Kidney Stone May Not Be Main Cause Of Lower Back Pain

Frequent low back pain may be related to long-term sitting and standing, muscle stiffness caused by people who bow their heads, etc., but it may also be that the kidneys are calling for help!

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There are actually many people who visit the nephrology department because of long-term back pain, because as long as there is acute low back pain, the first thing that comes to mind is a problem with the "loin", and they suspect whether they have kidney disease. In fact, the waist not only has kidneys but also covers many organs and nerves. Be careful if the pain persists!

Wecistanche, an attending physician of the Department of Nephrology at Cathay Hospital, pointed out that in fact, most of the patients who seek treatment for long-term low back pain are not caused by kidney disease, but by other diseases that cause low back pain. Because the kidney is a "silent organ", it is difficult to detect abnormalities when the disease is not serious until the end of the disease.

Most low back pain and low back pain are mainly due to tissue strains such as muscles, tendons, and ligaments, or soreness caused by improper or excessive use.

 Usually, only moderate rest, drug treatment, conservative therapy, etc. are needed to relieve the pain and regain healthy. Common kidney diseases that cause low back pain include acute pyelonephritis, urinary tract stones, kidney stones, kidney tumors, and kidney obstruction. What everyone is most afraid of is various primary or secondary chronic glomerulonephritis that will cause uremia and lead to kidney dialysis, and there will be no pain symptoms.

It is pointed out that acute pyelonephritis caused by bacterial infection is usually accompanied by inflammation of the lower urinary tract. As a result, bacteria will travel up the urethra, causing frequent urination, difficulty urinating, unilateral or bilateral low back pain, chills, high fever, abdominal pain, nausea, and vomiting.

When the kidney stone is still small, it does not cause pain, or it is only a dull pain; until the stone is large enough to irritate the kidney capsule or fall into the ureter, there is sudden pain. The pain caused by kidney stones is mostly in the lumbar ribs, and the pain is often instantaneous, and the pain will not be reduced by changing the posture.

When urinary stones block the urethra, the urine accumulates in the kidneys, resulting in hydronephrosis, which can cause severe back pain; the kidneys will also swell as a result, causing back and abdominal pain. Pain from urolithiasis often extends to the groin, testicles, or vulva.

Kidney tumors are often not detected early. Many patients seek treatment for long-term back pain, abdominal pain, and unexplained weight loss. Renal cell carcinoma is usually in the advanced stage, and it is known as the "silent killer". Patients typically present with hematuria, low back pain, and abdominal mass.

And the chronic kidney disease that everyone is most worried about, because the initial symptoms are not obvious, until the renal function continues to decline, symptoms such as difficulty urinating, foamy urine, edema, high blood pressure, anemia, fatigue, hematuria, etc. will appear, even after musculoskeletal pain is ruled out , before low back pain occurred.

It is recommended to see a doctor to clarify whether the pain is related to kidney disease through examination. He mentioned that there are too many reasons for back pain. In order to clarify the exact cause, basic tests including urine, blood and ultrasound imaging tests can be performed. If necessary, computerized tomography, cytology or Kidney biopsy.

We reminded that when you have back pain, you must not buy painkiller cloths to stick on your own, or take anti-inflammatory painkillers to relieve pain. Because in the situation where it is uncertain whether kidney disease is the cause of back pain, indiscriminate use of painkillers may lead to rapid deterioration of kidney function, and may even lead to a dialysis crisis in severe cases.

People often have the myth that "topical medicine is lighter than oral medicine". In fact, although the sore patch is only used locally, it can still be absorbed through the skin and affect the whole body, and it has side effects such as increasing the burden on the kidneys. People with poor kidney function are recommended, the use of sore patches should be avoided.