Kidney Issues: Symptoms and Concerns During Pregnancy

Is it a kidney problem?

I am currently preparing for pregnancy and have recently taken ovulation medication, but I cannot yet determine if I am pregnant.
Over two months ago, I experienced two instances of hematuria (blood in urine) along with a dull ache.
The next day, I visited a gynecologist, who conducted a urinalysis and found an infection.
I was prescribed a one-day supply of medication, and after a week, I returned for a follow-up urinalysis, which resulted in a prescription for a six-day course of Levofloxacin (Cravit) 500 mg, to be taken as half a tablet daily.
During my next visit, the doctor informed me that my results were nearly within the normal range, but there were occasional signs of infection, so I was given another seven-day supply of the same medication.
Since the first occurrence of hematuria, I have not experienced any further symptoms.
Given that I am preparing for pregnancy, I decided not to take unnecessary medications, so after completing four additional days of the prescribed medication, I stopped and did not pursue further urinalysis.
However, in the past week, I have occasionally experienced mild, brief pain in the left side of my lower back, and sometimes the pain also occurs in the front left side of my abdomen.
Since the initial discovery of hematuria, I have been drinking over 2000 cc of water daily and try not to hold my urine; I go to the bathroom approximately every hour during the day, and my urine output is normal.
I am unsure if this qualifies as frequent urination.
Is this situation indicative of an unresolved urinary tract infection, or could it suggest a problem with my kidneys? Additionally, if I confirm that I am pregnant, should I consult a gynecologist or a nephrologist regarding these symptoms? If I can only see a doctor in mid-next month, will this worsen my condition? Thank you for taking the time to clarify these concerns!

Fanrao, 30~39 year old female. Ask Date: 2007/06/05

Dr. Yang Zhangzhi reply Urology

I apologize for the late response due to a lost password.
Regarding your question, it seems that you may have symptoms of a urinary tract infection.
As for the kidneys, you should be cautious because there is a high likelihood of acute pyelonephritis, especially considering that previous misconceptions may have led to incomplete treatment.
It is advisable to see a specialist, whether it be a nephrologist, an infectious disease physician, or an obstetrician-gynecologist, as soon as possible.

Reply Date: 2007/06/05

More Info

When preparing for pregnancy, it is crucial to monitor any symptoms that may indicate underlying health issues, particularly concerning the kidneys and urinary tract. Your recent experiences with hematuria (blood in urine), urinary tract infection (UTI), and intermittent back pain raise several important considerations.

1. Kidney Pain and Symptoms: The presence of blood in the urine, especially when accompanied by pain, can indicate a urinary tract infection or potentially more serious kidney issues. While kidney pain is typically felt in the flank area (the sides of the lower back), it can also manifest as discomfort in the lower abdomen or groin. The fact that you have experienced left-sided back pain intermittently could suggest that there is still some irritation or inflammation in the urinary tract or kidneys. It is essential to differentiate between pain caused by a UTI and pain that may indicate a more serious condition, such as kidney stones or pyelonephritis (a kidney infection).

2. Causes of Hematuria and UTIs: Hematuria can arise from various causes, including urinary tract infections, kidney stones, trauma, or underlying kidney disease. Given your history of a UTI, it is possible that the infection has not completely resolved, which could explain the intermittent pain and the occasional presence of blood in your urine. Additionally, dehydration or not fully emptying the bladder can exacerbate urinary symptoms. Drinking plenty of fluids, as you have been doing, is an excellent preventive measure against UTIs.

3. Frequency of Urination: You mentioned urinating approximately every hour during the day, which can be considered frequent urination, especially if it is accompanied by urgency or discomfort. This could be a result of the UTI or simply the increased fluid intake. However, if you are experiencing pain or discomfort while urinating, it is essential to seek medical advice.

4. Consulting Healthcare Providers: If you confirm your pregnancy, it is advisable to consult with both an obstetrician and possibly a nephrologist (kidney specialist). Pregnancy can complicate existing health issues, and it is vital to ensure that both your urinary health and the health of your developing fetus are monitored. If you experience worsening symptoms, such as increased pain, fever, or persistent hematuria, it is crucial to seek medical attention sooner rather than later.

5. Potential Risks of Delaying Medical Attention: Waiting until mid-next month to see a doctor could potentially worsen your condition, especially if there is an underlying infection that requires treatment. Untreated UTIs can lead to kidney infections, which can have more severe implications for both maternal and fetal health. Early intervention is key to preventing complications.

In summary, while your symptoms may be related to a lingering urinary tract infection, the presence of hematuria and back pain warrants further investigation. It is crucial to maintain open communication with your healthcare providers and to seek timely medical advice, especially as you prepare for pregnancy. Regular check-ups and monitoring will help ensure that any potential issues are addressed promptly, safeguarding both your health and that of your future child.

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