[18F] With sudden sharp back pain and respiratory symptoms

Patient Description

An 18-year-old female presents with sudden onset of sharp, pulsing pain in the middle to lower back, lasting for one day. The pain worsens with movement and deep breaths. The patient experienced shortness of breath initially but denies any chest pain. A fever was present last week, and she currently has a runny nose. There is no recent history of injuries, physical activities, or travel. The patient takes allergy medication daily and has a known allergy to codeine. No other medications or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Muscle Strain: This is a common cause of sudden back pain, often due to overuse or minor injury. It can cause sharp, pulsing pain that worsens with movement.

    • Treatment typically involves rest, ice or heat therapy, and over-the-counter pain relief.
  • Respiratory Infection: Given your recent fever and runny nose, a mild respiratory infection could be contributing to your discomfort, especially if it affects your breathing.

    • Treatment usually includes rest, fluids, and possibly decongestants or other medications to relieve symptoms.
  • Pleurisy: This is inflammation of the tissues around the lungs, which can cause sharp pain when breathing deeply.

    • Treatment may involve anti-inflammatory medications and rest.

What you can do

  • Rest: Avoid activities that worsen the pain. Gentle movements and stretching can help if tolerated.
  • Heat Therapy: Applying a warm compress or heating pad to the affected area may provide relief.
  • Pain Relief: Over-the-counter medications like ibuprofen can help reduce pain and inflammation.
  • Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and share notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Increased pain or difficulty breathing
  • New or worsening symptoms, such as chest pain or persistent fever
  • Any other concerning changes in your health

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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9 mo ago

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People Also Ask


What are common causes of sudden back pain in young adults?

Common causes of sudden back pain in young adults include muscle strain, poor posture, or minor injuries. Stress and lack of physical activity can also contribute to back pain.


How can a respiratory infection lead to back pain?

A respiratory infection can lead to back pain if it causes inflammation or irritation in the respiratory system, which can affect the muscles and tissues around the lungs and back, leading to discomfort.


What is pleurisy and how is it treated?

Pleurisy is an inflammation of the pleura, the tissues surrounding the lungs. It can cause sharp chest pain that worsens with breathing. Treatment typically involves anti-inflammatory medications and rest.


When should I seek medical attention for back pain?

You should seek medical attention for back pain if you experience increased pain, difficulty breathing, new or worsening symptoms like chest pain, or a persistent fever. It's important to consult a healthcare professional for a proper diagnosis.


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