Typical symptoms of acute inflammation of the lower urinary tract are painful, frequent urination, with an increased urge to urinate, and pain over the pubis.
Sometimes the urine becomes turbid and foul-smelling; in 30% of cases, there is an admixture of blood.
Only a physical examination can reveal pain along the urethra or over the pubis.
Rashes on the vulva or discharge from the genital tract (especially when the concentration of bacteria is below 100,000 in 1/ml), indicate the infections are caused by Chlamydia trachomatis and Neisseria gonorrhoeae. Trichomonas, Candida, herpes simplex virus should be excluded as the cause.
These pathogens cause urethritis, vaginitis, cervicitis, fever (with a body temperature above 38.5°С), nausea, vomiting, and pain in the costovertebral angle.
Soreness when tapping and with deep palpation is a sign of concomitant pyelonephritis.