6 Things You Need to Know About Urinary Tract Infections

A mild twinge may soon bloom into a bout of painful, frequent, bloody and unproductive urination known as a urinary tract infection (UTI). A UTI is a painful condition caused by bacterial growth anywhere in the kidneys, ureters, bladder or urethra, although it may also be called a bladder infection or kidney infection if it is located there. At Medco ER & Urgent Care of Plano, TX, we can diagnose and treat a UTI before it becomes too painful.
“Most women and many men will experience at least one UTI during their lifetime,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “Fortunately, it is one of the easiest conditions to diagnose and to treat.”
Symptoms of Urinary Tract Infection
Symptoms can be anywhere from mild to severe. They may or may not include:1
- Pain or burning during urination
- Persistent sensation of needing to urinate without urine present
- Frequent urination of small amounts
- Discolored urine – dark, pink, deep yellow, or brownish
- Cloudy urine
- Strong-smelling urine
- Pelvic pain in women
- Burning pain
- Back pain
- Side pain
- Fever, chills
- Nausea, vomiting
Causes of UTI
A UTI is caused by the presence of bacteria in the urinary tract.2 A common cause is bacteria entering from the rectum to the urethra. Sexual activity may also introduce bacteria that can cause a UTI.
Risk Factors for UTI
You are more likely to develop a UTI if you:3
- Are sexually active
- Are a woman after menopause
- Have a condition that blocks the urethra, such as an enlarged prostate
- Have kidney stones
- Are a woman who has used a diaphragm or spermicides for birth control
- Have diabetes
- Have had a UTI in the past
- Have used a catheter
- Are immunocompromised
Prevention of UTI
While a UTI can be hard to prevent, there are some things you can do to help reduce your risks. For babies and children, make sure they are receiving enough water every day. Teach girls the proper way to wipe – from front to back. For adults, make sure you are also drinking enough water each day. Cranberry juice may be beneficial. Urinating after sexual intercourse may help purge the urethra of bacteria. Change from polyester underwear to cotton and wear loose-fitting, breathable pants. Minimize or eliminate sprays, douches, powders or soaps that may irritate.
Diagnosis of UTI
Your physician at Medco ER will have you give a urine sample for testing. In some cases, a cystoscopy, ultrasound or CT scan may be required if you have been experiencing repeated UTIs.
Treatment for UTI
Treating a UTI is almost always successful with a course of antibiotics. Patients need to take the antibiotics according to the prescription to fully eradicate the infection.
Seek Immediate Medical Treatment
“A urinary tract infection must be treated by a medical professional. At-home remedies never work,” said Dr. Khan. “They may slow the bacterial growth but they won’t fully reverse the infection. It’s not an invasive or difficult treatment, so come to Medco ER right away and get the help you need to get over the UTI.”
If left untreated, a life-threatening condition of widespread infection, called sepsis, may occur. Or, the kidneys may be permanently damaged. If you are experiencing painful urination or have any of the above symptoms, come to Medco ER & Urgent Care right away.
Get help for your UTI at Medco ER & Urgent Care
It doesn’t take long for a UTI to become painful. When you start to notice symptoms of a UTI, come to Medco ER & Urgent Care right away. We’re open 24 hours a day, every day of the year. We will make sure you are seen by a board-certified physician right away. Our in-house rapid results labs can verify diagnosis and you can soon be on your way to feeling like yourself again.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.mayoclinic.org/diseases-conditions/urinary-tract-infection/symptoms-causes/syc-20353447
Is it Appendicitis?

A sharp, piercing side pain is obviously appendicitis—or inflammation of the appendix—but what if your pain is more of a general throbbing, vague abdominal pain, or upset stomach? One of the greatest emergency room challenges is figuring out what is causing your abdominal pain. At Medco ER & Urgent Care of Plano, TX, we are experienced in pinpointing the source of your abdominal pain and finding the treatment that’s right for you.
“Appendicitis doesn’t always manifest in a simple way,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “But our board-certified emergency medicine physicians are able to use our in-house diagnostic tools to find the root of the pain.”
Causes of Appendicitis
While the cause of appendicitis may not always be clear, here are some common reasons:1
- Blockage of the opening of the appendix
- Enlarged wall tissue in the appendix caused by an infection in gastrointestinal system
- Disease such as inflammatory bowel disease
- Parasites
- Growths in the appendix
- Matter that clogs the appendix
- Abdominal trauma
Symptoms of Appendicitis
- Pain or discomfort in abdomen, often near the belly button
- Pain localized on lower right side
- Fever
- Nausea and vomiting
- Diarrhea or constipation
- Abdominal bloating
- Abdominal tenderness
- Loss of appetite
- Malaise
- Stiff abdomen
Diagnosis of Appendicitis
To diagnose your abdominal pain to determine if it is appendicitis, your physician will do a physical exam including checking for abdominal stiffness and the tendency to guard or react when pressed. A rectal or pelvic exam may be performed to locate the source of the pain. A blood test may show an elevated white blood cell count which may mean you have an infection. A urine test will eliminate a urinary tract infection or kidney stone that would be causing pain. Finally, an imaging exam, such as a CT scan, X-ray or ultrasound may be used in diagnosis.2
Treatment for Appendicitis
“There is really only one treatment for appendicitis – an appendectomy,” said Dr. Khan. “If the appendix hasn’t ruptured, it is a straightforward procedure that can be done as a minimally invasive surgery to remove the appendix. Recovery should be rapid and antibiotics may be prescribed to ward off infection. However, if the appendix ruptured, the surgery and recovery will be more extensive.”
Seek Immediate Medical Treatment
Appendicitis is a serious medical condition. If left untreated, sepsis may occur, which is life-threatening. If you are experiencing pain or have any of these symptoms, come to Medco ER & Urgent Care right away:
- Abdominal pain or back pain
- Intense pain on your right side
- Nausea and vomiting
- Fever and chills
Get help fast at Medco ER & Urgent Care
With little-to-no wait time, you can get right into an exam room and be seen by a board-certified physician within minutes. At Medco ER & Urgent Care, we offer you top-quality care from physicians rather than PAs, CNPs or assistants. Our ER is equipped with the imaging and lab equipment needed to quickly diagnose and to treat your abdominal pain. Open 24/7 every day of the year, we’re here when you need us.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.niddk.nih.gov/health-information/digestive-diseases/appendicitis/symptoms-causes
2 https://www.mayoclinic.org/diseases-conditions/appendicitis/diagnosis-treatment/drc-20369549
3 Things to Know About Your Gallbladder

A pulsing, throbbing pain on the right side of your abdomen has traditionally been considered an appendix issue, but if it is a little higher, right under the first rib, it actually may be a gallbladder attack. The gallbladder, a small, pear-shaped organ, sits quietly, tucked under the liver on your right side. When it becomes inflamed or when stones or sludge block the bile duct, it can cause a sharp and sudden pain in your abdomen, back or shoulder blades. Sometimes, it can cause you to feel nauseous or feverish. At Medco ER & Urgent Care of Plano, TX, we commonly diagnose and treat gallbladder disease and gallstones.
“Gallbladder inflammation, stones or sludge can cause severe pain and can become a very serious condition very quickly,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “We can diagnose using ultrasound, CT scan and in-house blood tests and can get you the treatment you need right away.”
Causes of gallbladder disease
Gallbladder inflammation can be caused by a blocked bile duct. The gallbladder releases bile after you eat. It goes into a shared duct that the liver and pancreas also use. If stones that form in the gallbladder are released into the duct, they can get stuck there and block the flow of bile, causing the gallbladder to become inflamed and possibly even infected.1
What causes gallstones? Gallstones are possibly caused by an excess build-up of cholesterol or bilirubin, a digestive fluid.2
While gallstones are the most common cause of gallbladder inflammation, some others include tumors, abscesses, congenital defects, cancer and infection.
Gallbladder disease is on the rise
Gallbladder disease is becoming more prevalent and the median age is lowering, as well. Since it is linked to obesity and diabetes, which are also on the rise, it stands to reason that gallbladder disease is also increasing.3
Gallbladder disease can be life-threatening
“A blocked bile duct is serious,” said Dr. Khan. “The pancreas uses the same duct and when it is blocked, it starts to deteriorate. When you are experiencing severe abdominal pain, it is important to come right away to Medco ER. We are here 24/7 to help you.”
Seek Immediate Medical Treatment
If you have any of these symptoms, come to Medco ER & Urgent Care right away:
- Intense abdominal pain or back pain or shoulder pain
- Nausea and vomiting
- Fever and chills
- Dark urine
- Light colored stools
- Skin or eyes turning yellow or jaundiced
Get help fast at Medco ER & Urgent Care
Have you felt intermittent pain in the upper abdominal area? It is possible you have been experiencing biliary colic pain. This means you have possibly already experienced stones passing through the gallbladder and bile duct. If the pain increases or is ongoing, come in right away for quality medical care. Our ER offers almost no wait time and fast access to board-certified physicians. Open all day and night, we’re here when you need us.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://my.clevelandclinic.org/health/diseases/15265-gallbladder-swelling–inflammation-cholecystitis
2 https://www.mayoclinic.org/diseases-conditions/gallstones/symptoms-causes/syc-20354214
When Anxiety Sends You Running for Cover

If you find yourself flooded with feelings of anxiety, it could be a normal response to your current situation. However, persistent and excessive feelings of fear and worry over common situations could be the sign of a growing anxiety disorder. Fears that turn into panic mode are commonly called panic attacks. If left untreated, anxiety disorders and panic attacks can have adverse effects on your physical health. Because anxiety is linked to number of health conditions, our board-certified physicians at Medco ER & Urgent Care of Plano recommend a thorough evaluation to rule out any additional health issues.
“Panic attacks and feelings of anxiety, danger or impending doom can be deeply disturbing to the patient, but they are not always serious,” said Medco ER & Urgent Care’s Medical Director, Dr. Tariq Vora. “However, anxiety could be an indicator that something more serious is going on with the body. Therefore, getting a thorough medical examination is an important step to rule out a more serious medical condition before attributing it to a form of anxiety.”
Anxiety disorders are common among adults. According to the National Institute of Mental Health (NIMH), 19% of adults in the United States have suffered from an anxiety disorder in the past year. “Don’t suffer in silence,” said Dr. Vora. “Anxiety is a rather common problem and Medco ER has a friendly staff that is available to help and to provide mental reassurance in times of need.”
What are the symptoms of anxiety?
- Excessive worrying about common things
- Feeling nervous
- Emotional outbursts
- Restlessness
- Tension in muscles, trembling, twitching or cramping
- Concentration problems
- Feeling of doom
- Irritability
- Increased heart rate or palpitations
- Insomnia
- Headaches
- Hyperventilation
- Abdominal cramps and diarrhea
- Sweating
What kind of health conditions can be caused by anxiety?
The human body usually responds to anxiety by releasing increased level of Adrenaline & Cortisol. Prolonged exposure to these hormones can lead to certain conditions over the course of time such as:
- Hormonal imbalance
- Elevated blood pressure
- Insulin resistance
- Increased blood sugar
- Altered food digestion
- Suppressed immune response
- Heart palpitations
- Heart disease
- Hair loss
- Impaired concentration & memory
- Depression
- Eating disorders
What health conditions can be mistaken for anxiety disorders?
Many types of ailments can manifest with symptoms suggestive of anxiety rather than a more serious health problem. Here are a few underlying conditions that your physician may check for during a medical evaluation:
- Hormone imbalance – thyroid imbalance
- Nutrition deficiency or malabsorption
- Alzheimer’s
- Blood disorders such as leukemia
- Lupus
- Fibromyalgia
- Electrolyte imbalance
Treatment for common anxiety
If your physician at Medco ER & Urgent Care determines you are suffering from anxiety, he/she can prescribe you a medication to treat it so you do not have to fight it on your own. You may be referred to a specialist for therapy or counseling that can help you feel even better. If your anxiety has caused physical symptoms, do not hesitate to receive immediate medical attention. “Whether anxiety is related to a physical condition or not, it is usually treatable,” said Dr. Vora. “So don’t feel discouraged. And feel free to come to us for help any time of the day or night.”
When should I go to the ER?
If you feel like your worrying is out of control, if you are experiencing difficulty breathing, palpitations or chest pain, or if you feel depressed or suicidal, come to the nearest ER immediately. At Medco ER & Urgent Care, we offer some of the best medical care in the region and we are open 24/7 to help you start to feel better again.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
10 Symptoms You Should NOT Ignore
Self-reliance, toughing it out and playing through the pain is so ingrained in our psyches that it is common to hear of someone who waited too long to go to the doctor. Some symptoms are early indicators of a serious health condition and should not be ignored. To help you know the difference between a passing pain and a serious symptom, the physicians at Medco ER & Urgent Care have compiled a list of 10 things you just shouldn’t ignore.

“If you are noticing any of these symptoms,” said Medco ER & Urgent Care’s Regional Medical Director, Dr. Tariq Vora. “Come to Medco ER immediately or call 9-1-1 for assistance. Even if it turns out to be a minor condition that is easily treatable, it is best to err on the side of caution in most of these cases.”
1. Sudden Pain
If you have sudden, shooting or stabbing pain, you should pay close attention. If there is no cause for it that you can easily identify, it’s time to head to Plano’s Medco ER for evaluation. If you have pressure in your chest or pain in your neck, jaw or shoulders, it could be heart-related. Any piercing headache that comes on suddenly should also receive a prompt medical evaluation.
2. Difficulty Breathing
When your breathing becomes strained, reduced or labored, try to remain calm and not panic. Shortness of breath can be a sign of a serious medical condition such as COVID-19, Pneumonia or heart problems, OR it may be caused by a benign condition such as anxiety. However, you must seek medical attention to rule out a serious disease.
3. Numbness
If you notice an unusual sensation of numbness, such as in a foot, arm or hand, it could potentially be an early sign of stroke. At Medco ER, we have the diagnostic tools, such as a CT scan, to help evaluate your condition and treat you quickly to prevent serious health consequences of a stroke such as paralysis.
4. Sudden Weakness
If you suddenly feel your legs give out, your strength drops, you are dizzy or you feel weak all over, it is time to get medical help. Weakness may be a sign of stroke or heart attack. You could be experiencing a drop in blood pressure or a heart issue. Additionally, fainting should never be ignored.
5. Racing Heart
If your heart suddenly goes into overdrive and is racing for no apparent reason, you need to be evaluated by a qualified ER physician. Have someone drive you to the nearest ER or call for an ambulance. It is important to rule out a heart attack or cardiac arrhythmia (abnormal heart rhythm).
6. Searing Pain
If you suddenly have a searing headache or a burning pain in any other part of your body, this is not something to ignore. Your body is trying to tell you something. Our board-certified physicians excel at diagnostics and are ready to help. For example, a sudden onset of an excruciating headache can potentially be a sign of aneurysm or bleeding in the brain and requires an emergent CT scan of the head for evaluation.
7. Blood in the Stool
If you notice a dark, tarry looking stool, it may have blood in it. If you think there is blood in your bowel movements, it is time to be checked out by a qualified doctor. At Medco ER, our qualified physicians can perform blood tests to check for anemia, liver disorder and even a CT scan to rule out potentially serious bleeding in the abdomen.
8. Unexplained Weight Loss
If you are losing weight without a change in diet, exercise or activity level, that is enough reason to go see the doctor. Weight loss may be a sign of cancer, which may be caught in its early stages by a CT scan.
9. Confusion
Any confusion or change in mental status should be immediately evaluated at the nearest ER. If the patient shows unusual signs like being unable to do simple math, tell time or recall a major event, it is time to head to the ER. Confusion may be an early sign of stroke or bleeding in the brain.
10. Dimming Vision
Any changes in the vision, especially if occurring suddenly and accompanied by a headache, should be immediately examined at the ER. “We can examine the patient and refer to an eye specialist, if appropriate,” said Dr. Vora. “Or, it could be related to a medical condition that we can begin to treat right away.”
Find help at Medco ER & Urgent Care
Any condition of a sudden onset can be quickly addressed at Medco ER & Urgent Care. Our no-wait ER has Board Certifies physicians standing by 24/7 to diagnose and treat your condition. We provide fast access to some of the highest quality and safest medical care in the region.
While many conditions presenting to the ER may be benign, it’s important to rule out the serious ailments before they become life threatening. We take pride in our staff and Board-Certified physicians at Medco ER who can recognize the severity of any presenting medical complaint and act fast to save lives in an efficient & timely manner.
- Plano: 3960 Legacy Drive on the corner of Legacy and Coit Road.
Call us @ 469-392-4000.