Back Pain from Holding Urine: When to See a Doctor

Pain from holding in urine?

Hello doctor, may I ask what could be the issue if I experience a dull pain in both sides of my lower back and even throughout my entire back when I hold my urine? Additionally, after urinating, that dull sensation persists, and I feel sharp pain when lying flat, forcing me to lie on my side to alleviate the discomfort.
I also feel a heaviness in my lower back.
Should I see a doctor, or should I first improve my habit of holding my urine and drink more water? (I previously had a urine test that showed bacteria, but there was no urinary tract infection, and I took antibiotics for three days.
I'm unsure if I could still have an infection.)

Shenke nanren, 10~19 year old female. Ask Date: 2023/05/11

Dr. Du Shixi reply Urology

Hello, I would like to ask about experiencing a dull pain in both sides of the lower back and even the entire back after holding in urine.
This sensation persists even after urination, and I feel a sharp pain when lying flat, which only alleviates when I lie on my side.
Additionally, I feel a heaviness in my lower back.
Should I see a doctor, or is it sufficient to improve my habit of holding in urine and drink more water? I previously had a urine test that showed bacteria, but there was no urinary tract infection, and I took antibiotics for three days.
I'm unsure if I could still be at risk for infection.

It is not advisable to hold in urine for too long.
Generally, excessive retention can lead to the symptoms you are experiencing.
If you are only holding it for half an hour to an hour, it is recommended that you seek medical evaluation.
In addition to a urine test, imaging studies may be necessary.
Wishing you good health.

Reply Date: 2023/05/11

More Info

Experiencing back pain, particularly in the lower back, due to holding urine can be concerning and may indicate several underlying issues. The sensation of dull pain in the lower back and sides, especially after prolonged periods of holding urine, may be attributed to a few factors. First, the bladder's distension can lead to discomfort in the surrounding areas, including the lower back. When the bladder is full, it can exert pressure on the pelvic nerves and surrounding structures, which may result in referred pain to the back.

Moreover, if you are experiencing persistent pain even after urination, it could suggest that there may be other underlying issues at play. The fact that you feel a sharp pain when lying flat and can only find relief by lying on your side is also noteworthy. This could indicate that the pain is not solely related to bladder distension but may involve musculoskeletal issues or nerve irritation.

Given your history of a urinary tract infection (UTI) and the fact that you have taken antibiotics, it is essential to consider whether there might still be an underlying infection or inflammation. Even if your urine tests did not indicate a current infection, residual inflammation or irritation in the urinary tract could still cause discomfort. Additionally, the presence of bacteria in the urine, even without a full-blown infection, can sometimes lead to symptoms.

In terms of when to see a doctor, it is advisable to seek medical attention if:
1. The pain persists: If the dull pain continues after urination or worsens over time, it is essential to consult a healthcare provider.

2. You experience additional symptoms: If you develop fever, chills, or any signs of a more severe infection, such as blood in the urine or severe abdominal pain, seek immediate medical care.

3. Changes in urination: If you notice changes in your urinary habits, such as increased frequency, urgency, or pain during urination, these are also indicators that you should see a doctor.

4. Persistent discomfort: If the discomfort in your back does not improve with lifestyle changes, such as drinking more water and avoiding holding urine, it may be time to consult a healthcare professional.

In the meantime, improving your hydration habits and avoiding holding urine for extended periods is a good practice. This can help reduce the pressure on your bladder and potentially alleviate some of the discomfort you are experiencing. Additionally, practicing good posture and gentle stretching may help relieve some musculoskeletal tension in your back.

In summary, while it may be tempting to attribute your back pain solely to holding urine, the persistence of symptoms warrants a medical evaluation. A healthcare provider can perform a thorough assessment, which may include imaging studies or further urine tests, to rule out any serious conditions and provide appropriate treatment options.

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