Discomfort or pain in the back in the lumbar region, usually associated with two main reasons: problems with the spine or kidney disease. In addition, the share of the latter accounts for more than 5% of all disease processes.
To distinguish these states, the doctor has to perform a variety of laboratory-instrumental investigations and to collect carefully the anamnesis of the disease.
Lower back pain can be unilateral or diffuse. Patients describe their feelings in different ways: "kidney pull", "spin bakes or burns," etc
Despite the similarity of the pain, each of these diseases has a number of distinctive characteristics and symptoms, through which the specialist can choose in favor of a correct diagnosis.
Before you understand the issues about how to determine if you Have kidney problems or back, it is better to seek help from a qualified physician. Because only he can understand the true cause of the pathological condition, and why it is formed.
If the patient in the anamnesis there are data about previous inflammatory processes in the kidney, the presence of stones, the destructive processes in the spine or intervertebral hernias, the diagnosis procedure in such cases is easier. However, this does not preclude the completely different nature of the bad health condition of the patient, and the emergence of new diseases.
When back pain in the kidney area, the first thing that you should think about the inflammatory component in this body. Especially if the pain is clearly localized on one side of the belt, are there any problems with urination, and there is no relationship of pain with physical activity or physical activity.
In addition to the above signs of kidney disease the number of distinctive features:
If there are serious violations in the work of the kidneys and impair their main functions, in addition to pain, the patient can be involved about the following complaints:
Diseases of the spine, associated with destructive-dystrophic processes have more distinctive characters, by which they can be distinguished from the diseases of the urinary system:
Much less back near kidney hurts due to the following diseases:
To know the exact cause unpleasant symptoms, and their connection with diseases of the musculoskeletal system or pathological processes in the kidney, the doctor makes a number of laboratory and instrumental studies.
When questioning the patient to pay attention to all the characteristics of the pain, its intensity, time of appearance, the factors that are against her relationship with physical activity, etc ..
A physical examination allows the specialist to determine the source of pain, for the implementation of specific functional tests. Thus, a positive sign of a beating in the projection of the kidneys, indicates a pathological process in the tissues (with increasing discomfort).
On the neurological nature of the pain associated with the destructive processes in the spine, can be determined and verified through a series of diagnostic tests. Typically, these patients have restriction of movement in the lumbar spine, impaired sensitivity of the lower extremities, positive symptoms of tension, etc ..
Indicators of blood and urine in diseases of the musculoskeletal system are completely normal, while in the kidney disease is a shift of indicators of inflammation (increased leukocyte and erythrocyte sedimentation rate, urine sediment cylinders appear in a large number of erythrocytes and leukocytes and others).
For additional diagnostic renal pathology to perform a test on Nechiporenko and urine (if necessary).
Sure all patients with suspected inflammatory processes of the urinary tract the urine is sent for culture on nutrient media. With this it is possible to determine the exact nature of the infectious agent and its sensitivity to antibacterial preparations.
A range of instrumental examination, which is quite wide, but in the early stages is limited to the following procedures:
If the received data are not sufficient for the diagnosis, turn on additional diagnostic procedures. Methods CT and MRI allow us to most accurately judge all of the pathological processes occurring in different organs. The highest informative value, as they enable the visualization of even the smallest education. The use of contrast agents, which are essential in determining the nature of the kidney disease. From these studies, you can start the diagnostics, if the situation requires it, or you allow the financial capabilities of the patient.
Never try to treat back pain, without knowing the nature of this condition. After all, there are procedures that one disease, that will help, while others will only worsen your condition. In addition, the etiological treatment of the diseases of the kidneys and the spine, have a completely different focus, so the medications incorrectly, not only will not bring the desired effect, but also can harm. Always seek help from a doctor that may establish the correct diagnosis and prescribe individual treatment.