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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suggest treatment for lower back pain and shooting pain in penis

Answered by
Dr.
Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10117 Questions

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Posted on Wed, 7 Sep 2016 in Urinary and Bladder Problems
Question: Hello

I am 32 year old male with normal health. On July 27 I did something that I shouldn't have done. I stopped my urine flow midstream and then pull back my lower abdomen and anus area, tightened the muscles in those regions. I did it every time I urinated for a whole day. The next day, I came to know from the Internet that doing this could cause UTI infection, so I stopped doing it. But 29th of July, I woke up with pain in right lower back, radiating down to my right leg and shooting pain in my penis.

I drank plenty of water and the next day, the pain lessened. After 2 days, however, it came back, even though the severity was low, and it was sporadic. For last few days, I have been experiencing strange symptoms. The area where the right side of the penis meets groin has a pinching feeling. There's no pain but a sore feeling in my right lower abdomen radiating down to the right side of my penis, occasional ant-bite like feeling in the penis and my right testicle is a bit sore. The middle right abdomen is sore. I can feel the soreness when I bend over. There's occasional pinching pain traveling between lower right abdomen and right lower back. I can sometimes feel a mild pain-like sensation in the fingers of my right leg and in my right butt and under my right foot, all at once.

There's no problem with urinating. No pain during or after urination. But I've noticed I couldn't hold urine for long, which I could earlier. When I am holding it for long, there's a pinching sensation in my middle lower abdomen and on the right side just above the penis, the area of pubic hair.

I did a ultrasound test almost a year ago and kidney, bladder and prostate were all okay. So you can rule out the possibility of kidney or bladder stone. Besides, it's totally sudden. Before 27th July, I was fine. I am pretty sure it has to do with the urine experiment. I need a diagnosis.
doctor
Answered by Dr. P. T. Patil 40 minutes later
Brief Answer:
Could be due to transient VU Reflux

Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have described the pain and discomfort in Rt lower abdomen and Rt legs and Rt side of penis is likely to be transient Vesico Ureteric Reflux resulting from attempting to hold urine and forceful contraction of abdominal muscles resulting into backward flow of urine from bladder in to kidney though ureter what is called as Vesico Ureteric Reflux(VUR).

The pain in lower abdomen and Rt leg is likely to be due to referred pain along the distribution of Genito Femoral Nerve .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil 14 minutes later
Hello

I did this for a just one day. I am not doing it anymore. Can that cause transient VU Reflux?

What kind of diagnosis do I need? How is transient VU Reflux diagnosed?

What are the treatment options? Can it heal itself over the course of time? What complications can it cause?
doctor
Answered by Dr. P. T. Patil 4 hours later
Brief Answer:
There are no specific tests to diagnose transient VUR

Detailed Answer:
Hello
Thanks for follow up .

There is no specific test to diagnosis transient VUR,It is diagnosed clinically on the basis of the facts that you have described .

The word transient itself indicates that it is temporary and gets cured within a day or two and does not require any treatment .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil 1 hour later
Hello

Thanks for the reply. Here's what I need to know:

1. The symptoms seem to last for more than a day or two. I've been having the symptoms for almost a week. How long can it last?

2. Please let me know what complications it causes like any damage or injury to kidney, bladder or urethra.

3. Are these complications short-term or long-term?

Kindly reply to these three questions above.
doctor
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
All these symptoms last for short period .

Detailed Answer:
hello
Thanks for follow up .

Symptoms do last for short period and gradually get resolved spontaneously .


There are no complications or damage to kidney,ureter , bladder or urethra.

Thanks and Regards.
Dr.Patil..
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil 2 days later
Hello

There's no pain but a mild sore feeling. When I am sitting in front of my computer, I can feel slight tingling pain in my right leg. The soreness seems to be deep-rooted and the area where it is present is the right groin and partially the right side of the penis.

Also, before urinating I feel a sore and pinching feeling in the lower end of the abdomen, just above the mid-groin. Is this normal at this stage? Can you give me an idea how long the soreness will last?
doctor
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
Soreness will lost for one more week

Detailed Answer:
Hello
Thanks for follow up .
The soreness will lost for one more week and will gradually fade away,Till then take anti inflammatory medicine like Diclofenac twice daily.
Thanks and Regards,
Dr Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil 2 days later
Hello

As I have been drinking 250ML of water every hour, I am having to urinate frequently. Is it normal for a healthy bladder?

Also I am noticing before and after urinating there's a pressure, soreness and pinching feeling combined that is affecting the penis, the groin and the abdomen (two inches below the navel) and radiating to both legs. After urination, I have a feeling of more urine deposition in the groin area for around 4-5 minutes. Then it slowly goes away, but the penis remains sore and when I touch it, I feel a tingling sensation in my legs.

Is it possible for these symptoms to continue instead of subsiding? Kindly reply
doctor
Answered by Dr. P. T. Patil 1 hour later
Brief Answer:
These symptoms are bound to go away .

Detailed Answer:
Hello
Thanks for follow up .
The symptoms of soreness in penis and lower abdomen are due to inflammation and will go away gradually and not to be worried for .

The frequency for urination and urge to pass urine are due to more water intake and nothing to be worried for.

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil 3 days later
Hello

Can it be an infection of the urine, bladder or kidney? I often feel there's urine in my penis when there's not or very little amount. I also have slight pain in right upper back and right lower back.

Is it required to go see a Urologist?

Also, please tell me what kind of test is used to diagnose infection and what are the complications.
doctor
Answered by Dr. P. T. Patil 30 hours later
Brief Answer:
You need to do routine urine test and urine culture.

Detailed Answer:
Hello
Thanks for follow up .

You need to do routine urine tests and urine culture to rule out infection .
The pain and discomfort in penis could be due to inflammation of urethra .

Taking anti inflammatory medication with urinary antiseptic like Nitrofuradantin twice daily will help to get relief from symptoms .

Thanks and Regards.
Dr Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil 9 hours later
Hello

I found inflammation of urethra is called urethritis and it is caused by sexually transmitted disease. But I am sexually clean and I can vouch for it. How can inflammation of urethra is possible then?

Is Nitrofuradantin an antibiotic? Does it have any side effect?

Also, can you suggest any anti-inflammatory medicine?
doctor
Answered by Dr. P. T. Patil 3 hours later
Brief Answer:
Inflammation in simple term is swelling of the mucus membrane of urethra .

Detailed Answer:
Hello
Thanks for follow up .
Inflammation is a broad term that signifies swelling of the mucus membrane of urethra and not infection .Infection can be also acquired due to other bacteria by other means and not necessarily transmitted sexually.

Do not try to find answer to your problem on internet .It will make you more confused rather than help to resolve the issues .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. P. T. Patil 3 days later
I stopped looking for answer on the Internet because there's not much pain and inflammation now. But for last few days, I've been noticing bubbly urine, especially in the morning and in the night. Is this normal?
doctor
Answered by Dr. P. T. Patil 26 minutes later
Brief Answer:
It is insignificant

Detailed Answer:
hello
Thanks for follow up .
The large volume of the urine in the morning leads to bubbling of urine and ithas no significance at all .Do not consider it as a problem .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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