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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes protein in urine and bleeding during pregnancy?

Hello I am currently 35 and a half weeks pregnant and 4 weeks ago I had a routine urine test done that came back with a trace of protein in the urine. My midwife had the test sent off to check it however it came back as nothing. I then went to the midwife again who said there was protein plus 2 in my urine and possible growth however when the sample was sent off it came back as nothing this happend for a third time however I rang up on the day of results complaining that I had symptoms of uti just to be told it had come back clear of all infections. Earlier this week I was taken to hospital with bleeding and extreme pain they did vaginal swabs and urine test I am now in excrutiating pain and have been told the swabs haven t yet come back but the urine test has come up with growth so I need to repeat it. I feel as though I am going around in circles and am still in constant pain which results in me hardly being able to walk. Until the test is repeated and I have all my results back no treatment will be given and now the weekend is approaching its going to be well into next week before something can be done. What can I do to get me through the weekend possible remedies other than taking paracetemol every four hours is there anything I can do at all and what is this likely to be could it affect my unborn baby please help. Thanks in advance
Tue, 29 Mar 2016
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OBGYN 's  Response
Hallow Dear,

I indeed empathize your situation and sufferings. Urinary colic, particularly kidney pain is excruciating and very difficult to tolerate.

Since, now you are under investigations, your doctors do not want to start any treatment till the diagnosis of urinary infection is confirmed. Then, may be your urine will be sent for culture and sensitivity test which will identify the causative organisms and the antibiotics to which they are sensitive. Accordingly, you will be put on antibiotics.

Meanwhile, you should not suffer from the pain. Phenazopyridine (Pyridacil or Pyridium) is a specific urinary analgesic which gives relief from the urinary pain. You may take these tablets - even two tablets three times a day is OK. This medicine changes the colour of the urine to red colour. Please do not be concerned about this colour of the urine. It is due to the colour of the medicine. Also drink plenty of water. This may give you some relief from the urinary pain.

Urinary infection, particularly during pregnancy should be taken seriously. It may lead to rise in blood pressure also. Please monitor the blood pressure. To keep the baby safe, you should maintain your blood pressure under 135/95 mm of Hg.

Also please keep a watch on the foetal movements. Please keep a written record of foetal movement count. Baby should move around 10 times in 12 hours. If you find the movements count lesser, please report to the Obstetrician ASAP.

I feel this would give you some symptomatic relief. For cure, you will have to take course(s) of appropriate antibiotics.

Dr. Nishikant Shrotri

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