###Human: Can pain and excess urine pressure be due to urine infection? ###Assistant: Hi. It could be a number of things. Urinary tract infection can present like that hence you need exclude this first. Is there any chance of pregnancy as earliest pregnancy signs can be similar to what she has been feeling. If not pregnant, then perhaps, she is nearing the time of her menses as that could feel like pressure and pain down there. If none of the above, then you could get an ultrasound of lower abdomen done to rule out cysts. Please get the following investigations done and update me so that we can proceed with treatment. Infection, pregnancy, fibroid. Usg of lower abdomen, urine routine, and microscopic examination, urine strip test for pregnancy.