This question was answered on Sun 17, Jan 2010 07:11am by Dr J Singh

Middle back pain the goes away after urinating

    
Asked by pavehydro (Female; 34; No previous medical history with kidneys, liver, bladder, etc; Relevant drugs:none ) on Sun 17, Jan 2010 04:49am

I am woken up during the night (usually once) with an ache in my middle back (kidney area) that goes away after urinating. The problem has occured on and off over several years. When it shows up, it last for several months then eventually goes away until the next time. I am a 34 yr old female in good health, no other previous issues with kidneys, bladder, etc. Is this a common issue or one to see my doctor about?

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Answer by Dr J Singh  on Sun 17, Jan 2010 07:11am:

Hello, Welcome to the forum and I am glad to help you out. You need a detailed evaluation of the complete urinary system including the kidneys, ureters and urinary bladder because the symptoms of flank pain and pain which is relieved after urination can be due to any cause related to them. Let us start discussing the possibilities one by one. Firstly, it can be due to a bladder or ureteral spasm. In this, the discomfort is probably not coming directly from the kidneys, but may be related to peristalsis (involuntary muscle contraction) in either the ureters or the bladder. So when the bladder is full, there is dull ache due to muscle spasm which causes the discomfort and this goes away after urinating. Second possibility that needs to be thought of is blocked urine flow due to any blockage( stones or tumors). This may cause a gradual blockage to urine flow (not a sudden blockage like that of a kidney stone) and in these cases the kidney may be stretched and cause a dull aching pain. To rule out these possibilities, I would suggest you to consult a nephrologist(kidney specialist) or a urologist and get some investigations done. These include ultrasound lower abdomen, IVP (intravenous pyelogram), CT scan abdomen, blood tests like kidney function tests and urine tests. Treatment is diagnosis specific and so diagnosis needs to be confirmed first. I hope it helps. Take care and please do keep us posted in case you have any additional doubts.

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Comments:

Comment by Dr.Kokil Mathur on Sun 17, Jan 2010 03:57pm:
Hi Pavehydro! Dr Anand has assessed the situation correctly and I agree with him. The pain in lower back or in the flank area that is relieved on passing urine can be due to spasm of ureter (tube that carried urine from kidney to urinary bladder) or due to any blockage from stone or tumor. Nonspecific and latent UTI can also be a cause. In this the infection is not very strong to cause symptoms during the day. However when the urine collects, it causes discomfort which is relieved on passing urine. Usually this type of UTI involves the bladder (called cystitis). Another possibility is high uric acid or calcium. This can cause collection of sand like particles in urine, which can cause discomfort when urine passes through ureter or gets collected in urinary bladder. Passing the urine relieves the discomfort in these cases. As Dr Anand said, please consult an urologist. It is difficult to comment beyond this at this stage on net. Hope this helps. Take care!

Comment by on Fri 27, May 2011 09:33pm:
Pain in back relieved after urination can be due to kidney or ureteric obstruction like stones or some growth inside these two organs. I suggest you to get an ultrasound and CT scan done to rule out these two conditions.

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