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Pain and blood on passing urine - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   I am a twenty year old healthy female, I just woke up feeling like I had to urinate pretty badly. After going to the restroom to relieve myself, I still felt the urge to urinate. But, when I tried to urinate I had severe pains and uncomfortable feelings in that area. When I tried to push out what I thought was going to be urine, nothing but blood came out. It's only been a few hours, but every time I go to the restroom I just have vaginal blood and increased pain. Also, when I try to urinate it feels incredibly difficult to do so. It feels very thick and incredibly painful. I am thinking that the vaginal area is like this now after having intercourse the previous night, but I've never dealt with something quite like this before.

Please help :(
Doctor :   hi
Doctor :  
User :   Good morning
User :   Are you still there?
Doctor :   let me read what you have typed
Doctor :   did you have vaginal bleed just after the intercourse?
Doctor :   was there any discomfort associated while having the intercourse?
User :   No, I didn't have any bleeding until about 4AM this morning
User :   There was a slight discomfort during intercourse but I hadn't thought anything of it
Doctor :   is the burning or discomfort or pain associated when passing the urine?
User :   There's no burning, just pain and discomfort and it's constant. But the pain is intensified immensely when I try to urinate.
Doctor :   when was your last menstrual period? are you on any birth control measures?
Doctor :   the pain and the increase when trying urinate suggest infection to the urethra called as urethritis.
Doctor :   it can be associated with blood in urine
Doctor :   I would recommend an urine test test to identify the infcetion
Doctor :   *infection
Doctor :   such that appropriate treatment can be started for you
User :   My last period was ended on June 20th, and I recently stopped taking birth control about a week ago
Doctor :   in the meantime, try hot water fomentation over lower abdomen for pain relief
Doctor :   do you have any other symptoms suggesting early pregnancy like: Doctor :   nausea, breast tenderness, sensitive nipples, mood swings, fatigue increased hunger and sleep?
User :   No, there is no possibility of being pregnant. This is the first intercourse I had in months.
Doctor :   ok. since your periods ended on June 20th, there is high chances that you might get pregnant, as you are in your fertile period at present
Doctor :   also since you had the intercourse after a long time, chances for urethral infection is more
Doctor :   report to your local doctor/healthcare provider, ask for a urine test to confirm infection
Doctor :   and get started on antibiotics to control the infection and the symptoms. drink plenty of water and if possible cranberry juice, it will help you relieve the pain to some extent
Doctor :   have you followed what I have said?
User :   Yes, I have, thank you. I'm just trying to think if I can think of anything else to add
Doctor :   is there anything else you would like to ask me?
User :   Alright, I don't have anything else to add or ask.
Doctor :   thanks for consulting me. bye for now. do get back to me if you have further queries.
User :   Thank you very much for your time.
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