Hello Doctor,
I’m a 22-year-old girl with no chronic diseases. For the past two months, I’ve been experiencing pain in my buttocks, pelvic area, hips, and sometimes higher up near my kidneys. The pain sometimes extends to my legs, worsens when I walk or feel cold, and yesterday, my urine appeared brownish. I’ve done a kidney ultrasound, which was fine, and blood tests, which showed only iron deficiency. My urine test was normal, but I still feel a burning sensation when urinating sometimes. I’ve also had a UTI previously but took medication, and the urine test came back fine.
Hello,
Thank you for reaching out to Dr.Galen. Please find the below response to your query:
The pain in your buttocks, pelvic area, hips, and legs, combined with brownish urine and a burning sensation during urination, may point to several potential conditions:
- Pelvic Inflammatory Disease (PID): This condition, often linked to sexually transmitted infections, can cause chronic pelvic pain. Some women recover completely, but it can sometimes lead to persistent discomfort.
- Musculoskeletal Dysfunction: Pelvic floor and hip muscle issues may contribute to your pain, with about 22% of musculoskeletal diagnoses involving chronic pelvic pain. Past trauma or stress might be a clue.
- Piriformis Syndrome: This rare condition affects the sciatic nerve, causing pain in the buttocks, lower back, and legs, resembling your symptoms.
- Sacroiliac (SI) Joint Pain: Often overlooked, SI joint issues can cause pain in the lower back, pelvis, and legs. Pregnancy or childbirth can increase the risk, but it may occur in others as well.
Given the complexity of your symptoms and test results, it’s essential to consult a healthcare provider for a thorough evaluation. Further diagnostic tests may be needed, and you might benefit from seeing a musculoskeletal specialist or physical therapist to address potential muscle-related causes. Additionally, the burning sensation during urination might indicate a persistent issue needing further investigation. Seeking medical advice promptly is the best next step to determine the cause and create an effective treatment plan.
Thanks
