The medical history (history of illness) represents an important component in the diagnosis of cystitis (cystitis) or pyelonephritis (inflammation of the renal pelvis).The sensitivity due to a typical medical history is between 50 to 80 percent!
Family history
- Are there any urinary tract diseases in your family that are common?
Social history
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- Do you suffer from increased urination, including at night?
- Do you have pain when urinating?
- Do you have “burning sensation when urinating”?
- Do you empty very little urine, although you feel you have a bulging urinary bladder?
- Do you have difficulty holding urine?
- Do you have pain in the lower abdomen?
- Have you noticed blood in your urine?
- Is the urine concentrated or flocculent?
- Have you developed a sudden fever?
- Have you experienced chills?
- Do you feel sluggish?
- Do you have pain in the flank (flank pain)* ?
- Do you have nausea? Have you vomited?
- Do you have any additional symptoms such as headache/backache or nausea/vomiting* ?
- Do you suffer from stress or constant tension?
- Have you recently worn an indwelling catheter?
Vegetative anamnesis incl. nutritional anamnesis.
- Were you exposed to drafts with damp clothing such as in the swimming pool?
- Do you practice regular but not excessive intimate hygiene?
- Do you drink enough?
- Do you use a vaginal diaphragm for contraception?
- Do you engage in anal intercourse?
- Do you empty your urinary bladder after sexual intercourse?
- Do you smoke? If so, how many cigarettes, cigars, or pipes per day?
- Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
- Do you use drugs? If yes, what drugs and how often per day or per week?
Self history incl. medication history.
- Pre-existing conditions (diabetes mellitus, urinary tract diseases).
- Surgeries (urinary tract procedures; cystoscopy/bladderoscopy; kidney transplantation).
- Allergies
Medication history
- Antibiotic therapy, 2 to 4 weeks ago.
- Immunosuppressed patient(s).
- Contraception with DMPA (depot medroxyprogesterone acetate).
- Cytostatic drugs (e.g., methotrexate).
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Information without guarantee)
