[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.

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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

  1. Stay Hydrated: Drink plenty of fluids, particularly water. This can help move the stone through your urinary tract.
  2. 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.
  3. 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.

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7 mo ago

People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the back or side, pain that radiates to the lower abdomen and groin, pain during urination, and sometimes blood in the urine. Nausea and vomiting can also occur.


How can I manage kidney stone pain at home?

To manage kidney stone pain at home, stay hydrated by drinking plenty of water, use over-the-counter pain relievers like ibuprofen or acetaminophen, and apply heat to the affected area. If these measures are not effective, consult a healthcare provider.


When should I seek medical attention for kidney stones?

You should seek medical attention if you experience severe pain that is not relieved by over-the-counter medications, fever and chills, significant blood in the urine, or persistent nausea and vomiting, as these could indicate complications.


Can diet affect the formation of kidney stones?

Yes, diet can affect the formation of kidney stones. Foods high in oxalates, such as spinach and nuts, and high salt intake can contribute to stone formation. Reducing these in your diet may help prevent stones from forming.


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