Is lower back pain prostatitis?

Patient's question:

Detailed medical condition and purpose of consultation: I always sweat a lot when taking naps during the day and at night, experience back pain when breathing, and have spinal pain from the back to the pelvic area. I cannot jump or leap. After going to bed in the morning, my face is always very oily, and I easily feel tired. Sometimes my urine is milky white, but I have never noticed it being milky white in the morning. I cannot bend or straighten my back normally. Is the back and waist pain caused by prostatitis?

Doctor's answer:

Hello, first of all, regarding the age of 23, it should be a period full of vitality. At this age, one would generally never suffer from serious illnesses, and mentally, one should be relaxed. Based on the situation you described, the first step should be to undergo a comprehensive health check at the orthopedics department of a hospital. This includes blood tests such as complete blood count, erythrocyte sedimentation rate, anti-O, rheumatoid factor, and HLA-B27. Additionally, X-ray images of the spine, pelvis, and chest should be taken to determine if there is any organic inflammation of the spine and to rule out the possibility of autoimmune diseases and tuberculosis. Based on the results of the detailed examination, a treatment plan can be confirmed.

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