Urethritis: Symptoms, Severity, and What to Do Next

Urethritis

Hello Doctor: For the past few days, I have been experiencing a burning sensation when urinating, and I have noticed blood in my urine once or twice.
Today, I have pain in my lower back (near the waist) when touched, and I cannot lie down to rest.
Sometimes my abdomen also hurts.
Since I am abroad, it is inconvenient for me to see a doctor.
Could my symptoms indicate a urinary tract infection? Is it serious? What should I do? Thank you.

A-Zhi, 20~29 year old female. Ask Date: 2002/06/29

Dr. Chen Zhihong reply Urology

Could you please let me know if you or your family members have a history of urinary tract stones? If so, there is a high possibility of ureteral stones.
Of course, urethritis could also cause painful urination along with hematuria.
The simplest way to differentiate between these conditions is to conduct a urine test.

Reply Date: 2002/06/29

More Info

Urethritis, or inflammation of the urethra, can present with a variety of symptoms, including burning during urination, blood in the urine (hematuria), and discomfort in the lower abdomen or back. Based on your description, it seems you are experiencing several concerning symptoms that warrant further attention.

Symptoms and Severity
1. Burning Sensation During Urination: This is a classic symptom of urethritis. It can be caused by infections, irritants, or trauma to the urethra.

2. Hematuria: The presence of blood in your urine is a significant symptom. While it can occur in urethritis, it may also indicate other conditions such as a urinary tract infection (UTI), kidney stones, or even more serious issues like kidney disease or tumors.

3. Back Pain: Pain in the lower back, especially near the kidneys, can suggest a more serious infection, such as pyelonephritis (kidney infection), particularly if it is accompanied by other symptoms like fever or chills.

4. Abdominal Pain: This can be associated with various conditions, including urinary tract infections or gastrointestinal issues.

What to Do Next
Given your symptoms, especially the presence of blood in your urine and back pain, it is crucial to seek medical attention as soon as possible. Here are some steps you can take:
1. Seek Medical Care: Even if you are abroad and finding it difficult to see a doctor, it is essential to find a healthcare provider. You may want to look for a local clinic or hospital that can perform a urinalysis and possibly imaging studies to assess your kidneys and urinary tract.

2. Hydration: Drink plenty of fluids to help flush out your urinary system. This can sometimes alleviate symptoms and help with the passage of any potential irritants or infections.

3. Avoid Irritants: Stay away from caffeine, alcohol, spicy foods, and other irritants that may exacerbate your symptoms.

4. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, fever, or changes in urination patterns. This information will be helpful for your healthcare provider.

5. Consider Over-the-Counter Pain Relief: If you are experiencing significant discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen may help alleviate some of the pain, but this should not replace professional medical advice.

Conclusion
Your symptoms suggest that you may be dealing with a urinary tract infection or urethritis, but the presence of blood and back pain raises concerns for more serious conditions. It is imperative that you seek medical attention promptly to receive appropriate diagnosis and treatment. Delaying care could lead to complications, especially if there is an underlying infection affecting your kidneys. Remember, your health is the priority, and finding a local healthcare provider should be your next step.

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