[18F] With chemical taste in mouth, lower back pain, cloudy urine, and fatigue

Patient Description

An 18-year-old female presents with a chemical taste in her mouth, described as similar to bleach, which started a few hours ago. She also reports lower back pain, cloudy urine, fatigue, fever, chills, painful urination, and nausea. There is no flank pain or blood in the urine. The patient has no recent exposure to chemicals or new medications, no recent dietary changes, and no recent travel. Her medical history includes depression, anxiety, ADHD, and ADD, diagnosed five years ago. She is not currently taking any medications and has no known allergies. The patient was stung by a jellyfish 11 days ago on her hand, arm, and shoulder, resulting in swelling and difficulty swallowing upon waking, but no difficulty breathing. There are no other symptoms such as rash, hives, or dizziness. Her menstrual periods are irregular, with the last period starting on the 5th of last month, lasting 3 days, and being light.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Chemical Taste in Mouth

  • Gastroesophageal Reflux Disease (GERD): This condition can cause a sour or chemical taste in the mouth due to stomach acid backing up into the esophagus. Typical treatments include antacids, dietary changes, and medications to reduce stomach acid.
  • Infection or Inflammation: Sometimes, infections or inflammations in the mouth or throat can cause unusual tastes. This might require antibiotics or anti-inflammatory medications.

Lower Back Pain, Cloudy Urine, and Painful Urination

  • Urinary Tract Infection (UTI): These symptoms are classic signs of a UTI, which can cause lower back pain, cloudy urine, and painful urination. UTIs are typically treated with antibiotics.
  • Kidney Infection (Pyelonephritis): If a UTI spreads to the kidneys, it can cause more severe symptoms, including fever, chills, and back pain. This condition requires prompt medical treatment with antibiotics.

Fatigue

  • Infection: Ongoing infections, such as a UTI or kidney infection, can cause significant fatigue.
  • Mental Health Conditions: Your history of depression and anxiety could also contribute to feelings of fatigue.

Jellyfish Sting

  • Localized Reaction: The itchiness, redness, burning, and swelling are typical reactions to a jellyfish sting. These symptoms usually resolve with time but can be treated with topical treatments and antihistamines.

What you can do

Chemical Taste in Mouth

  • GERD Management: Avoid spicy, fatty, or acidic foods. Eat smaller meals and avoid lying down immediately after eating. Over-the-counter antacids may help.
  • Hydration: Drink plenty of water to help flush out any irritants.

Lower Back Pain, Cloudy Urine, and Painful Urination

  • See a Doctor: Given the possibility of a UTI or kidney infection, it's important to see a healthcare provider for a proper diagnosis and treatment.
  • Hydration: Drink plenty of water to help flush out bacteria from your urinary tract.
  • Over-the-Counter Pain Relief: Medications like ibuprofen can help manage pain and inflammation.

Fatigue

  • Rest: Ensure you are getting adequate rest and sleep.
  • Mental Health Support: Continue any mental health treatments you are currently undergoing. Consider speaking with a mental health professional if your symptoms worsen.

Jellyfish Sting

  • Topical Treatments: Apply hydrocortisone cream or take an oral antihistamine to reduce itching and swelling.
  • Cold Compress: Apply a cold compress to the affected area to help with pain and swelling.
  • Monitor Symptoms: If you experience worsening symptoms or signs of infection (increased redness, warmth, or pus), seek medical attention.

What you should look out for

Given the severity of some of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

  • High Fever or Worsening Chills: These could indicate a more serious infection.
  • Severe Back Pain or Flank Pain: This could suggest a kidney infection.
  • Difficulty Breathing or Swallowing: If these symptoms worsen, seek immediate medical attention.
  • Persistent or Worsening Symptoms: If your symptoms do not improve with home care, consult a healthcare provider.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

Show More

1
 Hugs
0
 Comments

Save

4 mo ago


People Also Ask


What could cause a chemical taste in the mouth?

A chemical taste in the mouth can be caused by gastroesophageal reflux disease (GERD), where stomach acid backs up into the esophagus, or by infections or inflammations in the mouth or throat.


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include lower back pain, cloudy urine, painful urination, fever, and chills. It is important to seek medical treatment as UTIs are typically treated with antibiotics.


How can fatigue be related to infections or mental health conditions?

Fatigue can be a result of ongoing infections, such as a UTI or kidney infection, which can drain energy. Additionally, mental health conditions like depression and anxiety can also contribute to feelings of fatigue.


What are the typical reactions to a jellyfish sting and how can they be treated?

Typical reactions to a jellyfish sting include itchiness, redness, burning, and swelling. These symptoms can be treated with topical treatments like hydrocortisone cream, oral antihistamines, and cold compresses to reduce pain and swelling.

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback