What causes recurrent UTIs with severe pain, body aches, and dizziness after treatment?

Question #29583

19 days ago

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What causes recurrent UTIs with severe pain, body aches, and dizziness after treatment? - #29583

Client_5ec9b9

ChronicUTI(2yrs),puscells esr 42 server pain body ache sweats muscle pain heartbeat fast breathing also, dizziness, UTI recurrent 3 bar ho gaya 2024 se ab tk full treatment course krne k bd bi.UTI hora asa kyu or mko back pain bi hota h jhukne p jada hota hai or baithne pe or 12-3 k bich body shake krti hai or maine sonography bhi karwaya tha but ni nikla kuch impression me RIF tenderness likha tha bas Right side lower abdomen k trf chest pain bi hota tha bp ab low rehne lga h or mko.UTI feb-march k bich hi hora hai

How often do you experience UTI symptoms?:

- Once a month

Can you describe the severity of your pain?:

- Moderate — distracting

Have you noticed any specific triggers for your UTIs?:

- No clear triggers

How would you describe your hydration levels?:

- Moderate intake

Have you experienced any changes in your appetite?:

- Normal appetite

What other symptoms do you experience during these episodes?:

- Fever

Have you had any recent changes in your medications or treatments?:

- Stopped a medication

How would you describe your energy levels throughout the day?:

- Very low energy

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Doctors' responses

Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

18 days ago

If you have had recurrent or chronic UTI symptoms for 2 years with repeatedly high pus cells and epithelial cells, it usually means either the infection is not fully clearing, there is reinfection, or there is an underlying cause that has not yet been identified.
High pus cells indicate inflammation or infection in the urinary tract, while high epithelial cells can sometimes mean contamination of the urine sample, but if they are persistently high, it can also suggest irritation of the urinary tract lining. An ESR of 42 shows ongoing inflammation somewhere in the body, which fits with chronic infection but is not specific to the urinary tract alone.
Common reasons this keeps happening include incomplete antibiotic treatment, antibiotic resistance, kidney stones, bladder issues such as incomplete emptying, diabetes, genital hygiene factors, sexual activity–related reinfection, or structural problems in the urinary tract. In women, recurrent UTIs can also be associated with vaginal infections or hormonal factors.
What you should do now is get a urine culture and sensitivity test done before starting any antibiotics again, because this identifies the exact bacteria and the correct medicine. If you have already had imaging like an ultrasound or CT scan, the next important step is to review those results with a clinician to look specifically for stones, residual urine, bladder wall thickening, or kidney involvement. Blood sugar testing is also important if not done recently, because uncontrolled sugar can cause recurrent UTIs.
If symptoms have been frequent for 2 years despite treatment, a referral to a urologist or gynecologist is usually recommended. They may consider longer-duration antibiotics, preventive low-dose therapy, evaluation for interstitial cystitis, or further tests such as repeat imaging or cystoscopy if indicated.
Seek urgent care if you develop fever, flank pain, vomiting, blood in urine, or severe pain, as these can suggest kidney infection.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

17 days ago

Recurrent UTIs, especially when you’ve already gone through treatment courses, can be quite frustrating, but understanding some potential underlying causes can help guide a more effective approach. One common reason for persistent or recurrent UTIs could be structural issues in the urinary tract, like kidney stones or anatomical variations, that weren’t perfectly clear in initial evaluations like a sonography. Another possibility could be bacterial resistance to the medications prescribed, leading to incomplete eradication of the infection. Your symptoms of severe pain, body aches, and other systemic signs like dizziness also suggest looking beyond the urinary tract. The ESR being elevated indicates there might be some underlying inflammatory or infectious process that hasn’t been fully addressed.
Since the sonography did not reveal other clear causes and simply noted RIF tenderness, it could be essential to perform a thorough investigation of other possible sources, such as gastrointestinal issues or gynecological conditions, especially if you experience right-sided abdominal and chest pain. Given your low BP and feeling of dizziness, anemia or dehydration might also be worth assessing, as these often accompany chronic infections and can lead to fatigue and dizziness. Consulting a nephrologist or a urologist for specialized tests might be beneficial, focusing on more detailed imaging or cultures specific to resistant strains. Meanwhile, ensuring adequate hydration, a balanced diet, and appropriate follow-up for any abnormal lab results are critical steps. If symptoms such as chest pain or dizziness persist or worsen, immediate medical attention is necessary, as these can signal more urgent complications that need prompt treatment.

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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.

12 days ago

Your symptoms are not a simple UTI anymore—recurrent infection for 2 years with fever, high ESR, back pain, and RIF tenderness raises concern for chronic kidney infection (pyelonephritis), resistant bacteria, or pelvic infection. Even if ultrasound looked normal, infections can persist due to incomplete eradication, reinfection, poor hydration, sexual transmission, or underlying issues like stones or bladder dysfunction. You should urgently consult a Urologist and Nephrologist for urine culture (not just routine test), antibiotic sensitivity, kidney function tests, and possibly CT scan—this needs targeted treatment, not repeated random antibiotics.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

19 days ago

Hello dear
See it represents either
Incomplete elemination of infection
Recurrent infection
It is showing still presence of UTI
Iam suggesting some tests for confirmation
Please share the result with urologist in person for better clarity and for safety please donot take any medication without consulting the concerned physician
Cbc
Esr
Serum ferritin
Serum tsh
Serum hb
Rft
Lft
Gfr
Serum creatinine
Serum bilirubin
Hemogram
Kidney USG
Urine analysis
Culture
Hopefully you recover soon
Regards

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

18 days ago

Hello, mai aapki takleef samajh paa raha hoon. Aapke symptoms simple UTI se zyada serious lag rahe hain. Aapko recurrent complicated UTI ya kidney involvement ho sakta hai. Abhi ek baar ye saare tests karwaiye- Urine Routine Microscopy Culture Sensitivity, CBC, ESR, CRP, RFT, HbA1C, Repeat Ultrasound of Abdomen+Pelvis. Inki reports ke hisab se antibiotics change karni hongi. Kabhi-kabhi lamba course (10–14 days) dena padta hai. Khoon pani piye. Aur pain ke liye Tab. Paracetamol 650mg lein. Urine hold na karein. Proper hygiene maintain karein. Intercourse ke baad urination (agar relevant ho). Urgently doctor ko visit karnin agar tez bukhar, tez kamar dard, ulti, low BP, chakkar aaye.
Yeh normal UTI nahi lag raha. Recurrent + systemic symptoms = proper investigation zaroori. Sabse important test: urine culture.
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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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.

18 days ago

Hello
Aapke symptoms—chronic UTI (2 saal se), pus cells urine mein, ESR 42, severe body pain, muscle pain, fast heartbeat, sweating, dizziness, recurrent UTI (3 baar 2024 se), back pain (jhukne/baithe pe badhta hai), body shaking (12-3 baje ke beech), RIF tenderness (sonography mein), right lower abdomen/chest pain, aur ab BP low rehna—yeh sab milke ek complex picture bana rahe hain.
Kuch important points:
1. Recurrent UTI: Bar-bar UTI hona, especially har saal ek hi time pe, suggest karta hai ki ya toh infection poori tarah se clear nahi ho raha, ya koi underlying cause hai (jaise bladder empty na hona, stone, ya koi anatomical problem).
2. Sonography: Agar sonography mein sirf RIF tenderness likha hai aur koi stone, mass, ya abnormality nahi mili, toh structural cause kam lagta hai, lekin kabhi-kabhi chhote infection ya inflammation dikhayi nahi dete.
3. Systemic Symptoms: Body pain, muscle pain, sweating, fast heartbeat, dizziness, low BP—yeh sab infection ke severe hone, ya kisi aur systemic problem (jaise autoimmune disease, chronic inflammation, ya rare infection) ki taraf bhi ishara kar sakte hain.
4. Back Pain & Body Shaking: Back pain (specially jhukne/baithe pe) aur body shaking (12-3 baje ke beech) kisi neurological ya metabolic issue se bhi ho sakta hai, ya severe infection ke effect se.
### Ab kya karna chahiye?
- Urine Culture & Sensitivity: Har UTI episode pe urine culture zaroor karwayein, bina culture ke antibiotics na lein.
- Repeat Sonography/CT KUB: Agar pain aur symptoms severe hain, toh ek baar CT KUB (kidney, ureter, bladder) scan consider karein, kyunki kabhi-kabhi sonography se chhoti cheezein miss ho jaati hain.
- Blood Tests: CBC, kidney function, blood sugar, autoimmune markers (jaise ANA, CRP), aur infection markers karwayein.
- Physician/Nephrologist/Urologist Consultation: Aapko ek experienced physician, nephrologist ya urologist ko dikhana chahiye, kyunki aapke symptoms sirf simple UTI nahi lag rahe, kuch aur underlying cause ho sakta hai.
- BP Monitoring: Low BP ke liye hydration maintain karein, aur agar fainting ya severe weakness ho toh turant doctor ko dikhayein.
### Indian Home Remedies (supportive, not cure):
- Zyada paani piyen, coconut water, barley water try karein.
- Cranberry juice (agar available ho) UTI mein helpful ho sakta hai.
- Cotton underwear pehnein, intimate hygiene maintain karein.
Aapke symptoms thode complex hain, isliye self-treatment se bachke, specialist ( gynecologist) se milna zaroori hai.
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.

17 days ago

I’m really concerned by your symptoms – this is NOT just a simple UTI.
Here’s why it keeps happening and what you must do urgently:
🚨 Why is UTI recurring despite full treatment?
1. Wrong or resistant antibiotics – Without urine culture & sensitivity, bacteria may not be killed.
2. Underlying kidney infection (pyelonephritis) – Explains fever, body aches, back pain (worse on bending), sweats, low BP, dizziness.
3. Structural issue – Kidney stone, reflux, or scar tissue (not always seen on sonography).
4. Chronic bacterial prostatitis (if male) or pelvic pathology (RIF tenderness – could be appendix, ovary, or ureteric issue).
5. Immunity problem – Recurrent UTIs with systemic symptoms (low BP, fast heartbeat, shaking) suggest possible sepsis or chronic inflammation (ESR 42 confirms).
⚠️ Red flags you cannot ignore
· Low BP + dizziness + fast heartbeat + body shakes → could be early septic shock or adrenal insufficiency.
· Chest pain + low energy → needs heart/lung evaluation.
· Seasonal pattern (Feb–March) → possible allergic or autoimmune trigger.
✅ What to do RIGHT NOW (next 24–48 hours)
1. Go to a hospital – not a clinic. You need:
· Urine culture + sensitivity (before any antibiotic)
· Complete blood count + CRP + blood culture
· Renal function test + electrolytes
· CT urogram (sonography misses many stones/abscesses)
2. Stop self-medicating – No more random antibiotics.
3. Monitor BP and fever – If BP drops further or confusion occurs, emergency.
🩺 Long-term prevention (after stabilization)
· Low-dose prophylactic antibiotic (only after culture)
· D-mannose supplement
· Rule out tuberculosis (genitourinary TB can mimic chronic UTI)
· Pelvic exam + cystoscopy if needed
I am a urologist – and I tell you honestly: this needs a senior urologist or infectious disease specialist immediately.
Dr. Nikhil Chauhan
Urologist

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Dr. Nikhil Chauhan

17 days ago

I’m really concerned by your symptoms – this is NOT just a simple UTI.
Here’s why it keeps happening and what you must do urgently:
🚨 Why is UTI recurring despite full treatment?
1. Wrong or resistant antibiotics – Without urine culture & sensitivity, bacteria may not be killed.
2. Underlying kidney infection (pyelonephritis) – Explains fever, body aches, back pain (worse on bending), sweats, low BP, dizziness.
3. Structural issue – Kidney stone, reflux, or scar tissue (not always seen on sonography).
4. Chronic bacterial prostatitis (if male) or pelvic pathology (RIF tenderness – could be appendix, ovary, or ureteric issue).
5. Immunity problem – Recurrent UTIs with systemic symptoms (low BP, fast heartbeat, shaking) suggest possible sepsis or chronic inflammation (ESR 42 confirms).
⚠️ Red flags you cannot ignore
· Low BP + dizziness + fast heartbeat + body shakes → could be early septic shock or adrenal insufficiency.
· Chest pain + low energy → needs heart/lung evaluation.
· Seasonal pattern (Feb–March) → possible allergic or autoimmune trigger.
✅ What to do RIGHT NOW (next 24–48 hours)
1. Go to a hospital – not a clinic. You need:
· Urine culture + sensitivity (before any antibiotic)
· Complete blood count + CRP + blood culture
· Renal function test + electrolytes
· CT urogram (sonography misses many stones/abscesses)
2. Stop self-medicating – No more random antibiotics.
3. Monitor BP and fever – If BP drops further or confusion occurs, emergency.
🩺 Long-term prevention (after stabilization)
· Low-dose prophylactic antibiotic (only after culture)
· D-mannose supplement
· Rule out tuberculosis (genitourinary TB can mimic chronic UTI)
· Pelvic exam + cystoscopy if needed
I am a urologist – and I tell you honestly: this needs a senior urologist or infectious disease specialist immediately.
Dr. Nikhil Chauhan
Urologist

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