YOUNG-WOMEN Messages for May, 2002: Re: Bladder infection?

Re: Bladder infection?

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 15 May 2002 08:26:15 -0500 (CDT)

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In reply to: anonymous@obgyn.net: "Bladder infection?"

At Tue, 14 May 2002, anonymous@obgyn.net wrote: >
>I have had a low grade fever months. In addition my lymph nodes in the
>subcutaneous layer over my liver are swollen and sore. I also have a
>spasming feeling in my lower abdomen along the top of my pelvis, I think
>it is my bladder. If I urinate when the spasming begins the spasming
>will either decrease or totally stop. My MD did blood work and all the
>findings were negative or normal except for my ESR, Westergren, which
>was high. It was 22. On the sheet from the lab the normal range was
>below 20 and there was also a footnote stating that the levels would be
>lower if tested after 12 hours. The lab received the blood work 24
>hours after it was drawn. My MD also did a urine culture. In her
>office she said that she could see one erythrocyte in the urine and it
>was not around menstruation. The lab findings were 10,000cfu/ml with a
>statement that the results may have been from contamination from
>external vaginal flora. My MD wants me to see my GYN as I have a
>history of ruptured ovarian cysts, she feels that I may have an infected
>cyst. If those findings are normal she wants me to see an Infectious
>Disease Specialist. While waiting for the Urine culture results I was
>laying in bed and the spasming began, but I could feel it go up my right
>side and continue to spasm in my kidney area. I don't know if I should
>wait a month to see the GYN, that was her earliest appointment or if I
>should have my MD order any tests that the GYN would? Also is it
>possible that I do have a bladder infection and should be on an
>antibiotic?

Your urine results do not correspond to you having an bladder or other urinary tract infection. Your MD could do the cervical testing to rule out STDs without waiting for the Gyn.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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