the urinary tract, leading to inflammation and irritation. Common symptoms include a burning sensation during urination, frequent urges to urinate, and lower abdominal pain. However, not all symptoms are straightforward. In your case, the discomfort you feel when not urinating could be attributed to several factors.

1. Bladder Irritation: Even if you are not experiencing pain during urination, the bladder can still be irritated by the presence of bacteria. This irritation can lead to a sensation of discomfort or pressure, particularly when the bladder is not full.

2. Pelvic Floor Dysfunction: Sometimes, the muscles that support the bladder and pelvic organs can become tense or dysfunctional, leading to discomfort. This can occur independently of any infection and may explain the dull pain you feel when not urinating.

3. Hormonal Changes: Hormonal fluctuations, particularly in women, can affect the urinary tract and pelvic area. Conditions like uterine fibroids, which you mentioned, can also contribute to discomfort, as they may exert pressure on surrounding structures.

4. Chronic UTI or Interstitial Cystitis: If you have had recurrent UTIs, it is possible that you are experiencing chronic symptoms. Interstitial cystitis, a condition characterized by bladder pressure and pain, can mimic UTI symptoms but does not always involve bacterial infection.

5. Bacterial Infection: The presence of bacteria in your urine, as indicated by the two plus signs in your recent test, suggests an active infection. Even if you do not feel pain during urination, the infection can still cause discomfort in the pelvic area. The foul odor of your urine may also indicate an infection, as certain bacteria can produce strong-smelling waste products.

Given your history of uterine fibroids and the recent findings of a bacterial infection, it is essential to follow up with your healthcare provider. They may recommend further testing, such as a urine culture, to identify the specific bacteria causing the infection and determine the appropriate antibiotic treatment. Additionally, if your symptoms persist despite treatment, your doctor may consider other conditions like interstitial cystitis or pelvic floor dysfunction.

In summary, the discomfort you are experiencing could be due to a combination of factors, including bladder irritation from a bacterial infection, pelvic floor issues, or even hormonal influences. It is vital to communicate your symptoms clearly to your healthcare provider, who can help you navigate the diagnosis and treatment process effectively. Regular follow-ups and monitoring will be essential in managing your symptoms and ensuring your overall urinary health.

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