Urinary Tract Infection

Patient’s Problem

A 29-year-old female, Ms. Varsha (name changed to protect identity), working as a nurse, came to the clinic with a three-day history of burning during urination, increased frequency, and lower abdominal discomfort. She also noticed her urine looked cloudy and had a strong smell.

She mentioned that the symptoms got worse after a busy weekend shift where she didn’t drink enough water. She has had two UTIs in the past three years. Many women prefer consulting a lady doctor in Vadodara or the best MD physician in Vadodara for such intimate problems.

Diagnosis

Based on her symptoms and clinical evaluation, the doctor diagnosed her with uncomplicated acute cystitis (UTI) caused by E. coli.

Findings included:

Physical Exam:
She was alert and stable. Mild tenderness was felt in the lower abdomen, with no flank pain and no fever, which ruled out kidney infection.

Lab Tests:

• Urinalysis showed positive nitrites and leukocyte esterase, high WBCs, and bacteria.
• Urine culture reported E. coli (>100,000 CFU/mL), sensitive to first-line antibiotics.
• The pregnancy test was negative.

These findings matched the typical presentation of a lower urinary tract infection. Women with poor hydration, busy schedules, and a history of UTIs are at higher risk. Many such patients choose to visit a lady physician in Vadodara for comfort and privacy

Treatment

Ms. Varsha was started on appropriate outpatient treatment.

Antibiotic Therapy:
She was prescribed oral antibiotics according to culture sensitivity and clinical guidelines.

Symptom Relief:
She was advised to increase her water intake, use a warm pack over the lower abdomen, and take a urinary analgesic if recommended.

Lifestyle Guidance:
She was counseled to avoid delaying urination during long shifts, stay well-hydrated, urinate before and after sexual activity, and choose breathable cotton underwear.

Result

Her symptoms improved within 48 hours of starting treatment.
The follow-up culture showed no resistant bacteria, and she has not had a recurrence since making hydration and daily routine changes. With timely care, the prognosis for an uncomplicated UTI is excellent.

Note: This case study is for illustrative purposes only and should not replace professional medical advice. If you have concerns about your health, please consult with a qualified healthcare provider.