Interstitial Cystitis archives

Do you think this is a bladder infection?

Posted by MP on February 22, 1999 at 16:20:29:

For 3 days now I have had persistent pain and pressure over my pelvic bone, tenderness in the rest of my abdomen, and a frequent need to urinate. However, I don't pass very much urine when I go. I have no fever, and other than the above symptoms, I feel fine. I am not sexually active, so it's not an STD. Do I need to see someone about this? Thank you!


Follow Ups:


Re: Do you think this is a bladder infection?

Posted by Walt Stoll on February 23, 1999 at 10:35:33:

In Reply to: Do you think this is a bladder infection? posted by MP on February 22, 1999 at 16:20:29:

Dear MP,

You need a urinalysis. Find a walk-in clinic & get one.

Let us know what you learn. In the meantime, if this were me, I would be taking a lot of cranberry (unsweetened by sugar) juice and about 10 grams of esterified vitamin C twice a day.

Walt


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DIAGNOSIS: Bladder AND Kidney Infection!!! YIKES!

Posted by MP on February 25, 1999 at 01:19:51:

In Reply to: Re: Do you think this is a bladder infection? posted by Walt Stoll on February 23, 1999 at 10:35:33:

Golly Gee, I have no idea how I got this. Apparently, from what I understand of the doctor anyway, I had the bladder infection for a while and it travelled up into my left kidney. All this time I thought it was just a back ache and it was my kidney all along! And the bladder pain I thought was associated with my irregular menstrual cycle! Looks like I need ot bone up on my anatomy! :) Anyhow, how does one get a bladder infection? I use proper hygeine after urinating and voiding (that whole front to back thing.....) And one more question, the dr. put me on 875 mgs. of Augmentin for the first few days and then 500 mgs. thereafter. I hate antibiotics--is this what I must do? I am starting SR this week--boy, have I been getting a lot of signals from my body! Time to get MOTIVATED! Thank you for this wonderful service, to all the doctors on this board.


Follow Ups:


Re: DIAGNOSIS: Bladder AND Kidney Infection!!! YIKES!

Posted by Walt Stoll on February 26, 1999 at 11:08:26:

In Reply to: DIAGNOSIS: Bladder AND Kidney Infection!!! YIKES! posted by MP on February 25, 1999 at 01:19:51:

Dear MP,

To have this happen, you should have had frequency and some burning on urination as long as you had the bladder infection.

Although augmentin MIGHT work, by far the best approach (once things had gotten to this stage) would have been to get a culture & sensitivity of the urine PRIOR to starting the appropriate antibiotic. I agree that antibiotics are indicated but they should ALWAYS be preceded by a culture & sensitivity in cases like this.

Women have most of the urinary infections BECAUSE their urethra is so short. It is easier for germs to move into the bladder with a short urethra and, if immunity is elther locally or generally inhibited, set up housekeeping in the bladder. THEN, if the general immunity is stressed, it doesn't take long for the infection to spread to the kidney.

IF you noticed the flank pain BEFORE the bladder symptoms (I consider this since you seem to not have had the usual bladder symptoms BEFORE the kidney pain.) there is a good chance that this STARTED in the kidney & moved to the bladder. That scenario is a LOT more serious and again points up the necessity of getting a culture before starting the antibiotics. Also, in that case, you would need an xray study of the kidneys and a referral to a urologist.

Let us know what happens.

Walt


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Re: DIAGNOSIS: Bladder AND Kidney Infection!!! YIKES!

Posted by MP on February 26, 1999 at 22:52:52:

In Reply to: Re: DIAGNOSIS: Bladder AND Kidney Infection!!! YIKES! posted by Walt Stoll on February 26, 1999 at 11:08:26:

"A culture and sensitivity of the urine"--is that the urinalysis you had recommended for me to get before? If so, I had that done. Although my urine was very diluted (from the amount of liquids from the day before??? I had nothing to drink the entire day that I saw the doc. at 4 pm) he said my white blood cell count was high. He also tapped on my back, a little painful over the left kidney. I had been having pain in the bladder area, but I didn't know that it was bladder pain--I thought it was pain between periods or something. I never did have the burning, though. I DID however have frequency of urination--at least the urge to urinate constantly (often very little would come out.) So there's the story. What do you think? Do I need a culture still? Thanks!



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OH! One more thing!

Posted by MP on February 26, 1999 at 22:54:53:

In Reply to: Re: DIAGNOSIS: Bladder AND Kidney Infection!!! YIKES! posted by MP on February 26, 1999 at 22:52:52:

You asked which came first, the bladder or the kidney. I felt pain in the bladder area first.



Re: DIAGNOSIS: Bladder AND Kidney Infection!!! YIKES!

Posted by Walt Stoll on February 27, 1999 at 11:20:32:

In Reply to: Re: DIAGNOSIS: Bladder AND Kidney Infection!!! YIKES! posted by MP on February 26, 1999 at 22:52:52:

Hi, MP.

A culture is when a "clean voided urine" or a catheterized specimen is taken to attempt to grow the germ in the laboratory and see which antibiotic will work.

Now that you have already been treated, if this turns out to have started in the kidney, the urologist will roundly curse the doc who treated you without the culture & sensitivity. It is too late for a C&S now. You will just have to hope you luck out.

IF the antibiotic works, and you do not have a recurrence, your doc got away with sloppy medicine and you are lucky.

Walt


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Thank you! And sloppy medicine is right--it seemed like the dr. was guessing! I'll keep an eye out for myself! NMI

Posted by MP on February 27, 1999 at 19:18:13:

In Reply to: Re: DIAGNOSIS: Bladder AND Kidney Infection!!! YIKES! posted by Walt Stoll on February 27, 1999 at 11:20:32:





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