Q. I feel pain at my lower left side of the abdomen, and it burns while peeing. Is it due to urolithiasis?

Answered by
Dr. Keeranmayee Mishra
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 07, 2020 and last reviewed on: May 19, 2020

Hello I feel pain at my lower left side of abdomen,, Also It’s hard to pee ( feeling burning) the symptoms looks like I have Urolithiasis. I need to make sure

Dr. Keeranmayee Mishra

Obstetrics And Gynaecology
#

Hi, I understand your concerns.

You are finding it difficult to pee and there is a burning sensation. These may be due to urinary tract infection (more likely) or stones. In your urine report there are a few microorganisms and red blood cells are also present -these are suggestive of urinary tract infection. Please get an urine culture sensitivity report and an ultrasound of kidney,ureter and urinary bladder. Plenty of fluids is advisable and antibiotics have to be taken on basis of your culture report.

Signs and symptoms of kidney stones can include severe pain, nausea, vomiting, fever, chills and blood in your urine. Diagnosis of stones is based on urinalysis and radiologic imaging, usually noncontrast helical CT. Treatment is with analgesics, antibiotics for infection, medical expulsive therapy, and, sometimes, shock wave lithotripsy or endoscopic procedures. Hope this helps.


The Probable causes:

UTI
UTI

Investigations to be done:

Urine Culture sensitivity
Ultrasound of kidney,ureter and urinary bladder.

Differential diagnosis:

Urolothiasis

Probable diagnosis:

UTI

Treatment plan:

Plenty of fluids
And antibiotics according to urine culture report.

Preventive measures:

Plenty of fluids,genital hygeine.


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