HomeAnswersHematologyurinary tract infectionWhy am I suffering from fatigue, chest pains, and UTIs?

How to treat recurring UTIs accompanied by shortness of breath, nosebleeds, and fatigue?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At December 8, 2022
Reviewed AtOctober 6, 2023

Patient's Query

Hi doctor,

I have had more than usual fatigue, shortness of breath, frequent nosebleeds, and chest pain occasionally. Also, I keep getting back-to-back urinary tract infections, for which I have been on antibiotics frequently. I was in the emergency room about one and a half weeks ago. My doctor said I was fine, but my blood reports were slightly off. My test report shows abnormal levels of RDW-CV - 11.4 %, platelets - 86 per microliters, lymphocytes - 197/microliter of blood, CK 501 U/L, and osmolality - 264 mOsmol/kg.

Kindly suggest what needs to be done.

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Your symptoms could be related to prolonged infections and the use of antibiotics. UTI (urinary tract infections) is cross-infection; hence, your partner must be checked for it as well.

1) Platelets are usually reduced in infections, but 86000 per microliter is only a grade 1 decrease and is insignificant, and your RDW (red cell distribution width) value is unremarkable.

2) Your lymphocytes are below 1.97 x 10e3/mcL which is not in the normal range, indicating the presence of infection in your urine.

3) Your CK (creatinine kinase) is clinically high. CK is a muscle breakdown product that is increased in prolonged fasting, TPN (total parenteral nutrition), dieting, heart or skeletal muscle damage, and prolonged ailments.

4) Bleeding symptoms might be related to vitamin C, vitamin K (due to prolonged use of antibiotics), and vitamin B12 deficiency. I suggest you increase your vitamin B12, folic acid, pyridoxine, vitamin D, zinc, vitamin C, iron, and coenzyme Q10 levels.

5) For osmolality, take plenty of water with locally available oral rehydrate salts.

However, please consult a physician and start taking the medications with their consent. I hope this helps.

Patient's Query

Hi doctor,

Thank you so much. I apologize for the delayed response.

Most welcome.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mubashir Razzaq Khan
Dr. Mubashir Razzaq Khan

Hematology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Hematology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy