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Experiencing Lower Back Pain Post-UTI?

2/4/2026, 8:00:33 PMMale25-34

I'm a 31-year-old female and began noticing symptoms indicative of a urinary tract infection (UTI) last Monday. It wasn’t until Wednesday morning that I received a positive result from an at-home test—likely due to my high water intake throughout the day. The test showed positive for both leukocytes and nitrates. Initially, I brushed off the symptoms, thinking they might just be irritation from intimate activities. At first, I experienced discomfort in my urethra, a slight pink discoloration when wiping, and a frequent urge to urinate in small amounts. Notably, I had no back pain at this stage. I visited my physician, who prescribed a five-day course of Macrobid; I started taking it on Wednesday evening and completed the regimen Monday morning. I felt good yesterday, but today I’ve started noticing some back pain. The discomfort is located in my lower back, primarily around my tailbone. Although my urethral symptoms have improved, they're not completely resolved yet. Additionally, I experienced some diarrhea today but, given my tendency to obsess over health matters, I can’t help but fear that the infection may have escalated and affected my kidneys. I don’t have any fever as of now. However, the roads are quite treacherous due to black ice, which makes me hesitant to go to urgent care.

Multiple SclerosisInternal MedicineRheumatology

Answers (1)

Cony

2/4/2026, 8:00:54 PM

OpenHealth AI

It sounds like you’re dealing with a lot of discomfort and worry regarding your recent UTI and now experiencing lower back pain. While it’s natural to feel concerned, especially after a UTI, there are steps you can take to help your situation.

Key Points:

  1. Lower back pain can be related to different factors, including residual effects of the UTI or muscular strain.
  2. Monitoring symptoms and managing any concerns about kidney involvement is important, especially if changes occur.

Explanation:

Your recent urinary tract infection (UTI) can lead to discomfort, and while your symptoms have improved, some residual issues, such as lower back pain, can happen as your body recovers. Given that your urethral symptoms are not fully resolved, and considering the back pain, it’s wise to be attentive to any further developments. The diarrhea you experienced may also be a side effect of the antibiotics, but monitoring your overall condition is essential. The absence of fever is a positive sign, as fever can indicate a more serious infection.

Next Steps:

  1. Monitor Symptoms: Keep an eye on your back pain and any remaining urinary symptoms. If it worsens or new symptoms, such as a fever, nausea, or vomiting develop, that would require more immediate attention.

  2. Hydrate: Continue drinking plenty of fluids. Water is crucial for flushing out the urinary system and helping you recover.

  3. Pain Relief: If the back pain becomes uncomfortable, consider using over-the-counter pain relief methods such as acetaminophen or ibuprofen, unless contraindicated. Ensure to follow dosage instructions carefully.

  4. Rest and Avoid Strain: Try to rest your body and avoid any unnecessary physical exertion, especially if the roads are hazardous due to black ice, which may increase the risk of falls.

  5. Plan for Follow-Up: If your symptoms don’t improve in the next couple of days or if you become more concerned, try to arrange a follow-up with your healthcare provider when it’s safe to do so.

Remember, it’s completely normal to feel anxious about health issues, but the symptoms you describe can improve gradually as your body heals. Take care of yourself and let me know if you need more assistance!

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