Pain in left abdominal and back

Question #11512

45 days ago

158

Pain in left abdominal and back - #11512

Naina sharma

Pain in left abdominal and back For more than 10 days and difficulty in urination and i am sexual active and period date is 3rd sept and i n unmarried and my age is 31 years old,how to treat this please help to me this and any medical provide to me..

Age: 31

Chronic illnesses: Pcos

Pain in left abdominal and back and difficulty in urination

300 INR (~3.53 USD)

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Dr. Perambalur Ayyadurai Rohith

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.

45 days ago

Urinary Tract Infection (UTI) Pain in the left abdomen/back with difficulty in urination strongly points to UTI or early kidney infection (pyelonephritis).
Kidney Stone (Renal Calculus) Left-sided pain radiating to the back, worsened with urination, could also be due to a stone.
Gynecological cause (Ovarian cyst/PCOS-related complications) Since she has PCOS, an ovarian cyst or rupture could mimic this pain.
Less likely: Musculoskeletal pain or gastrointestinal issues (colitis/constipation), but urinary symptoms make urinary tract causes more probable.

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

44 days ago

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

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

44 days ago

Investigation:
Urine Routine & Microscopy + Urine Culture & Sensitivity
Pregnancy test (Urine β-hCG)
Pelvic Ultrasound (USG Whole Abdomen with Pelvis)
CBC, CRP
Follow up

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

45 days ago

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

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

45 days ago

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

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

44 days ago

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

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

43 days ago

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.

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

38 days ago

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

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

20 days ago

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.

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