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Beware Of Urological Emergencies – Patient’s Perspective

By Dr. Anupam Bhargava in Urology

Aug 25 , 2022 | 1 min read


It is essential to know about emergencies in urinary problems. Awareness of such situations alone will enable one to deal with them on time. Let us begin this with organ-based clinical conditions. Please remember your eyes only will see what your mind knows.

Starting with Kidney emergencies

If one gets severe back pain on either side with nausea or vomiting, this could be indicative of stones in the kidney or ureter (tube connecting kidney with urinary bladder). Take any pain killer, consume minimal oral fluids as possible and immediately consult your doctor. If one develops a fever, it is an emergency! Obstruction due to kidney stone or gallbladder stones with infection is dangerous. Don't take it lightly if one has pain in the back with a high-grade fever, especially with shivering. It is an emergency! This could be an indication of an infection in the kidney, which may land you in septicaemia.
If back pain on one side is associated with blood in the urine – with no fever, it is an emergency! This could indicate cancer in the kidney.

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Coming to the urinary bladder, if one is passing blood in urine without any pain or burning, also called "painless haematuria", one has to raise the alarm and meet the doctor. This could be cancer of the bladder. Even persistent blood cells in urine during a routine microscopic examination without any other discomfort could indicate bladder cancer.

In males, there is an accessory sexual gland known as the prostate. It is an emergency if one has severe difficulty passing urine with high-grade fever and chills lasting for a few days! This could indicate a prostate abscess and can lead to septicaemia. Passing frequent, small quantities of urine with the feeling of incomplete bladder evacuation may indicate an emergency. The patient then has retention of urine with overflow.

Severe pain in the testicles, without fever, in the younger age group must be treated as an emergency. In this case, one must rule out the possibility of testis torsion.

To summarize, blood in urine must be considered an urgent indicator to know the cause of bleeding. This could be a sign of cancer. High-grade fever with urinary symptoms must not be ignored. This can lead to urinary sepsis and septicaemia. Severe pain is an emergency, and one must know the cause of pain.

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