From the Research
Women with urinary tract infections (UTIs) typically experience pain in the lower abdomen, just above the pubic bone, due to inflammation of the bladder (cystitis) or, in more severe cases, the kidneys (pyelonephritis) 1. This pain often feels like pressure, cramping, or a dull ache in the lower belly. The discomfort occurs because the infection causes inflammation, triggering an immune response that leads to pain signals being sent from the affected area. In addition to abdominal pain, women with UTIs commonly experience:
- A burning sensation during urination
- Frequent urination
- Urgency to urinate
- Cloudy or strong-smelling urine
- Sometimes fever if the infection is severe If the infection spreads to the kidneys, pain may also be felt in the lower back or flank area. It's essential to seek medical attention for UTI symptoms as antibiotics are typically needed to clear the infection and prevent it from spreading to the kidneys, which can cause more serious complications 1. The most recent and highest quality study, published in 2024, recommends nitrofurantoin for 5 days, trimethoprim-sulfamethoxazole for 3 days, fosfomycin in a single dose, or pivmecillinam for 5 days for uncomplicated acute cystitis in women 1. Effective prophylactic options for UTI include antibiotics and vaginal estrogen for postmenopausal women, with antibiotics being the most effective but also associated with a risk of increased drug resistance 1. Overall, the location and severity of abdominal pain in women with UTIs can vary, but it is crucial to seek medical attention to prevent complications and ensure proper treatment.