I have a history of chronic bladder and kidney infections, though I have never had one in pregnancy before. i always have urinary frequency and difficulty emptying my bladder, pregnant or not. So those particular signs do not neccessarily trigger "UTI" alarms for me. About 6 weeks ago, I had severe kidney pain, with no visible blood, and no bacteria in culture- i was told it was ust regular back pain. i knew it wasn't,but it dulled to just a typical pregnancy ache feeling. It is still there, intemittently, but not enough to complain about.
However, last week, I felt baby flip into the head down position, and for a few days after that,I had a lot ofbladder spasm-type pain- almost like when you have to go really, really bad and have to holdit. So when I went in for my normal midwife appointment a week ago, I mentioned this ( and my history) and she said she would run a UA- call me back if the results were positive for infection.
She never called, and by Friday, the pain was gone.
But then Saturday, I noticed blood- enough that at first, it made me think of starting my period. Of course that scared me, but then i realized where it was coming from. i have only ever had hematuria when i had a kidney infection before.
So I assumed that the midwife had forgotten to call me.
Monday, I go in, ask for my lab results.......no bacteria was shown, but blood and RBC were both high and/or positive ( this was before it was visible to me). I hadn't received a call........because the midwife had gone on leave.
So yesterday, I go to triage as I was instructed, i explain the whole history to the doctor- that I am not feeling poorly, but that I have had blood in my urine, to varying degrees that I could see, since saturday night. I hadn't seen blood since first thing that morning. He first off asks if it it is coming from the vagina- I was completely sure that it was not and told him so....but he insisted on a pelvic anyway.
Then he said let's run another UA,and that I should wait up at the hospital until they had the results......3 hours later, I ask the front desk again if the results are back, and the nice young man informed me that they were actually waiting on the full culture- which wouldn't be back until tomorrow ( today). I came home, very frustrated as to why they would tell me to hang out if they were waiting for a full 16hr culture ( bc the UA onlydays before showed no bacteria...but plenty of RBC). When I come home, I have one instance of serious blood in the urine ( think heavy spotting afte urination) then nothing else noticeable...all the way up to now.
This morning, I realize that there is a voicemail on my phone from that doctor....from when I was sitting in the office. No idea why the phone didn't ring...and in the message he says
the UA "shows maybe a slight infection but no blood. so let's put you on some light antibiotics."
I am so very confused. I do not feel like I have a UTI, but i realize that progesterone during pregnancy can mask some the associated pain. I am confused as to why they wanted to wait for the culture, but it turns out he decided to dagnose an infection before it came back.I am confused hy the first UA ( a week ago) showed blood, before I was seeing it, but yesterday's showed none, and I saw significant blood just a few hours later.
I am against casual use of antibiotics. the phrase " maybe a slight infection" does not make me want to jump to using antibiotics.
This isn't the first time that this group has not informed me about strange results on labs ( they never told me I was anemic this spring, or that my labs showed a protein level above 300..which they ordered twice a week NST for....). I do not feel like I can trust them, but switching proviers is not an option at this point ( military).
Has anyone had UTI during pregnancy? Is it normal to have blood with a slight infection because of increased blood flow? Why would the UA a week ago show blood and no bacteria, but this one supposedly showed bacteria and no blood---when I am intermittently seeing blood ?
I am sorry this is long, but I feel like I have no one I can trust to ask about these things.