Low back pain with frequent urination, urgency, and dysuria
Introduction
Introduction Low back pain with frequent urination, urgency, and dysuria is one of the clinical symptoms of acute bacterial cystitis. Acute bacterial cystitis is mainly caused by Escherichia coli (usually Escherichia), but is rarely caused by Gram-positive aerobic bacteria (S. parasitica and Enterococcus). The infection is often caused by the urethra going up to the bladder. The pathogenesis and predisposing factors of cystitis have been discussed in detail in this chapter. Girls and women are more susceptible to cystitis than boys and adult men. In children, adenovirus infection can cause hemorrhagic cystitis, but it is rare in adults with viral cystitis.
Cause
Cause
Causes of low back pain with frequent urination, urgency, and dysuria:
Etiology and pathology: In the early stage of acute cystitis, bladder mucosa congestion, edema, leukocyte infiltration, late, mucosal fragility increased, easy to hemorrhage, the surface is granular, local superficial ulcer, containing exudate, usually does not involve the muscle layer .
Examine
an examination
Related inspection
Prostate specific antigen acid phosphatase urine sediment prostate specific acid phosphatase semen acidity
Low back pain with frequent examination of urination, urgency, and dysuria:
Symptoms: frequent urination, urgency, nocturia, urinary burning or dysuria. There is often pain in the lumbosacral or suprapubic area. And common urinary interruption and hematuria, fever is rare. Women often cause seizures after sexual intercourse (honeymoon cystitis).
Diagnosis
Differential diagnosis
Symptoms of low back pain with frequent urination, urgency, and dysuria:
1. Acute pyelonephritis: It is also mainly characterized by urinary tract irritation such as frequent urination, urgency, and dysuria. Urine examination may include pus cells and red blood cells. However, it is often accompanied by symptoms of systemic infection such as fever, low back pain and tenderness in the kidney area.
2. Trichomonas cystitis: It is also mainly characterized by urinary tract irritation such as frequent urination, urgency, and dysuria. However, patients often have a history of unclean sexual intercourse. There are many secretions in the urethra, and the secretions can be found to find trichomoniasis.
3. Acute prostatitis: It is also mainly characterized by urinary tract irritation such as frequent urination, urgency, dysuria, and pubic pain. Patients often have varying degrees of dysuria, and rectal examination can detect prostate enlargement with tenderness.
4. Interstitial cystitis: It is also mainly characterized by urinary tract irritation such as frequent urination, urgency, dysuria, and pubic pain. Pain and tenderness in the suprapubic bladder area are particularly pronounced, and the bladder is intensified when filled. Urine routine examinations are mostly normal, with very few pus cells.
5. Glandular cystitis: clinical manifestations of frequent urination, urgency, dysuria, dysuria and hematuria, B-ultrasound can be shown as non-specific signs of intravesical space-occupying lesions or thickening of the bladder wall, cystoscopy and mucosa Biopsy can help with identification.
6. Lower ureteral stones: Bladder irritation can also occur when ureteral stones fall to the interstitial wall of the bladder. If the infection is combined at the same time, it is not easy to identify with cystitis. The KUB plain film and IVU can be used to display the location of the stone and determine whether there is a combined obstruction.
Symptoms: frequent urination, urgency, nocturia, urinary burning or dysuria. There is often pain in the lumbosacral or suprapubic area. And common urinary interruption and hematuria, fever is rare. Women often cause seizures after sexual intercourse (honeymoon cystitis).
