Concern about low back pain with UTI - already on

Patient

Q: My girlfriend had symptoms of a UTI. She went to her doctor yesterday, who took a urinalysis. The doctor prescribed Cipro 500, 2x a day. The urinalysis results are attached. She is very concerned though, because she started to have very bad back pain yesterday. She feels a little better today, but still has back pain. Our fear is a spread to the kidneys. Are her symptoms normal? Should she go to the emergency room, or wait until her follow up appointment tomorrow? This is her first time getting a UTI. It likely was caused by sexual activity. Furthermore, are there steps we can take in the future to prevent UTI?

Symptoms:  Burning urination, low back pain
Doctor

A:   Hello,
Thanks for the query.
A urinary tract infection can present with burning urination, increased frequency and vomiting. It can be associated back ache and pain in the abdomen. The doctor has started on the right antibiotics. Also, a urine for culture and sensitivity may be needed. It will take 48 hours. A symptomatic improvement will happen in 48 hours of antibiotic therapy.

However, kidney stones must be ruled out. Only chronic urinary tract infection can cause a kidney infection or hydronephrosis. We need to do an ultrasound for confirmation.
Drink plenty of water and have a bland diet. Drink cranberry juice and maintain feminine hygiene. Avoid sexual intercourse until she recovers completely.

Hope this helps.
Feel free to write back for any clarification.
Regards

Comments / Follow Ups

Patient: I have attached urinalysis. Any feedback on this?
Doctor: Hello,
Thanks for the reply.
Unfortunately we are unable to view the attachment. Hence we did not specify on that.
Regards
Patient: It will not let me attach a bmp, excel document, or word, so I had to paste the results below.

Test Result
POC Spec Grav, UA 1.015
POC pH 5
POC Leukocytes, UA 500 (++)
POC Nitrite, UA Positive
POC Protein, UA 100 (++)
POC Glucose, UA Normal
POC Ketones, UA Negative
Urobilinogen, UA Normal
Bilirubin, UA 1 (+)
POC Blood, UA 250 (+++)
Appearance, Urine Cloudy

Patient: POC Spec Grav, UA 1.015

POC pH 5

POC Leukocytes, UA 500 (++)

POC Nitrite, UA Positive

POC Protein, UA 100 (++)

POC Glucose, UA Normal

POC Ketones, UA Negative

Urobilinogen, UA Normal

Bilirubin, UA 1 (+)

POC Blood, UA 250 (+++)

Appearance, Urine Cloudy

Urine Dipstick Expiration Date 10/2015

Urine Dipstick Lot Number 2292762

Patient: Please follow up, does the urinalysis indicate anything particularly serious, or is it consistent with a diagnosis of UTI?
Doctor: Thanks for the reply.
Thanks for sending the report.
It is suggestive of a urinary tract infection and can respond to antibiotics. Get a urine culture and sensitivity test done if needed.
Regards

Related Q&A

Q: For a while It constantly felt like I had to urinate but I never really had to, and it was painful to do so. When thi...

Q: I have urinary problems now for a few weeks (frequency, urgency, can't seem to empty bladder, and slight burning). I...

Q: Hello, I had protected sex about a week ago, and now I currently have slight redness/irritation at the tip of my p...

Q: Sir few drops of blood came after i urinate this happen from 15years every year some times now i am 37 years three mo...

Q: I have had UTI for over 7 months now I'm a 20 year old girl, I've just started engaging in sexual activity. I've take...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews