Patient's question:
Starting to gain weight, mainly。Feeling pain during urination, with a slight amount of bleeding. Went to a local hospital for an ultrasound, but no abnormal symptoms were detected. The doctor suspected it was a kidney stone.Doctor's answer:
Hello! Based on the information you provided, the pain occurs only during urination, and there are no stones detected on ultrasound, suggesting a higher likelihood of a urinary tract infection. The pain from urinary stones is very severe and unbearable, often requiring Demerol for pain relief. Moreover, the pain is unrelated to urination, characterized by sudden intense pain that may abruptly stop when the body position changes, similar to how it would in a normal person.Recommendation: According to your description, the pain during urination with slight bleeding is likely a urinary tract infection. First, actively treat the infection with antibiotics, drink plenty of water, and use cephalosporins combined with metronidazole for infection control. Maintain a light diet and avoid spicy or irritating foods. Even if it is a stone, antibiotic treatment is still appropriate, as stones can also lead to infections. If the pain and hematuria symptoms disappear after antibiotic treatment, it indicates a urinary tract infection. If the pain persists, a follow-up ultrasound should be conducted to check for stones, followed by further treatment.