Managing Back Pain After Bladder Infection Treatment: What to Know - Urology

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Lower back pain after medication for cystitis?


On Wednesday, I experienced some hematuria accompanied by pain in the right lower back.
I drank plenty of water on Thursday and Friday, and by Saturday during the day, I felt much better.
However, I still went to the hospital for a check-up, and the doctor prescribed Baktar and Urogen S.C.
Initially, I felt fine on Saturday during the day, but in the evening, the discomfort in my back returned, and lifting my right leg also caused back pain.
Today, I continue to feel uncomfortable.
I would like to know if I need to get re-evaluated or if I should wait until the course of medication is completed.
Thank you.

Niming, 20~29 year old female. Ask Date: 2015/06/28

Dr. Xu Weikai reply Urology


Hello, theoretically, these medications should not affect the kidneys.
The lower back pain may be caused by an infection.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/06/28

More Info


Managing back pain after a bladder infection can be a complex issue, especially when symptoms persist despite treatment. It’s important to understand the potential causes of your discomfort and the appropriate steps to take for recovery.

First, it’s crucial to recognize that bladder infections, or urinary tract infections (UTIs), can sometimes lead to referred pain in the back. This is particularly true if the infection has spread to the kidneys, resulting in a condition known as pyelonephritis. Symptoms of this condition can include flank pain (pain in the side and back), fever, chills, and sometimes blood in the urine. Given that you experienced hematuria (blood in urine) and right-sided back pain, it’s essential to monitor these symptoms closely.

The medications you were prescribed, Baktar (which is a combination of sulfamethoxazole and trimethoprim) and Urogen S.C. (which may contain various ingredients aimed at soothing urinary tract irritation), are typically effective for treating UTIs. However, if your symptoms persist or worsen, it may indicate that the infection has not fully resolved or that there may be another underlying issue, such as kidney stones or another type of infection.

Here are some considerations for managing your back pain and overall recovery:
1. Continue Hydration: Drinking plenty of fluids is essential. It helps flush out bacteria from the urinary tract and can also dilute urine, which may alleviate some discomfort.

2. Monitor Symptoms: Keep a close eye on your symptoms. If you experience increased pain, fever, or any new symptoms, it’s important to seek medical attention promptly. These could be signs of a more serious condition.

3. Follow Up with Your Doctor: Since you are still experiencing discomfort, it would be wise to follow up with your healthcare provider. They may recommend further tests, such as a urine culture, imaging studies (like an ultrasound or CT scan), or blood tests to rule out complications.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain. However, consult your doctor before taking any new medications, especially if you are already on prescribed treatments.

5. Rest and Recovery: Ensure you are getting adequate rest. Your body needs time to heal, and overexertion can exacerbate pain.

6. Avoid Irritants: While recovering from a UTI, it’s advisable to avoid irritants such as caffeine, alcohol, and spicy foods, which can irritate the bladder and potentially prolong symptoms.

7. Physical Activity: Gentle stretching and light physical activity can help alleviate some back pain, but avoid any strenuous activities that could worsen your condition.

8. Consider Other Causes: If your back pain continues, it may be worth exploring other potential causes unrelated to the bladder infection, such as musculoskeletal issues or nerve-related problems.

In conclusion, while it’s common to experience some discomfort following a bladder infection, persistent or worsening symptoms warrant further evaluation. It’s always better to err on the side of caution and consult with your healthcare provider to ensure that you receive the appropriate care and treatment. Your health and comfort are paramount, and addressing any lingering issues promptly can help you return to your normal activities more quickly.

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