Lower Back Pain: Kidney Issues or Pelvic Inflammation?

Pain in the lower back on both sides?

Hello doctor, I have been experiencing unexplained pain on both sides of my lower back for the past couple of days.
I'm not sure if it's related to my kidneys or if it's just lower back pain.
Recently, I had an inflammation of the urethra and vagina, and I visited a gynecologist.
I had frequent urination, but only a small amount would come out, and there was some pain after urination.
I felt a bit better after seeing the gynecologist, but I'm still not completely healed.
A few days later, the pain on both sides of my lower back started, and it's become somewhat difficult to walk.
Could this be related to the previous inflammation of the urethra and vagina? Is it possible that this is pelvic inflammatory disease? Which specialty should I consult for this issue? Thank you, doctor.

Niming, 30~39 year old female. Ask Date: 2017/05/04

Dr. Jiang Junyi reply Neurology

Hello, based on your description, it is important to first consider renal pyelonephritis, which can present with bilateral pain.
Clinically, diagnosis can be assisted through percussion and renal ultrasound.
Generally, a herniated disc causing nerve root compression is typically due to acute injuries, such as sudden twisting of the waist, bending to lift heavy objects, or experiencing excessive force suddenly, such as falling from a ladder or landing directly on the spine.
If a herniated disc occurs, it may lead to localized inflammatory responses causing back pain and nerve root compression, which can result in radiating pain and numbness extending to one lower limb.
As for pelvic inflammatory disease, it can present with persistent lower abdominal pain, and discomfort may arise during a pelvic examination due to inflammation of the tissues surrounding the uterus.
It is advisable for you to visit a nephrology clinic for further evaluation.
Wishing you good health and peace.

Reply Date: 2017/05/04

More Info

It sounds like you are experiencing a complex set of symptoms that could be related to multiple issues, including potential kidney problems or pelvic inflammation. Given your history of urinary tract and vaginal infections, it is essential to consider how these conditions might be interconnected.

Lower back pain, particularly when localized to the sides, can indeed be associated with kidney issues. The kidneys are located in the posterior part of the abdomen, and pain from kidney problems often radiates to the lower back. Symptoms of kidney issues can include pain, changes in urination, and sometimes systemic symptoms like fever or malaise. If you have had recent urinary tract infections (UTIs), there is a possibility that the infection could have ascended to the kidneys, leading to a condition known as pyelonephritis. This condition can cause significant back pain, fever, and other systemic symptoms.

On the other hand, pelvic inflammatory disease (PID) is another possibility, especially given your history of vaginal and urinary tract infections. PID can occur when bacteria from the vagina or cervix spread to the reproductive organs, leading to inflammation and pain in the pelvic region. Symptoms of PID may include lower abdominal pain, fever, unusual vaginal discharge, and pain during intercourse. The pain can sometimes radiate to the lower back and may be exacerbated by movement.

Given your symptoms of pain on both sides of the lower back, difficulty walking, and your recent history of infections, it is advisable to seek medical attention promptly. You should consider visiting a healthcare provider who specializes in urology or gynecology, as they can evaluate both potential kidney issues and pelvic inflammatory conditions. A thorough examination, including a physical exam and possibly imaging studies (like an ultrasound or CT scan), may be necessary to determine the underlying cause of your pain.

In the meantime, it is crucial to monitor your symptoms closely. If you experience any worsening of your pain, fever, chills, or changes in your urinary habits (such as increased frequency, urgency, or pain), you should seek immediate medical attention. Additionally, staying hydrated and avoiding irritants such as caffeine, alcohol, and spicy foods may help alleviate some urinary symptoms.

In summary, your lower back pain could be related to either kidney issues or pelvic inflammation stemming from your recent infections. It is essential to consult with a healthcare provider to receive a proper diagnosis and treatment plan. Early intervention can help prevent complications and improve your overall health.

Similar Q&A

Understanding Lower Back Pain: Is It a Kidney Issue?

Hello Dr. Wang: My husband has been experiencing frequent lower back pain. Could this indicate a problem with his kidneys or kidney inflammation? Thank you, Dr. Wang.

Dr. Wang Weijie reply Internal Medicine
1. To determine whether there is kidney inflammation or infection, a urine test is necessary to check for the presence of white blood cells and bacteria. 2. Common causes of lower back pain include poor posture, which accounts for 85% of cases, while other possible causes include...

Understanding Bladder Inflammation: Causes of Pelvic and Lower Back Pain

Bladder inflammation can cause intermittent pain on both sides of the pelvis and aching on either side of the lower back; could the back pain be related to the kidneys?

Dr. Liu Jianting reply Urology
During an episode of cystitis, symptoms may include frequent urination, painful urination, and even hematuria. Some individuals may experience discomfort in the lower abdomen, while others may develop pyelonephritis, leading to symptoms such as flank pain, fever, and chills. It i...

Is Your Lower Back Pain Related to Kidney Issues or Muscle Problems?

I would like to ask about my persistent lower back pain that has lasted for almost a month. Recently, the pain has become so severe that I can hardly squat. I initially consulted a general orthopedic doctor, but there has been no improvement. I want to know if the continuous pain...

Dr. Chen Qiunan reply Urology
Hello ELLA: Low back pain can be related to the kidneys, with common causes being kidney inflammation or kidney stones. If accompanied by fever or symptoms of a urinary tract infection, such as frequent urination or difficulty urinating, it may indicate kidney inflammation; other...

Understanding Lower Back Pain: When to Seek Medical Help

Hello doctor, three days ago I had pain in my left lower back and went to see a doctor. The doctor said it was likely a muscle strain and prescribed pain medication, but it hasn't helped. This morning, while standing, the pain suddenly shifted from the left side to the right...

Dr. Wu Zongying reply Family Medicine
Hello. The issue of lower back pain is not necessarily due to muscle strain. Urinary tract infections in women can also lead to kidney inflammation, causing lower back pain. If you are experiencing symptoms such as frequent urination, urgency, or discomfort while urinating, the l...