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What causes severe back pain and painful urination in a gross hematuria patient?

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Posted on Fri, 20 May 2016
Question: My girlfriend has a problem. She has back pain on both sides that started a week ago and it hurts more on the left side. And she have gross hematuria. And a burning feeling when she pees. She also have a little fever. What is this? And what should she do?
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Answered by Dr. Bonnie Berger-Durnbaugh (37 minutes later)
Brief Answer:
See a dr for pyelonephritis.

Detailed Answer:
Hello and welcome,

It sounds like your girlfriend may have pyelonephritis (kidney infection). Symptoms of this are fever, flank pain, sometimes nausea, and pain with urination can happen too.

While uncomplicated bladder infections can sometimes be treated with out antibiotics, a kidney infection needs to be treated with an antibiotic as it is a riskier situation. Also, she should have a urine sample sent to a lab for a complete "culture and sensitivity test" which will show which antibiotics will work best. That takes a couple of days, so in the meantime, the doctor will start her on an antibiotic based on which ones usually work well. In the office or clinic, the staff can do an initial urinalysis, but the urine must be sent for culture.

So, don't wait - go to an urgent care center, or if there are none in your area, go to the ER.

She will start to feel better soon after the antibiotic kicks in.

I hope this information helps. If, in the future, you want to request me specifically on a question, just put my name at the beginning of your question and it will be routed to me.

Best regards,
Bonnie Berger-Durnbaugh, MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3135 Questions

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What causes severe back pain and painful urination in a gross hematuria patient?

Brief Answer: See a dr for pyelonephritis. Detailed Answer: Hello and welcome, It sounds like your girlfriend may have pyelonephritis (kidney infection). Symptoms of this are fever, flank pain, sometimes nausea, and pain with urination can happen too. While uncomplicated bladder infections can sometimes be treated with out antibiotics, a kidney infection needs to be treated with an antibiotic as it is a riskier situation. Also, she should have a urine sample sent to a lab for a complete "culture and sensitivity test" which will show which antibiotics will work best. That takes a couple of days, so in the meantime, the doctor will start her on an antibiotic based on which ones usually work well. In the office or clinic, the staff can do an initial urinalysis, but the urine must be sent for culture. So, don't wait - go to an urgent care center, or if there are none in your area, go to the ER. She will start to feel better soon after the antibiotic kicks in. I hope this information helps. If, in the future, you want to request me specifically on a question, just put my name at the beginning of your question and it will be routed to me. Best regards, Bonnie Berger-Durnbaugh, MD