Bladder Discomfort: Is It Related to Posture or Infection? - Urology

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When the lower back is straightened, it causes discomfort in the bladder?


I have been troubled for over a month by a sensation of soreness in my bladder area whenever I straighten my back.
However, pressing on the bladder does not trigger any urge to urinate, and there is no pain or frequency in urination.
I have had urine tests done three times, all showing normal results.
My urine output varies, but I estimate it to be at least 150cc or more per day, and I do not go to the bathroom more than 7 or 8 times a day.
Even right after urination, if I straighten my back, I still feel soreness.
However, if I engage my abdominal muscles and then straighten my back, the soreness in the bladder completely disappears.
My daily routine is normal (as I am currently in the military, my schedule is regular and my meals are normal).
Two days ago, I visited a urologist during my day off, but they did not conduct any further tests and suggested that my condition is due to my slouching posture.
However, they prescribed Curam 625mg, which contains antibiotics.
Why do I need to take antibiotics? In July, I had a urinary tract infection and was on antibiotics for two months, which resolved the issue caused by E.
coli.
Is there a connection to this? The soreness in my bladder when I straighten my back started around the end of September.
Is it possible that I have another condition, or is this not related to a urological issue at all? Thank you.

KK, 20~29 year old female. Ask Date: 2017/10/29

Dr. Du Shixi reply Urology


Hello: If there is a history of urinary tract infections, it may be related to the urinary system.
Although urinalysis results are normal, it is important to maintain a healthy lifestyle, including moderate daily exercise.
Avoid certain beverages and focus on a light diet.
If engaging in sexual activity, practice safe sex.
Before the examination, the physician cannot determine the source of the issue.
Wishing you good health.
If symptoms persist, it is advisable to consult a urologist at a hospital for further evaluation.

Reply Date: 2017/10/29

More Info


Understanding bladder discomfort can be quite complex, especially when considering various factors such as posture, potential infections, and individual health history. Based on your description, it seems that you are experiencing a sensation of discomfort or "soreness" in the bladder area when you straighten your back, but you do not have any accompanying symptoms such as pain during urination, frequent urination, or abnormal urine output. This is a crucial point, as it helps to narrow down the potential causes of your discomfort.

Firstly, the fact that your urine tests have consistently shown normal results is a positive sign. It suggests that there is likely no active urinary tract infection (UTI) or other significant pathology affecting your bladder. UTIs typically present with symptoms such as burning during urination, increased frequency, urgency, and sometimes lower abdominal pain. Since you have not experienced these symptoms, it is less likely that your discomfort is related to an infection.

Your visit to the urologist and their suggestion that your discomfort may be related to your posture, particularly if you have a tendency to slouch or have a "hunched back," is worth considering. Poor posture can lead to musculoskeletal issues that may manifest as discomfort in various areas, including the lower back and pelvic region. When you straighten your back, it may place additional strain on certain muscles or ligaments, leading to the sensation you are experiencing. This could explain why you feel discomfort when you adjust your posture but not when you engage your abdominal muscles, as this may provide better support to your lower back and pelvic area.

Regarding the prescription of antibiotics (Curam 625mg), it is important to clarify the rationale behind this decision. If you had a history of a urinary tract infection caused by E. coli in July, your doctor may have prescribed antibiotics as a precautionary measure, especially if there is any suspicion of a recurrent infection or if they believe there may be a low-grade infection that is not yet detectable through standard urine tests. However, it is essential to communicate with your healthcare provider about the necessity of antibiotics, particularly if you are concerned about the potential for antibiotic resistance or side effects from prolonged use.

In terms of whether your current symptoms could be indicative of another condition, it is possible that they may not be directly related to the urinary system at all. Conditions such as pelvic floor dysfunction, muscle strain, or even gastrointestinal issues can sometimes present with discomfort in the lower abdomen or pelvic area. If your symptoms persist or worsen, it may be beneficial to seek a second opinion or further evaluation from a specialist, such as a pelvic floor physical therapist or a gastroenterologist, to explore other potential causes.

In summary, while your discomfort may be related to posture, it is essential to continue monitoring your symptoms and maintain open communication with your healthcare provider. If you have concerns about the prescribed antibiotics or if your symptoms do not improve, do not hesitate to seek further evaluation. Your health and well-being are paramount, and understanding the underlying causes of your symptoms is crucial for effective management.

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