Burning after urination

[miri000]

i have been having several symproms all starting in the past week
1) my breasts are really swollen and tender to touch (not pms)
2) intense burning not at the beginig or during urination but right at the end when you empty the bladder
3) as soon as i finish i pee again ( it feels like i always want to go)
4) lower abdomen distended and feels hard

now it has only been going on for a couple days and not so worried yet should i be?
please help

[Dr_Veena]

Hi,
     How are you? Under normal conditions, the urine is sterile. It contains fluids, salts, and waste products, but it is usually free of bacteria, viruses, and fungi. The bacteria that is most frequently causing UTI is Escherichia coli (E. coli), which are naturally found in the colon, stomach, around the anus, and in the stool. Infections happen when these bacteria are spread from the rectum or vagina to the urethra and then to the bladder or kidneys. Presence of nitrates is considered normal, but presence of nitrites is considered abnormal and indicates UTI.

The early detection can help alleviate the symptoms early before it becomes too painful and see a physician to prescribe a course of antibiotics. For simple infections, the course of therapy is 3 days. For more serious infections, a course of therapy is 7 days or longer to kill the bacteria that are causing the urinary tract infection.
All the best.

[miri000]

thank you so much for your help but a couple more updates my urine is clear not cloudy i did a urine dipstick test both yesturday and today
yest- everything was normal besides the blood that was large+++
today- everything is normal including the blood but the nitrite is positive and dark pink

[Dr_Veena]

Hi,
     How are you? For someone who is experiencing a urinary tract infection (UTI) for the first time (or if it has been a while since they have had one), the symptoms can be frightening. On the other hand, some people with a urinary tract infection may not experience any symptoms at all.
The usual symptoms are burning micturition, urgency, frequency, altered appearance of the urine, either bloody (red) or cloudy (containing pus), pain or pressure in the rectum (men) or in the area of the pubic bone (women),  passing only a tiny amount of urine even when the urge to urinate is strong fever and chills.

Urine testing (urinalysis) will establish the diagnosis of a urinary tract infection. A culture of the urine is also taken to identify the organism responsible for the infection and to determine the effectiveness of different antibiotics against the offending organism. If recurrent infections develop, further types of testing including imaging studies and/or visual examination of the bladder (cystoscopy) may be recommended.
Hope this information was useful.
Best.