What is the reason for the odor and fishy smell? Lower back pain

Lower back pain accompanied by a foul odor may be related to factors such as urinary tract infections, gynecological inflammation, and lumbar spine lesions. Common causes include bacterial vaginitis, pyelonephritis, pelvic inflammatory disease, etc., which should be judged based on specific symptoms.

1. Bacterial vaginitis

Bacterial vaginitis may lead to an increase in vaginal discharge accompanied by a fishy odor, and the spread of inflammation may cause soreness in the lumbar and sacral regions. Common causes include frequent vaginal flushing and weakened immunity. Use metronidazole vaginal effervescent tablets, clindamycin phosphate vaginal gel and other drugs according to the doctor's advice, while keeping the vulva clean and dry, and avoiding wearing tight chemical fiber underpants.

2. Pyelonephritis

Patients with pyelonephritis may experience dull pain in the lower back accompanied by frequent urination and urgency, and their urine may have a putrid and foul odor. Mostly caused by ascending infections of bacteria such as Escherichia coli, it may be accompanied by fever and chills. Treatment requires antibiotics such as levofloxacin hydrochloride capsules and cefuroxime axetil tablets. In the acute phase, bed rest and drinking plenty of water are necessary to promote bacterial excretion.

3. Pelvic inflammatory disease

The lower back pain caused by pelvic inflammatory disease is mostly a feeling of lower abdominal heaviness radiating to the waist, with purulent discharge accompanied by an unpleasant odor. Gonococcal or chlamydial infections are common causes. Injectable ceftriaxone sodium combined with doxycycline tablets can be used for treatment, and traditional Chinese medicine enema can be used to assist in anti-inflammatory treatment. Sexual activity is prohibited during the treatment period.

4. Lumbar tuberculosis

Lumbar tuberculosis may cause persistent pain in the lower back, accompanied by low-grade night sweats. When the lesion forms a cold abscess, it may rupture and release foul smelling pus. Long term use of anti tuberculosis drugs such as isoniazid tablets and rifampicin capsules is required. In severe cases, surgical removal of lesions is necessary, and nutritional support should be strengthened during the recovery period.

5. diabetes ketosis

Patients with severe diabetes may have waist pain, and the breath or urine may smell of rotten apples. Related to the accumulation of ketone bodies, it is necessary to urgently use insulin to control blood sugar and correct electrolyte imbalances. Strict monitoring of blood sugar is necessary in daily life to avoid acute complications induced by high sugar diets.

It is recommended to seek medical attention in a timely manner to improve urine routine, gynecological examination, lumbar MRI and other diagnostic methods. During the treatment, pay attention to the cleanliness of the perineum, change cotton underwear daily, and wash it with boiling water. Diet should be light and avoid spicy and stimulating foods that worsen inflammation. It can be combined with moxibustion at acupoints such as Guan Yuan and Shen Shu to improve local circulation, but it needs to be done under the guidance of a professional traditional Chinese medicine practitioner.