Complaint
Laura, a 30-year-old female, has been experiencing a burning sensation when urinating and frequent urination with small amounts for the past month. She had a urine test done, which showed positive leukocytes and nitrites, trace protein, negative blood and glucose, pH of 6.0, and specific gravity of 1.015.
Main Possible Diagnosis
Urinary Tract Infection (UTI) (85%) - A UTI is an infection in any part of the urinary system, most commonly the bladder and urethra. It is often caused by bacteria and can lead to symptoms like burning sensation during urination and frequent urination.
Less Likely Diagnosis
Interstitial Cystitis (15%) - This is a chronic condition causing bladder pressure, bladder pain, and sometimes pelvic pain. The exact cause is unknown, but it can mimic the symptoms of a UTI.
Diagnosis
Based on your symptoms and urine test results, the most likely diagnosis is a Urinary Tract Infection (UTI). UTIs are common, especially in women, and are usually caused by bacteria entering the urinary tract. The positive leukocytes and nitrites in your urine test strongly suggest a bacterial infection. The trace protein can also be a sign of infection or inflammation.
Interstitial Cystitis (IC) is a less likely but possible diagnosis. IC is a chronic condition that can cause similar symptoms to a UTI but is not caused by bacteria. It is less common and usually diagnosed when other causes are ruled out.
UTIs are generally not serious if treated promptly with antibiotics. If left untreated, they can lead to more serious kidney infections. IC, on the other hand, is a chronic condition that requires long-term management.
Next, you should see a doctor to confirm the diagnosis and get a prescription for antibiotics if it is a UTI. If symptoms persist after treatment, further investigation for IC may be needed.
Medical Test Report
Your urine test showed positive leukocytes and nitrites, which are strong indicators of a bacterial infection in the urinary tract. The trace protein is also consistent with an infection or inflammation. The other parameters are within normal ranges.
More Tests Recommended For You
Urine culture to identify the specific bacteria causing the infection and determine the most effective antibiotic.Follow-up urine test after completing antibiotics to ensure the infection is cleared.Possible Medications
Antibiotics such as Trimethoprim/Sulfamethoxazole (Bactrim) - usual dosage is 160/800 mg twice daily for 3-7 days. Side effects may include nausea, vomiting, and rash. Price range: $10-$20.Phenazopyridine (Pyridium) for pain relief - usual dosage is 200 mg three times daily after meals for up to 2 days. Side effects may include headache, dizziness, and stomach cramps. Price range: $5-$15.Urgency Of Your Diagnosis
This situation is not an emergency, but you should see a doctor soon to get appropriate treatment and prevent complications.
Disclaimer
This document is not intended as medical advice or a replacement for professional medical consultation. It provides general guidance for initial diagnosis and suggests questions to discuss with a healthcare provider. Always seek personalized medical advice from a qualified physician or healthcare provider. For questions contact us at hi@doctola.com