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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spotting, Vomiting, Nausea And Headache. UTI Confirmed. How Is It Possible?

I have been spotting for the past 2 1/2 weeks, constantly nauseous and vomiting , cramping, a lot of discharge, headache after headache, sore breasts and swollen nipples and constipation . I was supposed to start my period Monday but because I m still spotting I can t tell what s going on down there!!! I mean it started off spotting one day, heavy the next and now its back to spotting today. I went to the emergency room yesterday, and was told I had a UTI , but no blood work was done either. Also, no burning sensation when i go to the bathroom...how is it a urinary tract infection?! So as of now I m really confused about what s going on with me...HELP!!!
Thu, 31 Jan 2013
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Emergency Medicine Specialist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

A urinary tract infection can be confirmed with a urine test only - either a urine microscopy or a urine culture test. You have not mentioned if this was done in the ER or not. Nausea, vomiting and abdominal cramping are symptoms frequently seen in UTIs.

Though most UTIs present with burning sensation while passing urine, this may not be the case always. It is possible to have a UTI even without any frank symptoms at all (asymptomatic UTI)

Wish you all the best.

Regards,
Dr. Sheeba Stephen
Emergency Medicine Specialist
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General & Family Physician Dr. Nsah Bernard's  Response
Hello Shaniqua,

If you are spotting (through the vagina) after a heavy bleeding, then pregnancy should be suspected. You might going through a spontaneous abortion and so a pregnancy test should be done right away first. Urine test should also be done to actually confirm the UTI ( which might be the cause of the spontaneous miscarriage). If there is no pregnancy, then you need to see a gynobs to determine the cause of your abnormal vaginal bleeding. There are a wide range of causes that will need to be excluded one after another. If urinary tract then a course of antibiotics should have been started. Your bleeding is not a UTI but if pregnant then could be the course of your bleeding as a pregnancy complication.
First step is to do a pregnancy test. Next step is see a gynobs urgently irrespective of pregnancy test results. Continuous bleeding can lead to blood shortage/anemia which can seriously complicate your health.

Hope this helps
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Spotting, Vomiting, Nausea And Headache. UTI Confirmed. How Is It Possible?

Hello and welcome to Healthcare Magic. Thanks for your query. A urinary tract infection can be confirmed with a urine test only - either a urine microscopy or a urine culture test. You have not mentioned if this was done in the ER or not. Nausea, vomiting and abdominal cramping are symptoms frequently seen in UTIs. Though most UTIs present with burning sensation while passing urine, this may not be the case always. It is possible to have a UTI even without any frank symptoms at all (asymptomatic UTI) Wish you all the best. Regards, Dr. Sheeba Stephen Emergency Medicine Specialist