It seems strange... >< "(urgent!!)
Hello doctor, I've been feeling the urge to urinate frequently lately.
Additionally, I have a strange sensation in the upper left side of my back, which feels tight and somewhat painful.
I'm not sure if something is wrong.
IVE, 20~29 year old female. Ask Date: 2004/03/31
Dr. Yang Jun reply Internal Medicine
Hello: In response to your question regarding frequent urination and discomfort in the left flank, it may be caused by a urinary tract infection.
It is advisable to consult a urologist or nephrologist for a urinalysis.
If there is hematuria, further imaging studies such as X-rays of the kidneys, ureters, and bladder or a renal ultrasound should be performed to check for the presence of stones.
Treatment will be based on the examination results, along with recommendations to increase fluid intake, avoid holding urine, and maintain good urinary hygiene to facilitate recovery.
Reply Date: 2004/03/31
More Info
Frequent urination combined with discomfort or pain in the left side of the abdomen can be indicative of several underlying medical conditions. Given your symptoms, it is essential to consider a few potential causes and the necessary steps for diagnosis and treatment.
1. Urinary Tract Infection (UTI): One of the most common causes of frequent urination is a urinary tract infection. UTIs can cause a strong urge to urinate, often accompanied by discomfort or pain in the lower abdomen or back. If you have any additional symptoms such as burning during urination, cloudy urine, or fever, it would be wise to consult a healthcare provider for a urinalysis and possible antibiotic treatment.
2. Kidney Issues: The discomfort in your left side could be related to kidney problems, such as kidney stones or a kidney infection. Kidney stones can cause severe pain that radiates from the back to the abdomen and may also lead to frequent urination if they are obstructing the urinary tract. A kidney infection (pyelonephritis) can also present with flank pain and urinary symptoms. Imaging studies like an ultrasound or CT scan may be necessary to evaluate the kidneys.
3. Bladder Conditions: Conditions such as interstitial cystitis or bladder overactivity can lead to frequent urination and discomfort. Interstitial cystitis is characterized by chronic pelvic pain and frequent urination, often without an identifiable infection. A urologist can perform specific tests to diagnose these conditions.
4. Prostate Issues: In males, prostate enlargement or prostatitis can lead to urinary symptoms, including frequent urination and discomfort in the pelvic area. If you are male and experiencing these symptoms, it may be worthwhile to discuss this with your healthcare provider.
5. Musculoskeletal Issues: Sometimes, discomfort in the side can be related to musculoskeletal problems, such as muscle strain or issues with the spine. If the pain is not accompanied by urinary symptoms, it may be worth considering a physical examination to rule out these causes.
Next Steps:
- Consult a Healthcare Provider: Given the combination of frequent urination and left-sided discomfort, it is advisable to see a healthcare provider. They may perform a physical examination, urinalysis, and possibly imaging studies to determine the cause of your symptoms.
- Keep a Symptom Diary: Documenting your symptoms, including the frequency of urination, any pain levels, and other associated symptoms, can help your healthcare provider make a more accurate diagnosis.
- Hydration and Diet: Ensure you are well-hydrated, but also be mindful of any dietary factors that might exacerbate your symptoms, such as caffeine or alcohol, which can irritate the bladder.
In conclusion, while frequent urination and left-sided discomfort can arise from various conditions, it is crucial to seek medical evaluation to determine the underlying cause and appropriate treatment. Early diagnosis can lead to better management of your symptoms and overall health.
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