Should You Return for a Follow-Up After Urinary Issues? - Urology

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Should I schedule a follow-up appointment?


Hello Doctor: I went to the emergency room on January 19th due to hematuria and burning pain while urinating (this was my first experience).
However, today I have finished all my medication, and I have been drinking plenty of water and urinating frequently.
Yet, over the past two days, I sometimes still feel the urge to urinate even after finishing, or I experience a sharp pain after urination.
I would like to know if this means I haven't fully recovered.
Is it advisable to go to a pharmacy to get medication, or would it be more appropriate to visit the hospital?

Jun, 20~29 year old female. Ask Date: 2016/01/24

Dr. Xu Weikai reply Urology


Hello, it is recommended to return for a follow-up appointment to see if you have recovered.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Online responses should only be used as a reference; if necessary, you should visit a medical institution for treatment.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/24

More Info


It is essential to understand that urinary issues, especially those involving symptoms like hematuria (blood in urine), burning sensations during urination, and persistent urges to urinate, should not be taken lightly. Your experience of having blood in your urine and accompanying pain is a significant indicator that something may be wrong within your urinary tract.
Given that you have already completed your prescribed medication and are still experiencing discomfort, it is advisable to return for a follow-up appointment with your healthcare provider. This is crucial for several reasons:
1. Assessment of Symptoms: The symptoms you describe—persistent urge to urinate and pain after urination—could indicate that the underlying issue has not been fully resolved. This could be due to a urinary tract infection (UTI), inflammation, or other conditions that may require further investigation.

2. Potential Complications: If the initial cause of your symptoms was a UTI or another infection, it is possible that the infection has not cleared completely, or there may be a new infection. In some cases, untreated infections can lead to more severe complications, such as kidney infections or chronic urinary issues.

3. Diagnostic Tests: Your healthcare provider may recommend additional tests, such as a urinalysis or imaging studies, to determine the cause of your ongoing symptoms. These tests can provide valuable information about your urinary health and help guide appropriate treatment.

4. Medication Management: While it may be tempting to self-medicate by purchasing over-the-counter medications from a pharmacy, this approach is not always advisable. Without a proper diagnosis, you may not be addressing the root cause of your symptoms. Additionally, some medications can interact with others you may be taking or may not be suitable for your specific condition.

5. Professional Guidance: Your healthcare provider can offer tailored advice based on your medical history and current symptoms. They can also provide reassurance and support, which is particularly important when dealing with health concerns that can be distressing.

In summary, while it might seem convenient to seek a quick fix at a pharmacy, returning to your healthcare provider for a follow-up is the most prudent course of action. They can evaluate your condition comprehensively and ensure that you receive the appropriate care. Remember, your health is paramount, and addressing these symptoms with professional guidance is the best way to ensure a full recovery.
In the realm of urology, it is crucial to listen to your body and seek help when symptoms persist. Early intervention can often lead to better outcomes and prevent complications down the line. Always prioritize your health and well-being by consulting with a qualified healthcare professional when in doubt.

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