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Pain in lower abdomen after urination. No fever, itching. Histroy of M E and fibromyalgia. Advice

As I finish urinating it hurts and aches and my lower left hand side of abdomen aches. I'm a 51 year old female. I've never had cystitis before. I have a new sexual partner of a year, but last time we had sex was over 2 weeks ago. No fever, no itching, neither can I see anything different. Thought it would go away, didn't want to have to take anti biotics. Advice would be appreciated. I have M.E. and Fibromyalgia and haven't had a period for a year now.
Asked On : Mon, 22 Apr 2013
Answers:  1 Views:  20
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General & Family Physician 's  Response
Hello ma'am and welcome to HCM.

Thank you for your query.

At present, your complaints are mildly related to the urinary tract, but only once we rule out any abnormalities of the urinary tract will we be able to look into other causes. First of all, let me start by listing the most common symptoms of a urinary tract infection (UTI), they are:
-Lower abdominal and/or flank region pain
-Itching around the genitals
-Blood in urine or immediately after (not always seen)
-Burning sensation while urinating
-Frequent urination
-Increased urge to urinate, but less amount of urine passed

Please note that not all symptoms need to be present to clinically suspect a UTI. This will then have to be confirmed with a urine examination; followed by initiation of treatment. The main reason why I would advice you to seek therapy is because, most UTI's if left untreated, might eventually subside, but will most certainly recur; causing the same problem in the future again.

Therapy will include medication related to the cause of infection (eg. antibiotics, antifungal, etc.), pain management medication (if required) and a urine alkalizer.

In the meantime, you should consume plenty of fluids and if available, cranberry juice has shown to contribute in reducing UTI-related complaints.

Once urinary tract abnormalities have been ruled out, looking into surrounding structures would be required to find the cause for your complaints.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
Answered: Tue, 23 Apr 2013
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