Another UTI or worse

Patient

Q: I've had UTI's before but this one is worse than the others. Normally I'd only have the painful and frequent urination but now I have a mild backache, pain (in the urethra?) and the last drops of urine come out reddish too. When I press down on my pelvic area, it hurts. I feel slightly bloated.
Will taking antibiotics for a UTI be enough or will I need antibiotics for possible kidney infection?

Symptoms:  Frequent urge to urinate, painful urination, blood in urine, backache, cloudy urine, feeling bloated.
Doctor

A:   Hello,
Thanks for the query.
The symptoms of pain during urination and back ache with blood in urine could be a urinary infection which has recurred and progressed towards an infection of the kidneys, the other causes could be a kidney stone or a stone anywhere in the urinary tract.
Before deciding on the antibiotics, dose and type, a thorough investigation is warranted in your case.
The investigations may include a complete hemogram, white cell counts, basic hormonal assays, a urine routine and microscopy followed by a urine culture and sensitivity test, blood sugar, a high vaginal swab to rule out vaginal infections, an ultrasound of abdomen and pelvis. You may visit a gynecologist for an examination and for further follow up.
Meanwhile I suggest you to drink plenty of fluids and keep your fluid/water intake around 3 liters a day. This will reduce your symptoms of painful urination and reduce the chances of kidney stones as well. The bloated feeling could be due to the recurrent infections, gastritis or constipation or a premenstrual symptom too. Reduce stress and avoid food high in oil and carbohydrates. Have a high fiber diet and include antioxidants in your supplements.
Depending on the results of the examination and investigation the decision on antibiotics and any further intervention can be taken accordingly.
Hope this helped
Regards

Related Q&A

Q: For a while It constantly felt like I had to urinate but I never really had to, and it was painful to do so. When thi...

Q: I have urinary problems now for a few weeks (frequency, urgency, can't seem to empty bladder, and slight burning). I...

Q: Hello, I had protected sex about a week ago, and now I currently have slight redness/irritation at the tip of my p...

Q: Sir few drops of blood came after i urinate this happen from 15years every year some times now i am 37 years three mo...

Q: I have had UTI for over 7 months now I'm a 20 year old girl, I've just started engaging in sexual activity. I've take...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews