Mrs T (55), a secretary at a bank, has been suffering from intermittent lower abdominal pain for the past week. For the past two days there's also been a burning sensation when she urinates.
The following is a summary of her doctor’s notes:
A one week history of occasional lower abdominal pain (mostly below navel) – cramp-like in nature and not radiating anywhere. Read: Causes of abdominal pain
Also reports burning sensation with urination (dysuria), more frequent urination (frequency) and difficulty holding in urine for a long time (urgency).
She has no vaginal discharge, is not currently sexually active.
No back pain, no reflux and no change in appetite or stool habits.
Currently menstruating, but never experienced severe menstrual pain.
Generally well. No jaundice, no signs of anaemia, no oedema, no lymph nodes in groin area.
Abdomen: not distended, slightly tender over lower abdomen. Bowel sounds audible. Not tender over renal angles.
Chest and cardiac examination: normal.
Temperature: 37.2 degrees Celsius. Read: what normal body temperature should be
Blood pressure: 135/80 mmHg, pulse: Read: numbers for normal blood pressure
Pulse rate: 77 beats per minute: Read: average pulse rate for the heart
Urine testing: trace of protein, positive for nitrates, positive for white cells, blood. Read: interpreting urine tests
Based on the above, can you figure out what's wrong with Mrs T?
What's your diagnosis? Join the guesswork on our Facebook page, or comment below.
NOTE: Health24's on-site GP Dr Owen Wiese will reveal new cases on Thursdays. We'll post the answer with the story on Mondays, or you can get it via the Daily Tip – sign up here.
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Dr. Owen J. Wiese is Health24's resident doctor. After graduating from Stellenbosch University with additional qualifications in biochemistry and physiology he developed a keen interest in providing medical information through the media.