What Causes Severe Pain In Loin When Suffering From An UTI?

Posted on Sat, 2 Aug 2014

Question: I started antibiotics yesterday for a uti. 41 year old male. Im in severe pain from the waist down. Should i go to the ER?

Answered by Dr. Dr. P. T. Patil (10 minutes later)

Brief Answer:
Pain could be due to stone in ureter

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have UTI and has started taking antibiotic and now have severe pain in loin.

This could be mostly due to stone in lower ureter and needs to get evaluated.

If pain is severe go to ER and consult Urologist and get following basic tests done to confirm the diagnosis.
1) Routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.
2)Ultrasound scanning of abdomen and pelvis to rule out urinary stone.

In the mean while continue taking antibiotic along with anti spasmodic like Spamo Proxyvon and smooth muscle relaxant like Dratovarine twice daily.and switch on to appropriate antibiotics after getting urine culture report.

Further treatment will depend upon the final diagnosis.

Ensure to drink more water.To keep your urine dilute This will help to control dysuria.

Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Thank you for the details. The pain when urinating is more severe and the aches below the waist are more muscular. Could that still be a sign of stones or could muscle aches be more related to the infection. I just dont want to spend 5 hours in the ER if there are spefic things i should be looking for

Answered by Dr. Dr. P. T. Patil (15 hours later)

Brief Answer:
Presence of stone has to be ruled out .

Detailed Answer:
Hello
Thanks for follow up.
Presence of UTI with pain in waist i mostly due to stone and it has to be ruled out by doing Ultrasound scanning which you can get it done even without going to ER.

Inthe mean while continue taking antibiotics and pain killers.
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 days later)

I have a diagnosis of protatitis as of thursday. I was experiencing severe body aches from the hips down (muscular). I am taking cipro as a result. My body aches and low grade fever are still a huge issue. The aches have moved up to my solarplexes. Is this a normal course of recovery. As someone with a high tolerance for pain, im spending my 3rd day in bed. The pain while urinating is gone. But the flulike symptoms persist

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Prostatitis takes long time to get cured.

Detailed Answer:
Hello
Thanks for writing again.
Please take anti inflammatory medication like Diclofenac twice daily along with antibiotics.
You will need to take medications for 3-4 weeks .
Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Raju A.T