[18F] Experiencing kidney stone pain unrelieved by medication
Patient Description
An 18-year-old female is experiencing kidney stone pain rated at 7.5 out of 10, located in the bottom right of her back and described as dull. The pain has persisted for six hours despite the use of pain medication and heat application. The patient has a history of kidney stones, first diagnosed about six months ago. There are no accompanying symptoms such as blood in the urine, fever, chills, nausea, or vomiting. The patient's urine is pale yellow and watery. She has no known allergies and her chronic conditions include painful menstruation and kidney stones. Current medications include Prozac, birth control, and Wellbutrin, all taken every morning. The patient seeks guidance on next steps beyond pain medication and heat.
Show More
Arora's Assessment
What might be happening
Based on the information you've provided, it sounds like you are experiencing symptoms consistent with kidney stones. Kidney stones are hard deposits made of minerals and salts that form inside your kidneys. Here are some possibilities and typical treatments:
- Kidney Stones: The pain you're experiencing is likely due to the kidney stone moving through your urinary tract. This can cause significant discomfort, especially in the lower back.
- Treatment: Pain management is crucial. Over-the-counter pain relievers like ibuprofen can help, but stronger prescription medications may be needed. Drinking plenty of water can help flush out the stone. In some cases, medical procedures may be necessary to break up or remove the stone.
What you can do
- Stay Hydrated: Drink plenty of fluids, particularly water. This can help move the stone through your urinary tract.
- Pain Management: Continue using over-the-counter pain relievers like ibuprofen or acetaminophen. If these are not effective, consult a healthcare provider for stronger pain relief options.
- Dietary Adjustments: Avoid foods high in oxalates (like spinach and nuts) and reduce salt intake, as these can contribute to stone formation.
What you should look out for
Seek immediate medical attention if you experience any of the following:
- Severe Pain: If the pain becomes unbearable or is not relieved by over-the-counter medications.
- Fever and Chills: These could indicate an infection, which requires prompt medical treatment.
- Blood in Urine: While some blood can be normal with kidney stones, large amounts or persistent blood should be evaluated.
- Nausea or Vomiting: These symptoms can indicate a more severe blockage or infection.
Reminder
Please remember that while I can provide information, I am not a substitute for professional medical advice. It's important to consult a healthcare provider for a formal diagnosis and appropriate treatment. If your symptoms worsen or you have concerns, seek medical attention promptly.
Show More
1
Hugs
0
Comments
Save
7 mo ago
