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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Sever Back Pain With Frequent Urination?

I have been waking up in the morning with moderate ache like pain in the lower third of my back and it usually corresponds with a severe need to urinate. It has been gradually getting worse over the past few years and was wondering if this was something I needed to get checked out.
Mon, 9 May 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern.
I think you have prostate problem or kidney problem.

Hello dear.
Understand your concern.
Following are the causes of your problem
Prostate enlargement, prostatitis, Urinary tract infection/Cystitis, Obstruction of the urinary tract by stone and tumor

Risk factor : Over weight, diabetes melitus
Consult the urologist and get the following test done:
1. Urine analysis
2. Blood sugars
3. Blood urea, creatinine
4. Clinical examination and measurement of blood pressor and heart rate
5. Cystoscopy, USG
6. Cystogram
7. Rectal examination
6. CBC, ESR, PSA

Following are the treatment
1. Bladder training
2. Double voiding
3. Reduce fluid intake and take more solid fluid
4. Avoid alcohol and caffeine
5. Pelvic floor exercise.

drugs
1. Anticholinergic- Oxybutynin
3. Tamsulosin and finastridine
C. Medical device
You can put urethral insert if not response to drugs and behavior technique.
D. Last option is surgery is problem is severe
1. Bladder neck obstruction
2. Artificial urinary sphincter

Hope this may help you.

Best regards
Dr. sagar
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What Could Sever Back Pain With Frequent Urination?

Hello dear Understand your concern. I think you have prostate problem or kidney problem. Hello dear. Understand your concern. Following are the causes of your problem Prostate enlargement, prostatitis, Urinary tract infection/Cystitis, Obstruction of the urinary tract by stone and tumor Risk factor : Over weight, diabetes melitus Consult the urologist and get the following test done: 1. Urine analysis 2. Blood sugars 3. Blood urea, creatinine 4. Clinical examination and measurement of blood pressor and heart rate 5. Cystoscopy, USG 6. Cystogram 7. Rectal examination 6. CBC, ESR, PSA Following are the treatment 1. Bladder training 2. Double voiding 3. Reduce fluid intake and take more solid fluid 4. Avoid alcohol and caffeine 5. Pelvic floor exercise. drugs 1. Anticholinergic- Oxybutynin 3. Tamsulosin and finastridine C. Medical device You can put urethral insert if not response to drugs and behavior technique. D. Last option is surgery is problem is severe 1. Bladder neck obstruction 2. Artificial urinary sphincter Hope this may help you. Best regards Dr. sagar