Possible cause and action You have probably bruised or strained your back. Follow self-help measures for relieving back pain (opposite). If your pain is severe or if it has not improved within 48 hours, consult your doctor.

call your doctor now

Possible cause Pyelonephritis, a bacterial infection of a kidney, may be the cause of these symptoms.

Action Your doctor will examine you and arrange for a urine test. If an infection is confirmed, you will be prescribed antibiotics. You may also need to have an abdominal ultrasound scan (p.217) or a contrast X-ray of the kidneys (see Intravenous urography, p.227) to look for an underlying cause.

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