Urinary Tract Infections: Symptoms, Medications, and Next Steps - Urology

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Urinary Tract Infection (UTI) Issues


Hello Doctor, I visited the urology department today, and my urine test showed mild inflammation.
The doctor prescribed me Keflex, Urogen, and Yungken.
I have a few questions: 1.
One of the medications has a side effect of causing urine to turn orange-brown, but mine is mostly dark yellow.
Is this a normal response? 2.
In addition to experiencing a burning sensation during urination, I sometimes notice cloudy urine, especially in the morning or when my fluid intake is low.
I also have intermittent dull pain near the pubic area and on both sides of my lower back (the doctor tapped on these areas, and I felt unusual sensations but no pain).
Additionally, I sometimes feel like there is still urine left even after I finish urinating.
Should I consider this a straightforward urinary tract infection, or should I undergo further testing? Thank you!

tong, 20~29 year old female. Ask Date: 2024/07/26

Dr. Du Shixi reply Urology


Hello: 1.
It may be due to insufficient hydration; in addition to drinking fluids, a urine test should be done after completing the medication.
2.
If there is no inflammation or discharge in the gynecological examination, taking the medication on time along with increased water intake and avoiding holding urine is recommended.
If mild symptoms persist after completing the medication, further evaluation should be conducted.
Wishing you good health.

Reply Date: 2024/07/26

More Info


Urinary tract infections (UTIs) are a common health issue, particularly among women. They can manifest with a variety of symptoms, including painful urination, frequent urination, and lower abdominal discomfort. In your case, you have been prescribed Keflex (cephalexin), Urogen, and Yungken, which are commonly used to treat UTIs. Let's address your questions and concerns regarding your symptoms and medications.

1. Urine Color Changes: It is not uncommon for certain medications, including antibiotics, to alter the color of urine. Keflex can sometimes cause urine to appear darker or even orange-brown, depending on hydration levels and other factors. If your urine is consistently dark yellow, it may indicate dehydration. It's essential to drink plenty of fluids to help flush out the bacteria and to dilute the urine, which can alleviate some of the discomfort associated with a UTI. If the color change persists or is accompanied by other concerning symptoms, it would be wise to consult your healthcare provider.

2. Symptoms of UTI: The burning sensation during urination and the cloudy urine you describe are classic symptoms of a urinary tract infection. The dull pain in the pelvic area and lower back could also be related to the infection, especially if there is inflammation in the urinary tract. The sensation of incomplete urination, where you feel the urge to urinate but still have difficulty fully emptying your bladder, can also occur with UTIs.
Given your symptoms, it is crucial to monitor your condition closely. If you continue to experience discomfort, or if your symptoms worsen, further evaluation may be necessary. This could include additional urine tests, imaging studies, or even a referral to a specialist if the infection does not resolve with the current treatment.
Next Steps:
- Hydration: Ensure you are drinking enough fluids, ideally water, to help flush out the urinary system. Aim for at least 8-10 glasses a day unless otherwise directed by your doctor.

- Follow-Up: If your symptoms persist after completing the antibiotic course, or if you experience new symptoms such as fever, chills, or severe pain, you should return to your healthcare provider for further evaluation.

- Medication Side Effects: Keep a close eye on any side effects from your medications. If you notice any severe reactions, such as rash, difficulty breathing, or significant gastrointestinal distress, seek medical attention immediately.

- Preventive Measures: After your current infection resolves, consider discussing preventive strategies with your doctor. This may include lifestyle changes, dietary adjustments, or possibly prophylactic antibiotics if you have recurrent infections.

In conclusion, while your symptoms suggest a urinary tract infection, the persistence of certain symptoms may warrant further investigation. Always communicate openly with your healthcare provider about your symptoms, medication side effects, and any concerns you may have. Your health and comfort are paramount, and there are often multiple avenues to explore for relief and prevention of future infections.

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