Are Chills And Pressure In The Urethra Indicative Of UTI And Urosepsis?

Posted on Mon, 26 Mar 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 26 Mar 2018 Answered on

Mon, 24 Jul 2023 Last reviewed on

Question : I have started having chills and feel flushed. I have pressure in my lower area above my uretha. No frequency. I am drinking water and don't feel urgency to go urinate. My stream is not strong.

Answered by Dr. Dr. Muhammad Sareer Khalil (38 minutes later)

Brief Answer:

The infectious cause should be looked for and ruled out

Detailed Answer:

Hello,

Based on your description, urinary tract infection and urosepsis should be ruled out.

Urinalysis to look for evidence of infection, renal ultrasound to look for obstruction changes eg hydronephrosis associated with a urinary tract stone should be advised.

A complete blood count should also be done to look for an associated raised TLC.

Antibiotics can be started empirically and then tailored according to culture sensitivity results.

If there is no evidence of an infectious or obstructive focus then PV examination anxiety cystometric studies can bd considered in consultation with your doctor.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Muhammad Sareer Khalil, General & Family Physician

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Muhammad Sareer Khalil (42 hours later)

thanks - actually progressed to pains in abdomen and slight nausea. Today after 48 hours I have abdomen pain. Thinking it could be stressed related??

Answered by Dr. Dr. Muhammad Sareer Khalil (3 minutes later)

Brief Answer:

Explained

Detailed Answer:

Hello,

Yes stress /anxiety can manifest into physical symptoms. However an organic cause should always be ruled out first as explained earlier.

Hope I have answered your query.

Take care

Regards,
Dr Muhammad Sareer Khalil, General & Family Physician

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar