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Does a Kidney Infection Always Cause Back Pain?

April 6, 2025

Kidney infections are a serious type of urinary tract infection (UTI) that can cause significant discomfort and even lead to complications if left untreated. One of the most common symptoms associated with a kidney infection is back pain– but does it always occur? If you’re experiencing UTI symptoms and wondering whether your back pain could be related to your kidneys, it’s important to understand the full range of symptoms and when to seek medical care.

For same-day UTI testing and treatment, visit the walk-in clinic at AFC Urgent Care Denver Leetsdale. Our medical team is available to examine your condition 7 days a week. Simply walk-in or plan your visit in advance below!

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What Is a Kidney Infection?

A kidney infection, also known as pyelonephritis, occurs when bacteria from the bladder or urinary tract travels up to one of both kidneys. This type of infection requires prompt treatment with antibiotics to prevent permanent kidney damage or the spread of the infection to the bloodstream.

A kidney infection cause a range of symptoms, including:

  • Back pain
  • Fever and chills
  • Frequent or urgent urination
  • Burning sensation when urinating
  • Cloudy or foul-smelling urine
  • Blood in the urine
  • Nausea or vomiting
  • Fatigue or weakness

In elderly individuals or those with weakened immune systems, symptoms may be subtle or even mistaken for general confusion or fatigue.

Does a Kidney Infection Always Cause Back Pain?

Not always. While back or flank pain (pain on the side of your body, just below the ribs) is a hallmark symptom of a kidney infection, it isn’t present in every case. Some individuals may experience milder symptoms, especially in the early stages, or may mistake their discomfort for a more common UTI or muscular back pain.

When back pain is present, it typically:

  • Occurs on one side of the lower back (depending on which kidney is affected)
  • Feels dull, achy, or throbbing
  • May worsen with movement or touch
  • Occurs alongside other urinary symptoms

If you have back pain without any urinary symptoms, it’s more likely related to a muscle strain or another cause. But if pack pain is paired with signs of infection, you should consult a healthcare professional.

How Is a Kidney Infection Treated?

You should seek medical care right away if you experience persistent side or back pain, a high fever, symptoms of UTI that are worsening or not improving, or blood in your urine. At an urgent care center, a provider will evaluate your symptoms, perform a physical exam, and order a urine test to confirm the presence of infection. Kidney infections are treated with oral antibiotics, typically for 7 to 14 days. If the infection is severe or you’re unable to keep fluids down, you may need IV fluids. Most people start to feel better within a few days of starting medication, and it’s crucial to finish the full course of antibiotics to prevent recurrence.

Get Walk-In UTI Testing & Treatment at AFC Urgent Care Denver Leetsdale

Back pain is a common symptom of kidney infection– but it doesn’t always appear in every case. If you’re experiencing urinary discomfort, fever, or other unusual symptoms, don’t wait to get checked out. Early treatment is key to preventing complications. At AFC Urgent Care Denver Leetsdale, we offer fast, accurate diagnosis and treatments so you can feel better and protect your long-term kidney health. Our team of healthcare professionals is available 7 days a week. We accept most health insurance plans and offer low-cost options for self-paying patients. If you need more information about the services we provide, please call to speak with one of our medical professionals directly at (303) 935-1000.

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