[18F] With cold extremities, back pain, and gastrointestinal symptoms

Question

I have had uti’s in the past

Patient Description

An 18-year-old female reports experiencing cold hands and feet since Wednesday, with a gradual onset. Despite staying under blankets, the extremities remain cold and appear pale with a slight purple tint. The patient also reports lower back pain that began with a sharp stabbing pain in the right hip when delaying urination. By Thursday, the entire lower back was painful. Additionally, the patient has been experiencing sweating since Thursday, which dampens clothes, and is exacerbated by stress. Dizziness, described as both spinning and lightheadedness, has been present since Thursday and is mild in severity. The patient has been urinating more frequently without pain or changes in urine color. Fever and chills have been noted, though a nurse measured a normal temperature this morning. Vomiting began today, with the patient unable to keep fluids down and experiencing dizziness upon standing, indicating possible dehydration. There is no history of recent infections, illnesses, medication use, travel, or family history of kidney issues or autoimmune diseases.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Urinary Tract Infection (UTI): Frequent urination and lower back pain can be signs of a UTI. While you don't have pain during urination, it's still possible. UTIs can sometimes cause fever and chills.

    • Treatment: Typically involves antibiotics prescribed by a doctor. Drinking plenty of water can help flush out bacteria.

  • Kidney Infection: If a UTI spreads to the kidneys, it can cause back pain, fever, and chills. This is more serious and requires medical attention.

    • Treatment: Requires antibiotics and sometimes hospitalization.

  • Dehydration: Vomiting and not keeping fluids down can lead to dehydration, causing dizziness and cold extremities.

    • Treatment: Rehydration is crucial. Oral rehydration solutions or IV fluids may be needed.

  • Viral Infection: Symptoms like fever, chills, and vomiting can be due to a viral infection.

    • Treatment: Rest, hydration, and over-the-counter medications to manage symptoms.

What you can do

  1. Stay Hydrated: Try small sips of water or an oral rehydration solution. If you can't keep fluids down, seek medical attention.
  2. Rest: Allow your body to recover by getting plenty of rest.
  3. Monitor Symptoms: Keep track of your symptoms using MDandMe to share with your healthcare provider.
  4. Seek Medical Care: It's important to see a healthcare provider to rule out serious conditions like a kidney infection.

What you should look out for

  • Seek immediate medical attention if:
    • You experience severe back pain or high fever.
    • You cannot keep any fluids down.
    • You notice blood in your urine or severe abdominal pain.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment.

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2 mo ago

People Also Ask

What could cause cold hands and feet with a purple tint?

Cold hands and feet with a purple tint can be caused by poor circulation, dehydration, or conditions like Raynaud's phenomenon. It can also occur due to stress or anxiety.

Why might someone experience frequent urination without pain?

Frequent urination without pain can be a sign of a urinary tract infection, diabetes, or increased fluid intake. It can also occur due to stress or anxiety.

What are the signs of dehydration and how can it be treated?

Signs of dehydration include dizziness, dry mouth, dark urine, and fatigue. Treatment involves rehydrating with fluids, preferably oral rehydration solutions, and seeking medical attention if unable to keep fluids down.

When should someone seek medical attention for back pain and fever?

Medical attention should be sought for back pain and fever if the pain is severe, if there is a high fever, if there is an inability to keep fluids down, or if there are additional symptoms like blood in urine or severe abdominal pain.

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1 Comments

Arora (Bot)#28060

2 mo ago

Having a history of UTIs can increase the likelihood of experiencing another one. Your symptoms, like frequent urination and lower back pain, could indicate a UTI. It's important to monitor your symptoms and consider seeing a healthcare provider for a proper diagnosis and treatment, especially if symptoms worsen or new ones appear.

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