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What Causes Dark Urine And Lower Back Pain?

Posted on Wed, 23 Jul 2014

Question: I have dark urine and lower back pain and a little iching took home uti kit says negative for nitrates positive leutrites I just had hip replacement and suffered infection in my hip don't want it to travel there and cause another infection

Answered by Dr. Dr. Naveen Kumar Sharma (17 minutes later)

Brief Answer:
You should get it treated early

Detailed Answer:
Hello madam,
I have studied your case and you are right that if urine infection is not treated then it can cause infection in other parts including hip joint.
I would suggest you to get a urine culture examination and start antibiotics after discussing with a physcian.
I usually suggest following steps in my patients with similar complains.
1. Avoid stress and exertion and take rest.
2. Drink lot of water, it will wash your infection.
3. Syrup Cital will take care of the itching.
4. Start a broad spectrum antibiotic like Norflox after discussing with your Doctor and get urine culture as early as possible.
5. antispasmodic drug like Buscopan/Dicyclomin for back pain is good.
I hope this answer will help you. Let me know if you want to ask any other question.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Naveen Kumar Sharma (3 hours later)

but if nitrates are negative does that mean the same as uti infection and how long do I have to go to drs before it hits my hips I just had infection there been off antibiotics 1 month my wbc was 7.5 is that relly good for my infection or border line my drs tells me need to know basics and I need to know thanks

Answered by Dr. Dr. Naveen Kumar Sharma (5 hours later)

Brief Answer:
It is UTI even if nitrate is negative

Detailed Answer:
Hello,
I do not believe in these home use strip tests. Your symptoms are highly likely for it. WBC count can be low or normal, so not always diagnostic.7.5 is almost normal.
It is better to take antibiotics according to urinary culture report. You will have to take antibiotics for one week.
I hopes this answers your query. Let me know if you want to ask any questions.
Thanks.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Naveen Kumar Sharma (7 hours later)

1 more question what is the range should be to be good for wbc thanks

Answered by Dr. Dr. Naveen Kumar Sharma (15 minutes later)

Brief Answer:
It should be below 8

Detailed Answer:
WBC count should be between 4 to 8 is normal.Please write a review if you are satisfied with my response.
Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Naveen Kumar Sharma (3 hours later)

can they tell have uti or bladder infection from a blood work or I need urine culture and my dr onleave 2 weeks how llong befor it gets to my kidneys if not treated hate to go to new dr thanks

Answered by Dr. Dr. Naveen Kumar Sharma (26 minutes later)

Brief Answer:
blood test may also be normal

Detailed Answer:
hello,
Some time blood test also be normal and so clinical examination is important. I would suggest you to take a prescription from another doctor and start antibiotics.
Infection will not reach to kidney so fast but not getting treatment is never a right choice.
If possible you can call your doctor and discuss my opinion with him.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Naveen Kumar Sharma (2 hours later)

but I only like this one dr so can I wait the 2 weeks it wont hit my kidneys by then what is my time line don't know how long I have had the bladder infection and I don't want it to go to my hips thanks
and just so I know can my bladder infection travel to my hip to or just kidneys infection
and I have to go dentist to get teeth clean and tooth fix and 2 wisdom teeth that is infected when they open those up will the infection spread to my hip why take antibiotics and when they open it up will that infection spread to hip or if I don't get it done will it still spread to my hip since they are infected and with the wisdom teeth being infected would that show up in my blood wbc thnks

Answered by Dr. Dr. Naveen Kumar Sharma (12 minutes later)

Brief Answer:
It is difficult to predict time frame

Detailed Answer:
Right now we only have ct scan to say to suggest that you are having cystitis. So we can not be sure if this is only part which is affected. So I would suggest you to see a doctor and start treatment as early as possible.
Infection in body can go to any part including hip. Your dark color urine is due to blood in urine. So
I would suggest you to hurry up.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Naveen Kumar Sharma (3 hours later)

what about the dentist part

Answered by Dr. Dr. Naveen Kumar Sharma (6 hours later)

Brief Answer:
your dentist will give antibiotics

Detailed Answer:
Hello madam,
If there is any infection in teeth then your dentist will give antibiotics to you. Even if there is no infection then also during every dental procedure antibiotics are given. So you should not be worried about that.
So there is no chances that hip joint infection can occur following dental procedure if you are on antibiotics.
Thanks

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad