Hello,
Your symptoms of lower abdominal and back pain, combined with a history of an untreated urinary tract infection (UTI), require medical evaluation.
Possible causes include:
Urinary tract infection (UTI): Can cause lower abdominal discomfort, burning urination, and increased urinary frequency.
Kidney infection (pyelonephritis): May cause back or flank pain, fever, chills, and nausea.
Kidney stones: Can cause abdominal or back pain, sometimes with blood in the urine.
Gynaecological causes: Menstrual problems, ovarian cysts, or pelvic inflammatory disease may produce similar symptoms.
An untreated UTI can occasionally spread to the kidneys, so it is important not to ignore these symptoms.
Next Steps
Consult a general physician Get a urine routine examination and urine culture with antibiotic sensitivity, ideally before starting antibiotics. Your doctor may recommend CBC,
kidney function tests, or an ultrasound depending on the examination findings. If a bacterial UTI is confirmed or strongly suspected, your physician can prescribe an appropriate antibiotic based on symptoms and culture results. Inform your doctor if you have burning urination, fever, increased urinary frequency, vaginal discharge, or a possibility of pregnancy. If pregnancy is possible, a
pregnancy test may be required to exclude pregnancy-related complications.
Health Tips
Drink adequate water, avoid holding urine for prolonged periods, and maintain appropriate intimate hygiene. Do not self-medicate with antibiotics, as the correct treatment depends on the type and severity of infection. Paracetamol may provide temporary pain relief if suitable for you, but it does not treat an underlying infection. Seek medical attention if you experience fever with chills, severe back pain, vomiting, fainting, or worsening abdominal pain. Severe one-sided pelvic pain or pain associated with possible pregnancy also requires urgent assessment. My recommendation: A recurrent or persistent UTI is possible, but
kidney and gynaecological causes must also be considered. A timely examination and urine culture will help guide appropriate treatment. Wishing you a speedy recovery!