Does Persistent Pain While Urinating Require A Medical Consultation Despite Taking Flomax?
Don't wait - go in now
Detailed Answer:
Hello XXXXXXX
Yes, I think you should be seen sooner. A kidney infection may not respond adequately to TMP/SMX and may need a different antibiotic. Symptoms of upper urinary tract infections (i.e. kidney infection, pyelonephritis) are aching or pain in the low back or flanks, nausea, sometimes fever.
I advise that you go to an urgent care clinic today and request to see a dr. (and don't accept seeing a PA or NP unless they absolutely have no MD on staff). The doctor should do an exam and do a dip urinalysis which can provide some immediate information about whether there is an infection in the urine. Then the urine should be sent to the lab for a full urinalysis as well as a culture + sensitivity. The sensitivity test shows which antibiotics a bacterial infection is most sensitive to. It can take a couple of days for this to result, and in the meantime, if the doctor thinks you have an infection, will give you an antibiotic anyway. Then when the culture and sensitivity results come back you and the doctor will know what you are dealing with and what to do (if it is an infection).
I do not recommend waiting.