Your Symptoms: Urological Concerns After a Cold - Urology

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What is wrong with me?


Dear Doctor: I have been suffering from a cold for two weeks without improvement.
Although I took some leftover cold medicine from a friend, I have been feeling excessively sleepy since returning home a few days ago.
Initially, I had a severe headache, and pressing lightly on my right eye socket causes pain, along with slight swelling that resolves the next day.
I have been drinking water, but my urine output is minimal.
Additionally, I have persistent lower back pain.
What could be wrong with me, and what should I do?

A Hai, 20~29 year old female. Ask Date: 2009/01/11

Dr. Liu Jianting reply Urology


It seems like you still have cold symptoms! Please don't take someone else's medication; I recommend you visit a hospital to see an internal medicine physician.

Reply Date: 2009/01/11

More Info


It sounds like you're experiencing a combination of symptoms that could be related to a lingering viral infection, possibly following a cold, and may also involve some urological concerns. Let's break down your symptoms and discuss what they could mean and what steps you should take.

1. Persistent Cold Symptoms: You mentioned that you've had a cold for two weeks, which is longer than typical for most viral infections. While many colds resolve within a week, some can linger, especially if your immune system is compromised or if you have underlying conditions. The headache and pain around your right eye could indicate sinus pressure or infection, especially if you have nasal congestion or post-nasal drip.

2. Fatigue and Sleepiness: Feeling excessively sleepy or fatigued after a cold can be a sign that your body is still fighting off the infection. Viral infections can lead to prolonged fatigue as your immune system works hard to recover. However, if this fatigue is severe or accompanied by other concerning symptoms, it’s important to pay attention.

3. Urological Symptoms: You mentioned having a reduced urine output despite drinking water, which could be concerning. Dehydration can lead to decreased urine production, but if you are drinking enough fluids and still experiencing low output, it could indicate a problem with your kidneys or urinary tract. The back pain you're experiencing could also be related to kidney issues, especially if it is persistent.

4. Eye Pain and Swelling: The pain in your right eye and mild swelling could be related to sinus issues, especially if you have had nasal congestion. However, if the pain persists or worsens, or if you experience vision changes, it would be wise to consult an eye specialist.


Recommended Actions:
1. Consult a Healthcare Provider: Given the combination of symptoms, particularly the back pain and changes in urination, it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly lab tests (like a urinalysis or blood tests) to assess kidney function and rule out infections.

2. Stay Hydrated: Continue to drink plenty of fluids. Water is essential for recovery, especially if you are experiencing any signs of dehydration. If you notice that your urine is dark or you feel thirsty, it may indicate that you need to increase your fluid intake.

3. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, urination, or fatigue. If you notice worsening symptoms or new symptoms arise, make sure to inform your healthcare provider.

4. Rest and Recovery: Allow your body time to recover. Adequate rest is essential, especially after an illness. Avoid strenuous activities until you feel better.

5. Consider Over-the-Counter Medications: For headache relief, you might consider over-the-counter pain relievers like acetaminophen or ibuprofen, but be cautious with any medications, especially if you have underlying health conditions or are taking other medications.

In summary, while some of your symptoms may be related to a lingering cold, the combination of fatigue, back pain, and changes in urination warrants a medical evaluation. It’s always better to err on the side of caution when it comes to your health, especially if symptoms persist or worsen.

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