What causes frequent urination, urgency and lower back pain?

In life, urination can reflect the problem. Some people will have frequent urination and urgency. Sometimes it is because they drink too much water. It is normal to urinate six to eight times a day. If it is not because of drinking too much water, then you need to pay attention, because you may have a disease. So, what causes frequent urination, urgency and lower back pain? Let me introduce it to you now.

Urinary tract infection, also known as urinary system infection, is an inflammatory response of the urothelium to bacterial invasion, usually accompanied by bacteriuria and pyuria.

Common causes: bacterial infection

Common symptoms: acute simple cystitis, acute simple pyelonephritis, asymptomatic bacteriuria, complicated urinary tract infection

Urinary tract infection can be divided into upper urinary tract infection and lower urinary tract infection according to the site of infection; according to the relationship between the two infections, it can be divided into isolated or sporadic infection and recurrent infection, the latter of which can be divided into reinfection and bacterial persistence, which is also called recurrence; according to the state of the urinary tract at the time of infection, it can be divided into simple urinary tract infection, complicated urinary tract infection and urosepsis. Urinary tract infections are common in women, especially those who are sexually active and postmenopausal women.

Acute simple pyelonephritis

(1) Urinary system symptoms include bladder irritation signs such as frequent urination, urgency, and pain during urination; hematuria; low back pain on the affected side or both sides; obvious tenderness or percussion pain at the costovertebral angle on the affected side;

(2) Symptoms of systemic infection such as chills, high fever, headache, nausea, vomiting, loss of appetite, etc. are often accompanied by increased white blood cell count and increased erythrocyte sedimentation rate.

Complicated Urinary Tract Infection

The clinical manifestations of complicated urinary tract infection vary greatly, and are often accompanied by other diseases that increase the risk of infection or treatment failure, with or without clinical symptoms (such as frequent urination, urgency, dysuria, dysuria, low back pain, costovertia angle tenderness, suprapubic pain and fever, etc.). Complicated urinary tract infections are often accompanied by other diseases, such as diabetes and renal failure; they also cause many sequelae, the most serious and fatal of which include urosepsis and renal failure. Renal failure can be divided into acute and chronic, reversible and irreversible.

Physical examination

Includes examination of the urogenital organs; physical examination of the abdomen and kidney area. Pelvic and rectal examinations are helpful in identifying other concurrent diseases.

Testing

(1) Laboratory tests include routine blood tests, routine urine tests, urine smear microscopic examination for bacteria, midstream urine bacterial culture + drug sensitivity, blood bacterial culture + drug sensitivity, and renal function tests;

(2) Imaging examinations include ultrasound, abdominal plain film, intravenous pyelography, etc. CT or MRI examinations can be selected if necessary.

Patients should not eat acidic foods. Acidic foods include pork, beef, chicken, duck, eggs, shrimp, and the most common flour, rice, peanuts, etc. People with urinary tract infection should avoid eating foods that cause bloating. Foods that cause bloating include milk, soy milk, etc. Patients should drink more water and urinate frequently. Bacteria can be removed through the flushing effect of large amounts of urine.