Urinary Tract Infection Doctor Near Me Urinary tract infections ( UTIs ) include cystitis ( infection of the bladder/lower urinary tract ) and pyelonephritis ( infection of the kidney/upper urinary tract ). Symptoms and signs of cystitis include frequency and urgency of urine, pain in abdomen and blood in urine whereas symptoms and signs of pyelonephritis classically include fever, chills, abdominal pain and nausea/vomiting. Patients with acute complicated UTI can also present with severe infection, multiple organ system dysfunction and acute renal failure. The investigations include baseline lab tests along with urine analysis and urine culture. There is immense importance of imaging in the form of ultrasonography and CT scan of abdomen. Imaging is generally reserved for those who are severely ill, have persistent clinical symptoms or have suspected urinary tract obstruction. Empiric antimicrobial therapy should be initiated promptly, taking into account risk factors for drug resistance, including previous antimicrobial use and results of recent urine cultures, with subsequent adjustment guided by antimicrobial susceptibility data. The decision to admit patients with acute complicated UTI should be individualized. The general indications include persistently high fever or pain, marked debility, or inability to maintain oral hydration or take oral medications.