<p>This is not good. Blood in urine? Pain? Fever?</p>
<p>Go to another E R. I had a similar experience; misdiagnosed in one E R; 3 days later in surgery when properly diagnosed in another E R.</p>
<p>Keep us posted.</p>
<p>Just wondering how the OP is feeling?</p>
<p>Thanks for asking. I appreciate all the people here who look out for me. 
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<p>I have about a 101 temp that comes and goes, seems to spike especially at night and then I feel like hell, and the blood hasn’t changed. The pain is almost not even there anymore, though. I am figuring out what to do next still… I figured if I gave it a day or two maybe positive test results for whatever it is might be more forthcoming, or since the pain was fading I thought maybe it was going away. Not sure what to think. The fevers are by far causing the most discomfort at the moment.</p>
<p>Blood in the urine requires medical attention. The first ER was not right. Seek help again.</p>
<p>You really must go in.</p>
<p>It could do you more harm in the long run if you don’t.</p>
<p>Well withthe temp it seems you have an infection that needs treatment. I dont want to alarm you, but my brother in law went to the Er with pain and blood in his urine. They thought he had kidney stones, but it turned out to be bladder cancer, he did not have a fever however. please get rechecked, a bladder infection can lead to an infection in the kidneys.</p>
<p>Yes, FEVER is the body’s way of trying to fight an infection. Something is DEFINITELY up. And the blood-yes, body is screaming for attention. Listen to it.</p>
<p>I am thinking of trying a different urgent care and seeing where that gets me… now that the ER ruled out stones, maybe they’d see me. I could do that tomorrow after work. If the ER has determined it’s not an emergency it stands to reason that an urgent care would be okay, right? I am reluctant to go to another ER unless there is a very compelling reason to do so, at least until I see the bill for the first time… I have NO IDEA how much I am going to owe other than more than $200. If I need an ER, I’ll do it, though. </p>
<p>I do think there is something to the possibility that there could have been a small stone that already passed. At the risk of verging on TMI… the morning the pain started I woke up having to go REALLY badly, and though it wasn’t painful my bladder was EXCRUCIATINGLY slow in emptying. It was normal the rest of the day after that, though, and I’ve peed about a hundred times a day since then (which is normal.) I did tell the ER doctors about this. I’ve never had a stone so I don’t know if that sounds like a possibility but it seems like it would explain that.</p>
<p>Your acute issue (whatever it was) may have passed, but the infection sounds like it is growing. I had a ruptured appendix that was undiagnosed by an urgent care. They said it was a bad stomach virus/flu & to go home and drink fluids. By the time I went in, worst pain was over (it had ruptured already I believe) and so they somehow missed diagnosis entirely.</p>
<p>I went home and went to work for two weeks, feeling tired, worn out, but sort of okay. Was able to work. Low-grade fever came and went. Then fever spiked to 105, and stayed there. I rapidly lost 15 lbs, and looked like a skeleton. It took 10 days to figure out what was wrong at that point–I had a massive case of peritonitis, which could have been from lots of things beyond an appendix. The reason I felt okay for a while was that my body kept ‘walling off’ the pockets of infection–until it couldn’t any longer. Then I was really, really sick. By all rights, I should have died. I was very lucky.</p>
<p>Finally they ended up operating to try to clean out the infection. My fever was so high by then that they actually put me on ice to try to reduce the fever a bit.</p>
<p>If you have a fever that is hanging on, there is a chance your body is successfully fighting off whatever the cause is. There is a bigger chance that the infection is growing. GO to the urgent care/doctor–somewhere. And DO NOT downplay your symptoms. I think the reason I was not properly diagnosed in the first place is because I am not a dramatic person and I have a high pain threshold. Exaggerate a bit so they take you seriously!</p>
<p>I would think that you should be able to be seen at an urgent care. Make sure your insurance will cover the UC you choose. UC’s - in my area, at least - have physicians who are practicing family doctors or internists (as opposed to ER docs). Do you live in an area with a university hospital that has an urgent care, and is it on your insurance? That would be a good bet for a diagnosis.</p>
<p>I agree with others who say you need to see a doctor …</p>
<p>My mom has had some real bad experiences with kidney and bladder infections. She has a high pain tolerance and I think she has had some go undiagnosed as well.</p>
<p>You can go RIGHT NOW, if you are awake, to a 24 hour drug store and buy a kit to test yourself for infection. Try googling it, I think AZO makes it. It might only show if blood isp resent or not, but I think it also screens for protein or something. All I know is that mine was positive and I told the dr over the phone (weekend) and she called in an antibiotic.</p>
<p>Beyond that, you’ve had this a while now, please INIST that they do a urine CULTURE so they know what the germ is so you get the right antibiotic for it.</p>
<p>BLOOD does NOT belong in urine. If it’s not a kidney/bladder thing then it could be some other source of bleeding (I think). Not sure you need an E/R but wherever you go I’d go somewhere different than you have. Did you try your gyn yet?</p>
<p>ALSO, if you feel even a little better you still need to go. THe symptoms may subside but you need to be sure the infection is killed. Did the E/R do a culture or just a dip stick and look for stones? There can be other kidney issues besides bladder infection and stones…but my bet is infection.</p>
<p>Do you need a referral with your insurance to see a specialist? If not try to find a urologist. I have had a lot of bladder and kidney issues and a urologist would be the first dr I would see if I were having symptoms. They should be able to test your urine right away. You can ask to speak to the nurse, they are usually very helpful especially if you can’t get into the dr immediately.</p>
<p>If it’s a kidney infection, presumably your white count would have been up. A quick urinalysis would have detected blood in the urine. I dont think a twisted ovary usually causes blood in urine. Injury can cause both the pain and blood. But you have continued fever.</p>
<p>Kidney stones can have a range of symptoms that come and go. Most people eventually pass small ones without further treatment. A small, sharp stone (a break-off particle) can jab in the bladder or ureter. It can get lodged. What I don’t know is how often a miniscule but sharp edged stone can go undetected by a CT scan. </p>
<p>You have got to get to a doc you trust. I don’t think this is a new relationship with a local urgent care. Try the gyn again. Agree, speaking with your gyn’s lead nurse can get you more attention and info than speaking with the receptionist. Tell them you did visit ER, they ruled out a stone, you suspect infection, the pain and fever persist, and that you need the doc’s support in managing this and understanding what next. Explain you lost your pcp. Insist on a pronto visit.</p>
<p>The continued fever and blood mandate some action. I am sorry this will cost you- but this is a case where your lifelong health merits action. So sorry.</p>
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<p>I concur…get thee to a urologist!</p>
<p>We are all pretty much in agreement.</p>
<p>These continued symptoms are worrisome. Options?</p>
<p>!) UROLOGIST THAT WILL SEE YOU PRONTO - they may send you to an E R - where they are affiliated ?</p>
<p>2) another, better, E . R. </p>
<p>GO. That is what I would tell my kids.</p>
<p>Okay, here is the game plan I am mulling over at the moment… I have a few hours before I can do anything anyway to figure out what I want to do.</p>
<p>I am thinking that I’ll buy one of the azo home urine tests, which are apparently pretty accurate from what I’ve been reading. If I get a positive test result, I’ll call the gyn (the only trusted doctor I have that isn’t a total stranger) and explain that the ER checked for stones and said this isn’t life threatening, but I tested positive for an infection with the home test… hopefully she’ll call me in antibiotics and I won’t have to take any time off work or forgo paying my bills this month to go see more doctors… The only problem I am anticipating with that is the nurse not buying my story that it takes me a few days after symptoms start to show a positive test result, or them still being too afraid to get involved in this.</p>
<p>If the test is positive and the gyn still doesn’t want to deal with me, I’ll try another urgent care. The ER said it’s not an emergency, so they should be willing to treat me. I feel like with a positive urine test and assurance that there are no stones, this should be routine for them. Another option may be to try calling the last PCP I was seeing and see if she’ll call me something in based on the symptoms presented and the positive test, but I’m not sure how realistic that is.</p>
<p>If the test is NEGATIVE, well, that is going to suck. I am going to have to find a pcp or urologist that is taking new patients that won’t take months to get into, take time off work, etc and so forth. If I can’t find anybody who will see me quickly, I guess I’ll have to go to another ER-- if I can afford it I might do that anyway just so I don’t have to take off work. The thought of any of those options gives me heart palpitations so let’s hope it doesn’t come to that. I can’t afford it, and I’ll be missing two of my siblings’ weddings if I use all my time off, for one of which I am the MOH. I’ll do it if I need to, obviously health comes first, but I want to explore the other avenues first… one more day shouldn’t kill me.</p>
<p>The pain is back this morning. It isn’t worse than it was before, only a 3 or 4 out of 10, but it’s constant now… not only when I move. I guess this is what I wanted since my plan was to go home and wait a couple days to see if it got worse so a positive test result might be more forthcoming. We’ll see if that worked when I get the test.</p>
<p>Call in an Rx without a confirming exam? Based on your say-so, with those symptoms? Uh. </p>
<p>The pain is back, you may still have a fever- c’mon, this is what we call a crisis. You want to risk a more serious infection or rupture??? You are not a doc, nor are we. You need that management.</p>
<p>I had a medical emergency (intestines, fever, pain, and the etceteras.) Kept thinking it was “nothing.” Brave. Long story but had I gone in earlier, I would have avoided surgery (common procedure would have been antibiotics.) Had I waited another day, I might not have been writing this. </p>
<p>Best case, it’s something easy. YOU DON"T KNOW. Best of luck. Do something today. You have already told us this isn’t in the normal range of your medical issues.</p>
<p>It’s highly unlikely that your dr will call anything in and while I see what you are thinking about your plan, I would be MUCH more concerned if your test came back negative and would want to go to the doctor even more so. I understand finances are a concern, talk to your GYN about that. Most clinics, etc. have assistance plans or at least payment plans so you don’t have to forgo buying food to see a doctor.</p>
<p>By trying to save a few hundred now, you may end up owing millions if this infection kills off a kidney or two, or worse…</p>
<p>Skip the home test and just go see your GYN!!!</p>
<p>My gyn and the urgent care said this was a “crisis” and refused to treat me, they told me I could NOT come in to see them. The ER said this was NOT a “crisis” and refused to treat me, and have CT, blood, and urine results to prove that it is not a crisis. Unless I can convince one or the other that they are wrong, nobody is going to treat me-- my intention was to show the ER test results and an updated urine test to the gyn, as that seems a lot more likely to be productive than standing in the ER and stomping my feet in defiance at all of their tests that say I am fine. </p>
<p>If the gyn wants to see me I’ll come in but if she thinks it’s a UTI she may not as I’ve had dozens and normally when you go in for that you don’t even SEE a physician and a nurse just does a urine test and sends you on your way, and if there’s blood they give me antibiotics even without positive culture because they know my symptoms come a few days before the positive culture will… that was why I wanted to see if I would test positive anyway, so I could say, “hey, not only is there blood, but a home test actually came out positive… what should I do?” If you think I have bad doctors, yell at her, not at me. It will take weeks to get in to a specialist, they don’t just take new patients TOMORROW… if you need to be seen that urgently you go to emergency, and emergency has already said they don’t want me. What, exactly, am i supposed to do? I am trying to work with the options I have and I am becoming incredibly overwhelmed. 
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<p>I am not trying to be snotty but I feel like posts are getting increasingly frustrated with me and it’s not like there is an obvious solution here that I am just ignoring, at least that’s not what it feels like from my perspective with the knowledge of what doctors are in the area and what my doctors have already told me. I DID call the gyn, they wouldn’t let me make an appointment. I DID go to urgent care, and they wouldn’t see me. I DID go to the ER, and their tests say it’s not an emergency. and they gave me vicodin and sent me on my way. I CAN’T get in to a specialist IMMEDIATELY because it just doesn’t WORK that way, but I am trying to find somebody anyway. I already did everything that’s been suggested and none of these doctors are willing to work with me and the emergency and non-emergency people are contradicting each other.</p>
<p>Just thought of this…I had bad bad pain in my lower abdomen and back pain. This pain is the only thing that ever sent me to the ER. I could not endure another night of ZERO sleep. They took forever but someone decided to do a CT scan, looking for stones, they found an ovarian cyst that must have leaked. Those suckers hurt! They also said I had a bladder infection. Strange that I had both. It started all at once. I still wonder if the uti was for real or because my sample sat on the counter for a few hours before they took it…</p>
<p>Point is that if they had only done the urinalysis I’d never have known about the ovary cyst. They then did an ultrasound to verify it was liquid and not solid as CT doesn’t tell that.</p>
<p>In my case I might have had an ovary problem with blood in urine…that was my point all along here, in response to someone that said ovary wouldn’t cause blood…Hopefully they read teh WHOLE CT scan and not just focused on the kidneys.</p>
<p>I suggested the AZO test because I bet it is positive and hopefully that will prompt the OP to get to some doctor somewhere who won’t blow her off. We girls have to watch out for ourselves. Ask questions and insist on answers. Too often we feel like we are being a pain, but hey! the medical professional is getting paid. We aren’t there to be their pals and we aren’t a pain!</p>