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Why do I have abdominal pain, itching, and yellow urine?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have been experiencing health issues with pain in my lower abdomen, a burning sensation, back pain, yellowish urine, and itching around my pubic area. Can you please help me understand what the problem might be and what possible solutions I could consider?

Please guide.

Answered by Dr. Ali Osman

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I can understand your concern.

I am genuinely concerned about your worries. Based on your symptoms, the possible causes for your condition are:

Symptoms such as burning, lower belly pain, back discomfort, and dark yellow urine are common with a UTI (urinary tract infection). If the infection spreads to the kidneys, you may also experience back pain and fever.

If you are sexually active, infections like gonorrhea or chlamydia can cause burning when urinating, lower abdominal discomfort, discharge, or genital itching.

Itching in the pubic or genital area may result from a fungal infection, poor hygiene, sweating, or irritation from soaps or tight clothing.

Very concentrated yellow urine can indicate that you are not drinking enough water, which can also irritate the bladder and cause a burning sensation.

Back pain in conjunction with urinary symptoms can sometimes indicate that the infection is moving toward the kidneys, which requires prompt treatment.

You need to have a medical check-up in person as soon as possible for:

  1. A urine test.

  2. Possibly a swab or STI (sexually transmitted infections) test if you are sexually active.

  3. A physical examination.

These symptoms often require antibiotics if a bacterial infection is confirmed. Treatment depends on the exact cause, so testing is crucial before starting any medication.

I suggest you follow these tips to reduce the symptoms.

  1. Drink plenty of clean water.

  2. Avoid sexual activity until you are examined.

  3. Keep the genital area clean and dry.

  4. Avoid perfumed soaps or harsh chemicals.

  5. Do not start taking antibiotics without a doctor’s advice.

Consult a doctor immediately if you develop these symptoms.

  1. Fever or chills.

  2. Severe back pain.

  3. Nausea or vomiting.

  4. Blood in urine.

  5. Severe lower abdominal pain.

These can be signs of a kidney infection, which requires urgent treatment. This is very likely an infection of the urinary or genital tract, which is treatable, but you should not delay in getting examined.

If you have further concerns, do not hesitate to seek professional guidance.

Please feel free to follow up with any further questions.

Thank you.

Answered by Dr. Ali Osman
Medically reviewed by iCliniq medical review team
Published At April 13, 2026
Reviewed At April 13, 2026

Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Ali Osman is a dedicated obstetrics and gynecology specialist committed to providing compassionate and comprehensive care for women at every stage of life. He has experience in managing a wide range of women’s health concerns, including pregnancy care, menstrual disorders, reproductive health, and gynecological conditions. Dr. Osman focuses on patient education, preventive care, and personalized treatment plans to ensure the best possible outcomes. Known for his supportive and professional approach, he strives to create a comfortable environment where patients feel heard, respected, and confident in their healthcare journey.      

This doctor is not available for online consultations on the platform anymore.

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