Need Help?

Malaysia's #1
Health Forum

My Wife has back ache

Answered by: Dr Ramzdhan

Last Updated: July 18, 2019 12:41 AM

micah 16 months

My Wife has back ache. She is born only one kidney naturally. She had bacteria infection before 8 years ago. During these years Nothing happened. Recently she had a fever for few days, so, I gave her Augmentine. Today she sudden mentioned backache after doing severe housework. Is it because of of the kidney problem? Her urine is yellowish clear. We just been to beach today and she had great appetite. But at 4pm today, she start sick with backache and vomited. Is it because of Kidney or food poison. What shall I do?

Dr Ramzdhan 18 months
General Practitioner

Hi there! Thank you for your question. Back pain could be due to many causes but judging by the clinical picture, she has fever, nausea, vomiting and back pain, this can very much indicate kidney issue. The possible diagnosis are urinary tract infection and stones. Urinary tract infection is one of the most common conditions seen in general practice.

There are two types of UTI, cystitis (infection of the urinary bladder) and pyelonephritis (infection of the kidney).Based on the symptoms you mentioned, pyelonephritis is most likely.

The symptoms of UTI/pyelonephritis includes loin pain (Back pain), fever, vomiting, weakness/tiredness, bleeding in the urine (might not be there) and urinary abnormalies like increase frequency, urine hesitancy, poor flow of urine, intermittent stream (flow that stops and starts during urination), dribbling after urinating, the sensation of not completely urinated eventhough there is no more urine, increase frequency of urination, unable to control your urination, peeing yourself without you realizing and increase urination at night.

It is typically due to a bacterial infection, most commonly Escherichia coli. Risk factors of UTI/ pyelonephritis includes prior urinary tract infections, diabetes, stones, structural problems of the urinary tract and sexual intercourse.

The investigations that will be done are urine dipstick test, mid-steam urine for culture, kidney function test (urea, electrolytes, creatine, and calcium level), full blood count, abdominal x-ray, kidney ultrasound and CT KUB (kidney, ureter and bladder).

The management of urinary tract infection are:
1. Increase fluid intake (more than 3L within 24 hours)
2. Potassium citrate solution (to alkalinize the urine to ease the symptoms)
3. NSAIDs (pain killers)
4. Antibiotics (usually 3 days but if it is complicated it will be given for 7 days)

Urinary stones also present in similar manner and are investigated the same and most of the time don’t required separate management. So, bring your wife to a doctor so necessary test can be done and appropriate management can be given.

Please click on this link (DoctorOnCall) to talk to us privately online and discuss further about your inquiries. Thank you.

Last Updated: Thu Jul 18 2019 00:41:24 GMT+0000 (Coordinated Universal Time)
4.88
Online Consultation
Talk to a doctor or Orthopedic Surgeon Specialist online about back pain from anywhere you are without having to queue anymore
Doctor Consult RM19.99 Specialist Consult From RM80
FREE Detailed Health Assessment
Prevention is better than cure. Is My Body Ready to Fight Infection? Find Out in only 5 short minutes!
Start FREE Health Assessment
Anonymous
Back pain from top below shoulder to pelvic I am 25 years old. My period lately amount of blood has decreased and I feel painful at the back from top below shoulder to pelvic on the right side. Read more...
18 days
Anonymous
Lower back pain when I sitting on floor Lately my lower back pain when Im sitting on the floor n also sit on car seat. How can I reduce the pain? Read more...
3 months
khong86
My mum has back numbness and feeling hot/warm on her back My mother is 66 years old, for these recent 2-3 years, she has some numbness on her back, arms, hands, feet. We brought her to check at specialist, government hospital, private doctors but the result … Read more...
8 months
micah
My Wife has back ache My Wife has back ache. She is born only one kidney naturally. She had bacteria infection before 8 years ago. During these years Nothing happened. Recently she had a fever for few days, so, I gave her … Read more...
18 months
Anonymous
Upper Back, Left right Shoulder blade pain Hi Dr: Recently I am having a pain on my Upper Back, Left & Right Shoulder Blade. The pain starts when I woke up or lean on chairs. What can I do to reduce the pain as I have been applying hea… Read more...
7 months