Additional symptoms can include frequency;
urgency; and/or strangury (the feeling of needing to pass
urine despite having just done so); dysuria (pain or dis
comfort on passing urine); urine that is offensive smelling,
cloudy, or contains blood; lower abdominal aches or pains;
and aching sometimes accompanied with nausea, fatigue,
and sweats. Older frail women (with or without catheters)
may not have these features and can present with aching
ribs, rigours, more confusion, and a slightly increased tem
perature, for example, 37.90° C or more than 1.50° C above
their normal temperature