What causes abdomen and back pain with white discharge and blood?
Patient: Hello doctor, I am Simi, 30 years old. I am 5.4" tall and weigh 67kgs. I am  a spondyloarthritis patient. Recently I hadd my urine test done whihc revealed WBC-10-12/hpf, RBC 30-35/hpf, Blood ++, Leukocytes +. Doctor, what does this report state. I feel very tired all the time. I also get abdomen and back pain at times. When I get these pain, I find white discharge along with some blood. I have copper-t inserted. Thank you. Doctor: Hello! Welcome to HCM.Blood & leukocytes in urine indicate urinary tract infection.As you have mentioned about abdominal & back pain, there can be a stone causing this and acting as nidus for infection.Stone in ureter causes obstruction to urine outflow, smooth muscles in ureter contract excessively to overcome this obstruction & so is the pain.Ca-oxalate stones are quite common & these stones have spikes on their surface. These spikes cause mucosal trauma in urinary tract producing blood in urine.To such patients in my clinic, I advise ultrasound abdomen & pelvis, X-ray KUB, renal function tests, CBC, urine routine & BSL.Treatment is done accordingly.For temporary pain relief, smooth muscle relaxants like drotaverine, pain killer..diclofenac, tamsulosin are prescribed.Hope this helps.Wish you speedy recovery.Thanks.Regards.