What is causing my recurring fever, chills, and burning sensation during urination for 3 months?

Question #29285

8 hours ago

What is causing my recurring fever, chills, and burning sensation during urination for 3 months? - #29285

Client_a2bbe7

I am a 45-year-old male. I have been experiencing fever with chills (feeling hot and cold) and a burning sensation during urination. These symptoms have been coming and going for about 3 months. Sometimes I also feel weakness and discomfort. Please advise what this condition might be and what treatment or medicine I should take.

How often do you experience fever with chills?:

- A few times a week

How would you rate the intensity of the burning sensation during urination?:

- Extreme — unbearable

Have you noticed any other symptoms accompanying the fever?:

- Nausea or vomiting

How is your energy level during these episodes?:

- Severely weak

Have you had any recent infections or illnesses?:

- Yes, a cold or flu

Have you experienced any changes in your urinary habits?:

- Decreased frequency

Do you have any history of urinary tract issues or kidney problems?:

- Yes, kidney stones

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Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

7 hours ago

Your symptoms of recurrent fever with chills, severe burning during urination, weakness, and a history of kidney stones strongly suggest a chronic or recurrent urinary tract infection (UTI), possibly involving the kidneys (pyelonephritis) or prostate (prostatitis) rather than a simple infection. The fact that this has been ongoing for 3 months with episodes of severe pain and systemic symptoms like fever and nausea is concerning and needs proper medical evaluation rather than self-medication. Kidney stones can also predispose you to repeated infections by blocking urine flow. You should urgently get tests such as a urine routine and culture, blood tests, and an ultrasound or CT scan to identify infection and any obstruction, and treatment will likely require targeted antibiotics based on culture results, not random antibiotics. Drink plenty of fluids and avoid delaying urination, but most importantly, consult a physician or urologist as soon as possible because untreated infections can lead to serious kidney complications.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

6 hours ago

Hello
Thanks for sharing your symptoms. Fever with chills, burning sensation during urination, and weakness/discomfort that have been coming and going for 3 months suggest a possible chronic urinary tract infection (UTI) or a prostate infection (chronic prostatitis). These conditions are more common in men over 40 and can cause the symptoms you describe.
### What This Might Be
- Chronic UTI: Repeated or persistent infection in the urinary tract.
- Chronic Prostatitis: Inflammation or infection of the prostate gland, which can cause urinary symptoms, fever, and general discomfort.
- Other Possibilities: Kidney infection, bladder stones, or other urinary tract issues.
### Why You Need a Doctor’s Evaluation
- Since your symptoms have lasted for months, it’s important to get a proper diagnosis. Chronic infections can lead to complications if not treated correctly.
- You will likely need a urine test (urine routine and culture), and possibly a prostate exam or ultrasound, to find the exact cause.
### What You Can Do Now
- Stay Hydrated: Drink plenty of water to help flush out bacteria.
- Avoid Irritants: Limit caffeine, alcohol, and spicy foods, which can irritate the bladder.
- Do Not Self-Medicate: Avoid starting antibiotics or other medicines on your own, as improper treatment can make infections harder to cure.
### Next Steps
1. See a Urologist or Physician: They will examine you and order the right tests.
2. Bring a List of Symptoms: Note when symptoms are worse, any changes in urine color, smell, or flow, and if you have any pain in the lower abdomen or back.
3. Follow Prescribed Treatment: If an infection is found, your doctor will prescribe the right antibiotics and may suggest further tests if needed.
### Indian Home Remedies (Supportive Only)
- Drinking barley water or coconut water may help soothe the urinary tract, but these are not substitutes for medical treatment.
Summary:

Your symptoms need a proper medical evaluation—please see a doctor soon for urine tests and further management. Early treatment can prevent complications and help you feel better faster.
Thank you

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

5 hours ago

Hi. These symptoms persisting for 3 months are not a simple flu. The combination of high fever with chills and extreme burning urine points to a deep-seated infection. Here is the critical breakdown:
· ⚠️ Likely Diagnosis: Chronic Bacterial Prostatitis or Kidney Infection (Pyelonephritis). Given your history of kidney stones, an infected stone is a top suspect.
· 🔥 Why It Keeps Coming Back: Short courses of random antibiotics will suppress the fever for a few days, but the bacteria are hiding inside the prostate or behind a stone. They will re-emerge every week.
· 🚫 Do NOT Self-Medicate: Taking random antibiotics like Norfloxacin or Ofloxacin right now will ruin the urine test. We need a clean catch to find the exact bacteria and the exact antibiotic that kills it.
· ✅ Immediate Next Steps (Before Taking Any Pill):
1. Urine Routine & Culture/Sensitivity (First morning urine sample).
2. Ultrasound KUB (to check if the old kidney stone has moved or is causing blockage).
3. Complete Blood Count (CBC) (to measure severity of infection).
· 🏥 Red Flag Sign: If you develop shaking chills where you cannot stop shivering or have difficulty passing urine, this is an Emergency. Go to the hospital immediately.
· 💊 Treatment Outlook: This will likely require 4 to 6 weeks of targeted antibiotics, not the usual 5-day course.
— Dr. Nikhil Chauhan, Urologist

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

3 hours ago

Your symptoms (recurrent fever with chills + severe burning urination + weakness) strongly suggest a urinary tract infection (UTI), and given the duration (3 months) and your history of kidney stones, it could be a complicated UTI or even prostatitis (prostate infection). This is not something to treat at home, because it usually requires urine tests, possibly ultrasound, and proper antibiotics—wrong or delayed treatment can worsen the infection.
Please consult a urologist or general physician as soon as possible for urine routine/culture and targeted treatment.
If you develop high fever, vomiting, severe back pain, or inability to pass urine, go to emergency immediately, as this could indicate kidney involvement.

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