Hello Naina,
I understand your discomfort. Let me help you with possible causes and next steps.
Your symptoms of abdominal and back pain with urinary difficulty for 10 days can be due to urine infection, stone, or gynaecological issue. Since your period is also delayed, please do a urine pregnancy test today.
Tests needed to be done, since you’re having pain for 10 days, it needs attention - Urine Pregnancy Test, CBC, Urine(Routine, Microscopy & Culture), Ultrasound of Abdomen+Pelvis
If pregnancy test is negative: start Tablet Nitrofurantoin 100 mg twice daily for 5 days, drink 2–3 litres of water daily, and take Tablet Paracetamol 500 mg if needed for pain.
If pregnancy test is positive: you must see a Gynaecologist or a Family Physician urgently to rule out urinary infection in pregnancy or ectopic pregnancy.
If you develop fever, severe pain, vomiting, or blood in urine, please go to the hospital immediately.
Regards,
Dr. Nirav Jain MBBS, DNB D.Fam.Med
Investigation:
Urine Routine & Microscopy + Urine Culture & Sensitivity Pregnancy test (Urine β-hCG) Pelvic Ultrasound (USG Whole Abdomen with Pelvis) CBC, CRP
Follow up
Hello dear See it can be due to normal hormonal alterations or infections which commonly occur in pcos I suggesting some tests for confirmation Kindly get them done for confirmation Serum prolactin Serum ferritin Serum progesterone Urine analysis Pelvic ultrasound RBS CBC Serum vitamin d3 level Serum b 12 Pregnancy strip blood-beta HCG Bp evaluation Kindly share the details with gynacolologist in person for better clarification. Please donot take any medications without consulting the concerned doctor Hopefully you recover soon Regards
Naina this can be kidney infection or stone blocking the urine path Kindly get Renal function test USG abdomen and pelvis adnexa Urine culture and microscopy
Get a consultant from nephrologist
Hi Naina,
Dear most probably this is kidney stone/ urinary tract infection.
Because your symptoms are lasting >10 days with urinary difficulty, you must do these tests:
Urine test & culture (for UTI).
Ultrasound abdomen + pelvis
Blood tests (CBC, kidney function).
Pregnancy test (urine or blood β-hCG) if periods delayed and sexually active.
*Self-Care Until You See a Doctor
Drink plenty of water
Avoid caffeine, alcohol, and very spicy food (they irritate bladder).
Use a hot water bag on lower abdomen/back for pain relief.
Maintain gentle hygiene (wash with lukewarm water only, avoid harsh soaps).
Thank you dear
Persistent left abdominal + back pain with urinary difficulty for more than 10 days in a sexually active woman could be due to urinary tract infection (UTI), kidney stone, or a gynecological issue (ovarian cyst, PID, endometriosis). Since this is ongoing for >10 days, you should not self-medicate—you need a urine test, ultrasound abdomen/pelvis, and gynecology/urology consultation to confirm the cause. Please see a gynecologist/urologist soon, as untreated infection or stones can worsen, and they will prescribe the right medicine (antibiotics/pain relief) after tests.
Hello NAINA, you may be suffering from Urinary infection.
Get these tests done: 1. CBC 2. Urine-r/m 3. Urine-c/s
Start this treatment: 1. Syrup Alkasol 2tsp in 1/2 glass water twice daily for 3 days 2. Tablet Meftla-spas twice daily for 3 days 3. Drink 1.5-2 lit. water daily
Start ANTIBIOTICS after the reports. Take care
Pain in the left abdominal area that radiates to the back and difficulty urinating are symptoms that require careful evaluation, especially since it’s lasted more than 10 days. There are several possible causes for these symptoms, such as a kidney infection, stones, or urinary tract infections (UTI). Given that you are sexually active, it’s also possible that this could be related to a reproductive system issue. It’s also important to note that skipped or delayed periods could point to pregnancy or other hormonal imbalances. First, it is crucial to confirm or rule out a pregnancy, considering your last period was on the 3rd of September. A home pregnancy test could quickly give you an answer, and if positive, you should see a healthcare provider to discuss the next steps. If pregnancy is not the case, and if the symptoms persist or worsen, seeing a doctor promptly is advisable. They may recommend a urinalysis, ultrasound, or other imaging studies to explore the cause. If an infection is suspected, a course of antibiotics may be necessary, but this should only be started after consultation with a healthcare provider who can prescribe and tailor medication to your needs. Self-care in the meantime could include staying hydrated, which might help alleviate some urinary symptoms. Avoid caffeinated and alcoholic beverages as they can irritate the bladder. Warm compresses on your abdomen might help with discomfort, but these measures are not substitutes for a professional medical assessment. If you experience fever, severe pain, or vomiting, immediate medical attention is warranted as these could be signs of a more serious condition like a kidney stone or more severe infection. Prioritize a medical evaluation as this will likely be the most effective route to addressing your symptoms comprehensively and accurately.
