Should I schedule a follow-up appointment?
Hello Doctor: I went to the emergency room on January 19th due to hematuria and a burning pain while urinating (this was my first experience).
However, today I have finished all my medication and have been trying to drink plenty of water and urinate 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,
1.
The pharmacy is unable to obtain antibiotics.
2.
It is recommended to conduct another urine test to check if there is still an infection.
If there is no infection, antibiotics are not necessary.
If there are any unclear points, feel free to ask again for further discussion and research.
Answers found online should only be used as a reference; if necessary, it is important to seek medical care at a healthcare facility.
Best regards,
Dr.
Hsu Wei-Kai,
Director of Urology, Taitung Hospital, Ministry of Health and Welfare
Reply Date: 2016/01/24
More Info
It is crucial to understand that urinary symptoms, especially those involving blood in the urine (hematuria), burning sensations during urination, and persistent urges to urinate, can indicate underlying medical conditions that require thorough evaluation. Given your history of blood in the urine and the recent symptoms you are experiencing, it is advisable to return for a follow-up appointment with a healthcare provider.
When you initially presented with blood in your urine and burning sensations, it could have been indicative of a urinary tract infection (UTI), kidney stones, or other urinary tract issues. Although you have completed your medication, the persistence of symptoms such as the feeling of needing to urinate after you have just done so, and the pain you describe, suggests that the underlying issue may not have been fully resolved.
In medical practice, follow-up appointments are essential for several reasons:
1. Assessment of Treatment Efficacy: A follow-up allows your healthcare provider to assess whether the initial treatment was effective. If symptoms persist, it may indicate that the initial diagnosis was incomplete or incorrect, or that a different condition is present.
2. Further Testing: If your symptoms continue, your doctor may recommend additional tests, such as a urinalysis, urine culture, imaging studies (like an ultrasound or CT scan), or cystoscopy (a procedure to look inside the bladder). These tests can help identify any abnormalities that may not have been detected during your initial visit.
3. Preventing Complications: Some urinary conditions can lead to more severe complications if left untreated. For example, untreated UTIs can ascend to the kidneys, leading to pyelonephritis, which is a serious infection. Early intervention can prevent such complications.
4. Medication Management: Self-medicating by purchasing over-the-counter medications without consulting a healthcare provider can be risky. Some medications may not be appropriate for your specific condition, and without a proper diagnosis, you may not be addressing the root cause of your symptoms.
5. Mental Health Considerations: Chronic urinary symptoms can significantly impact your quality of life and mental health. If you are experiencing anxiety or distress due to these symptoms, discussing this with a healthcare provider can help you find appropriate support and treatment options.
In summary, while it may be tempting to manage your symptoms independently, returning to a healthcare provider for a follow-up is the most prudent course of action. They can provide a comprehensive evaluation, ensure that you receive the correct diagnosis and treatment, and help you manage any ongoing symptoms effectively. It is essential to prioritize your health and well-being, especially when dealing with potentially serious urinary symptoms.
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