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Urology  (Expert Forum)
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lower back pain only upon waking from sleep
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

lower back pain only upon waking from sleep

by Toni, Dec 26, 1999 12:00AM
Each morning, I wake up with intense lower back pain. After I urinate the pain stops.  this occurs daily. This has been going on for approximately 8 months. About six months ago, I went to the doctor.  He found blood in my urine.  He gave me anibotic.  After about two weeks the pain stopped.  However, the pain started up again a month later. I went back to the doctor. He took a urine test.  the test was negetive. This is the only symptom I have.  However, sometimes I think my weight gain is bloat, but it is possible the fudge during the holiday season may  be a contributing factor.  Hope you can help.  Thanks, Toni

by HFHS M.D.-TP, Dec 28, 1999 12:00AM
Dear Toni,



Your symptoms may be caused by vesicoureteral reflux.



Vesicoureteral  reflux (VUR) is a condition where urine from the bladder flows back up into the ureter.due to a congenital defect at the ureterovesical junction (where the ureter inserts into the bladder) or from high pressure within the bladder.  The latter can be caused by bladder outlet obstruction (usually in males), neurogenic bladder (from spinal cord injury, diabetes, multiple sclerosis), bladder instability, or bladder infection(which can cause decreased bladder compliance).  Reflux most commonly occurs in children, and it affects females predominantly.  The majority of people with reflux are asymptomatic.  However, one may have symptoms of a urinary tract infection and abdominal or flank pain with a full bladder.  Prolonged VUR can result in renal scarring, pyelonephritis (infection of the kidney), hypertension, and renal failure. Initial diagnostic work up include a complete history and physical exam,  a urine analysis and culture, renal ultrasound, and a VCUG.  Medical (antibiotics/ bladder muscle relaxant) and surgical treatments can be offered for those with VUR depending on the etiology and severity of the disease.



This information is provided for general medical education purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568).



Sincerely,

HFHS M.D.-TP

*Keyword: vesicoureteral reflux



Member Comments (1)

by FRAN, Jan 03, 2000 12:00AM
To: Kidney/Urinary Stones
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by carolyn Llamas, Mar 10, 2000 12:00AM
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by Michelle, Jul 05, 2000 12:00AM
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by Guy Crumpley [ mailto:gcrumpley@mindspri, Jul 30, 2000 12:00AM
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by Guy Crumpley [ mailto:gcrumpley@mindspri, Jul 30, 2000 12:00AM
To: Kidney/Urinary Stones
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by sweetchi08, Jul 30, 2008 09:57AM
A related discussion, waking up pain in my upper back was started.
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