Why is my urine yellow and why do I have lower back pain?

Aug 08, 2025 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
Yellow urine and lower back pain may be caused by factors such as insufficient water intake, strenuous exercise, urethritis, pyelonephritis, or ureteral stones. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. In daily life, maintain regular water intake, avoid holding urine, and protect the lower back during physical activity. Practice good personal hygiene, change underwear frequently, and reduce the risk of urinary tract infections.

  In general, yellow urine and waist pain may be caused by insufficient water intake, strenuous exercise, urethritis, pyelonephritis, ureteral stones, and other reasons. It is recommended to seek medical attention promptly, identify the cause, and receive symptomatic treatment under a doctor's guidance. The specific analysis is as follows:

  1. Insufficient water intake: Drinking too little water daily can lead to concentrated urine with a yellow color. Dehydration may also cause waist discomfort. Increasing daily water intake to 1500-2000 milliliters, consumed in multiple servings, can help alleviate yellow urine and waist discomfort.

  2. Strenuous exercise: Excessive exercise can lead to dehydration and concentrated yellow urine. Muscle strain in the waist area can also cause pain. Reducing exercise intensity, timely hydration after exercise, and applying heat or massage to the waist can gradually relieve symptoms.

  3. Urethritis: Infection of the urethra by pathogens causes inflammation, resulting in yellow urine mixed with inflammatory substances. The inflammation may spread and cause referred pain in the waist. Patients can follow medical advice to use medications such as Cefixime Capsules, Levofloxacin Hydrochloride Capsules, Azithromycin for treatment.

  4. Pyelonephritis: Bacterial infection of the renal pelvis and kidney tissue causes abnormally yellow urine and symptoms such as waist pain and fever. Patients can follow medical advice to use medications such as Ceftriaxone Sodium for injection, Amoxicillin Clavulanate Potassium Tablets, Norfloxacin Capsules to alleviate symptoms.

  5. Ureteral stones: Stones blocking the ureter prevent urine from being excreted normally, resulting in yellow urine. Stone irritation of the ureter can cause severe waist pain. Patients can follow medical advice to use medications such as Lithiasis Granules, Shenshitong Granules, and Tamsulosin Hydrochloride Sustained-Release Capsules for treatment. When necessary, extracorporeal shock wave lithotripsy can be performed to break up the stones using shock waves, facilitating their removal.

  In daily life, it is important to maintain regular water intake, avoid holding urine, and protect the waist during exercise. Personal hygiene should be maintained by frequently changing underwear to reduce the risk of urinary tract infections. A light diet with reduced intake of high-oxalate and high-purine foods helps maintain urinary system health.

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