Urinary Issues: When to Seek Immediate Medical Attention - Urology

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It seems like it's not just a bladder infection?


On Monday night, I suddenly experienced severe lower abdominal pain and frequent hematuria.
The next day, I went to the county hospital outpatient clinic, where I was initially diagnosed with cystitis.
I underwent bacterial culture and testing, and my follow-up appointment is scheduled for next Tuesday.
I received a week's worth of medication, which I have been taking diligently, and I have been drinking plenty of water.
Yesterday was okay, but today is really bad.
My lower abdomen still hurts, and my urine output is low; the amount I drink does not match what I am excreting.
My abdomen feels very distended and uncomfortable, and I have a slight fever, not exceeding 38 degrees Celsius, along with chills and poor sleep.
The doctor mentioned that if I have a fever, I should return to the hospital for emergency care.
Now, I'm unsure whether I should go to the emergency room, but my abdomen feels like it’s about to burst.
I know I need to drink more water, but I'm hesitant to do so.
Should I seek medical attention early, or should I wait another five days?

JC, 20~29 year old female. Ask Date: 2006/09/21

Dr. Liu Jianting reply Urology


It can be quite painful; the basic principle is that if any symptoms worsen during medication, please promptly return to the original medical facility to consult a physician.

Reply Date: 2006/09/21

More Info


When it comes to urinary issues, particularly symptoms like sudden abdominal pain, blood in urine, frequent urination, and a feeling of fullness in the bladder, it is crucial to understand when to seek immediate medical attention. Your situation, as described, raises several red flags that warrant prompt evaluation.

Firstly, the presence of blood in the urine (hematuria) is a significant symptom that should never be ignored. It can indicate various underlying conditions, ranging from urinary tract infections (UTIs) to more serious issues such as kidney stones or even tumors. Given that you have already been diagnosed with a bladder infection and are experiencing worsening symptoms, it is essential to reassess your condition.

The fact that you are experiencing severe abdominal pain, a significant discrepancy between fluid intake and output, and a feeling of fullness or distension in the abdomen suggests that your bladder may not be emptying properly. This can lead to complications such as urinary retention, which can be painful and potentially harmful if not addressed. Additionally, the presence of a mild fever (even if it is below 38 degrees Celsius) can indicate that your body is fighting an infection, which may require more aggressive treatment.

In your case, the recommendation to return to the hospital for emergency care is prudent. If your doctor has advised you to seek immediate care if you develop a fever, it is wise to follow that guidance, especially since you are experiencing other concerning symptoms. The combination of abdominal pain, difficulty urinating, and fever suggests that your condition may not be improving as expected and could be progressing.

When you arrive at the emergency department, the medical team will likely perform a thorough evaluation, which may include a physical examination, urinalysis, and possibly imaging studies such as an ultrasound or CT scan to assess the kidneys and bladder. They will also check for any signs of obstruction or other complications that may require intervention.

In summary, given your current symptoms and the potential for complications, it is advisable to seek immediate medical attention rather than waiting for your scheduled follow-up. Your health and well-being are paramount, and addressing these symptoms promptly can help prevent further complications and ensure that you receive the appropriate treatment. Remember, it is always better to err on the side of caution when it comes to health issues, especially those involving the urinary system.

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