[19F] Experiencing back pain, nausea, and new onset headache
Patient Description
A 19-year-old female presents with a sudden onset of stabbing back pain across the middle, rated 6/10 for severity, accompanied by mild nausea and a new, aching headache on the right side towards the front of the face, rated 4/10. These symptoms began simultaneously about 15 minutes prior to the encounter. The patient's medical history includes polycystic ovarian syndrome and irritable bowel syndrome with constipation, diagnosed three years ago. She is currently taking Nexaplanon and Linzess for her conditions, as well as Estarylla for abnormal bleeding associated with Nexaplanon. The patient denies any recent injuries, known drug allergies, or other medications.
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Arora's Assessment
What might be happening
Based on the information provided, possible diagnoses include:
- Musculoskeletal Strain: This is a common cause of back pain and can occur as a result of poor posture, lifting heavy objects, or sudden movements. The pain is often described as a stabbing or sharp sensation. However, this doesn't typically cause nausea or headaches.
- Migraine: Migraines can cause severe, throbbing pain usually on one side of the head, and can be accompanied by nausea. Some people also experience referred pain in the neck or back. However, migraines typically last for several hours to days.
- Gastrointestinal Issues: Conditions like gastritis or gallstones can cause both back pain and nausea. However, these conditions usually cause abdominal pain as well.
- Kidney Stones: These can cause severe pain in the back or side, below the ribs, and can also cause nausea. However, the pain usually comes in waves and fluctuates in intensity.
Please note that this is not an exhaustive list and other conditions could also explain your symptoms.
What you can do
- Try over-the-counter pain relievers for your back pain and headache, but avoid taking more than the recommended dose.
- Rest and avoid heavy lifting or strenuous activities that may exacerbate your back pain.
- Stay hydrated and try to eat small, bland meals to help with your nausea.
- Monitor your symptoms closely. If they persist, worsen, or if you develop new symptoms, seek medical attention.
What you should look out for
- Severe pain that doesn't improve with rest or over-the-counter medications
- Blood in your urine, which could be a sign of kidney stones
- Persistent or worsening nausea and vomiting
- Any neurological symptoms such as numbness, tingling, weakness, or loss of function in any part of your body
- Fever, which could indicate an infection
Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.
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11 mo ago