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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain During Urination Along With Chills And Nausea?

Experiencing SEVERE pain from UTI. I am extremely prone to UTI s- leading cause from sex. I urinate after sex everytime, keep myself very clean.. but seem to be true very frequent. This morning I woke up fine. About 3-4 hours ago started having frequent urges to urinate and had moderate pain. Now, I am urinating almost straight blood. The pain when I pee is so intense it literally takes my breath away. I have constant chills, pain in my lower abdomen and back, my legs are tingling and numb, feel slight nausea and extremely uncomfortable. I have NEVER experienced pain like this from a UTI, bacterial infection, yeast infection, etc.. No access to antibiotics at this time. Need a quick fix fast. Picking up some AZO now. PLEASE HELP!
Wed, 22 Mar 2017
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Diabetologist 's  Response
Hello,

Welcome to Healthcare Magic.

I have read your question fully and understand your concerns.

From what you have written I think you are suffering with pyelonephritis along with cystitis. Pyelonephritis is an infection of either one or both kidneys. Cystitis is infection of urinary bladder (in other words the UTIs you had in past). It is very likely that the organisms from your cystitis moved upwards and infected your kidneys. The pyelonephritis could also be a result of a kidney stone that has become obstructed and causing infection on a background of cystitis.

Pyelonephritis causes pain in the back/flanks. There is fever with chills and rigors. Patients also have nausea and vomiting. Your cystitis is causing your lower abdominal pain, pain and burning sensation while passing urine. UTIs also cause blood in urine. Kidney stones also cause pain.

Unfortunately, treatment of pyelonephritis is by antibiotics. I understand that you do not have access to antibiotics at present. Is it possible for you to see a doctor as soon as possible as pyelonephritis does need prompt treatment. If there is a delay in treatment it can cause complications like sepsis and acute kidney failure.

Azo may help, but may not get rid of the infection.

If you have Co-amoxiclav (dose 650 mg three times day - provided you are not allergic to penicillin) or Ciprofloxacin (500 mg twice a day-provided you have not allergic to it ) you could take them for first couple of days, until you get to see your doctor.Both of these are antibiotics. You need to send a urine sample ( before taking your first antibiotic dose) for culture and sensitivity to identify the correct antibiotic.

Do drink lots of water to help flush the infection. Also you can take pain relief with Ibuprofen 200 mg-400 mg three times a day (take with some food if possible, alternatively take Ranitidine 150 mg twice a day to prevent gastritis).

In future, as you are getting repeated UTIs, you can go on preventive treatment – by taking a small dose of an antibiotic at night.

I hope this answer has helped you.

Thank you
Regards
Dr Sunita Sayammagaru



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What Causes Pain During Urination Along With Chills And Nausea?

Hello, Welcome to Healthcare Magic. I have read your question fully and understand your concerns. From what you have written I think you are suffering with pyelonephritis along with cystitis. Pyelonephritis is an infection of either one or both kidneys. Cystitis is infection of urinary bladder (in other words the UTIs you had in past). It is very likely that the organisms from your cystitis moved upwards and infected your kidneys. The pyelonephritis could also be a result of a kidney stone that has become obstructed and causing infection on a background of cystitis. Pyelonephritis causes pain in the back/flanks. There is fever with chills and rigors. Patients also have nausea and vomiting. Your cystitis is causing your lower abdominal pain, pain and burning sensation while passing urine. UTIs also cause blood in urine. Kidney stones also cause pain. Unfortunately, treatment of pyelonephritis is by antibiotics. I understand that you do not have access to antibiotics at present. Is it possible for you to see a doctor as soon as possible as pyelonephritis does need prompt treatment. If there is a delay in treatment it can cause complications like sepsis and acute kidney failure. Azo may help, but may not get rid of the infection. If you have Co-amoxiclav (dose 650 mg three times day - provided you are not allergic to penicillin) or Ciprofloxacin (500 mg twice a day-provided you have not allergic to it ) you could take them for first couple of days, until you get to see your doctor.Both of these are antibiotics. You need to send a urine sample ( before taking your first antibiotic dose) for culture and sensitivity to identify the correct antibiotic. Do drink lots of water to help flush the infection. Also you can take pain relief with Ibuprofen 200 mg-400 mg three times a day (take with some food if possible, alternatively take Ranitidine 150 mg twice a day to prevent gastritis). In future, as you are getting repeated UTIs, you can go on preventive treatment – by taking a small dose of an antibiotic at night. I hope this answer has helped you. Thank you Regards Dr Sunita Sayammagaru