Why do women have back pain when they have to urinate urgently?

Urgent urination and lower back pain are symptoms of urinary tract infection. If the patient is a female, it may be related to acute nephritis or cystitis. You should use the corresponding anti-inflammatory drugs according to your different conditions. To relieve inflammation and promote the recovery of urethritis. Generally, after suffering from urethritis, there will be symptoms such as lower back pain, urgency, frequent urination, and incomplete urination, as well as strong discomfort during urination. How should we deal with it?

reason

Causes of low back pain accompanied by frequent urination, urgency, and pain during urination

Etiology and pathology: In the early stage of acute cystitis, the bladder mucosa is congested and edematous, with leukocyte infiltration. In the later stage, the mucosa becomes more brittle and prone to bleeding, with a granular surface, and local superficial ulcers containing exudate, which usually do not involve the muscle layer.

examine

Examination and diagnosis of low back pain accompanied by frequent urination, urgency and pain during urination

Symptoms: Frequent urination, urgency, increased nocturia, burning or painful urination. There is often pain and discomfort in the lumbar or suprapubic area. Interrupted urination and hematuria are common, and fever is rare. Women often have attacks after sexual intercourse (honeymoon cystitis).

Differential Diagnosis

Low back pain with symptoms of frequent urination, urgency, and pain when urinating that are easily confused

1. Acute pyelonephritis is also mainly manifested by urinary tract irritation symptoms such as frequent urination, urgency, and pain when urinating. Urine examination may contain pus cells and red blood cells. However, it is often accompanied by systemic infection symptoms such as fever, low back pain and tenderness in the kidney area.

2. Trichomonas cystitis is also mainly manifested by urinary tract irritation symptoms such as frequent urination, urgency, and pain when urinating. But patients often have a history of unclean sexual intercourse. There is often secretion in the urethra, and examination of the secretion may reveal Trichomonas.

3. Acute prostatitis is also mainly manifested by urinary tract irritation symptoms such as frequent urination, urgency, and pain when urinating, as well as suprapubic pain. Patients often have varying degrees of difficulty urinating, and rectal examination may reveal prostate enlargement and tenderness.

4. Interstitial cystitis is also mainly manifested by urinary tract irritation symptoms such as frequent urination, urgency, and pain when urinating, as well as suprapubic pain. Pain and tenderness are particularly evident in the suprapubic bladder area and worsen when the bladder is full. Urinalysis is mostly normal with very few pus cells.

5. The clinical manifestations of glandular cystitis are frequent urination, urgency, pain, dysuria and hematuria. Ultrasound examination may show non-specific signs such as space-occupying lesions in the bladder or thickening of the bladder wall. Cystoscopy and mucosal biopsy can help with differentiation.

6. Ureteral stones in the lower segment When ureteral stones descend to the intramural segment of the bladder, they may also cause bladder irritation symptoms. If infection occurs at the same time, it is difficult to distinguish it from cystitis. KUB plain film and IVU can show the location of the stone and determine whether there is associated obstruction.

Symptoms: Frequent urination, urgency, increased nocturia, burning or painful urination. There is often pain and discomfort in the lumbar or suprapubic area. Interrupted urination and hematuria are common, and fever is rare. Women often have attacks after sexual intercourse (honeymoon cystitis).

Mitigation methods

Prognosis of low back pain accompanied by frequent urination, urgency, and pain during urination

1. Drink more water to increase urination, which can prevent or even treat infection;

2. Taking a hot bath can relieve pain;

3. Taking anti-inflammatory drugs such as aspirin can reduce the burning sensation caused by inflammation;

4. Taking vitamin C can acidify urine and interfere with bacterial growth;

5. After defecation, wipe the anus from front to back to prevent recurrence of infection;

6. Go to the toilet before sexual intercourse to prevent cells from being brought into the bladder through sexual intercourse; go to the toilet after sexual intercourse to send bacteria from the female urethra into the bladder and then out through urine;

7. Consider whether to use a uterine contraceptive device, as uterine contraceptive devices are prone to recurrent bladder infections. If an infection occurs, other methods of contraception should be considered;

8. Try to use sanitary napkins instead of tampons;

9. Pay attention to personal hygiene and wear cotton underwear, which is easier to keep dry and clean, but do not over-clean;

10. Patients with bladder infection should see a doctor if they experience hematuria, lower back and flank pain, fever, nausea or vomiting.