[19M] Experiencing severe back pain and blood in urine

Patient Description

A 19-year-old male reports severe, sharp pain in the lower right side of his back, radiating throughout the bottom right half of his body. The pain, described as intense with a severity of 9 out of 10, is triggered within minutes of consuming dark soda. Additionally, the patient mentions the presence of blood in the urine, fatigue, and has been experiencing these symptoms since February. No recent injuries were reported, and there are no alleviating factors mentioned for the back pain. The patient denies any recent fever or chills.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible causes for your symptoms:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain when passing through the urinary tract. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain during urination, pink, red or brown urine (due to blood), and fatigue.

    • Treatment can include pain relievers, drinking lots of water to help flush the stone out, and in some cases, medical procedures to remove or break up larger stones.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — kidneys, bladder, ureters, and urethra. Symptoms can include pain or a burning sensation during urination, a frequent urge to urinate, cloudy, strong-smelling or colored urine, and fatigue.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Pyelonephritis: This is a type of urinary tract infection where one or both kidneys become infected. Symptoms can include pain in the side and back, frequent urination, strong, persistent urge to urinate, and fatigue.

    • Treatment typically involves antibiotics.

What you can do

It's important to seek medical attention as soon as possible. In the meantime, here are some things you can do:

  1. Stay hydrated: Drinking plenty of fluids can help flush bacteria out of your system and may help prevent kidney stones.

  2. Avoid dark sodas: You mentioned that your pain worsens after drinking dark soda. It might be helpful to avoid these drinks until you can see a doctor.

  3. Over-the-counter pain relievers: Non-prescription pain relievers may help alleviate your pain temporarily. However, they should not be used as a long-term solution.

What you should look out for

Please seek immediate medical attention if you experience:

  • Persistent or worsening pain
  • Fever or chills
  • Nausea or vomiting
  • Difficulty urinating or extremely frequent urination

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.

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8 mo ago

People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the side and back, pain that radiates to the lower abdomen and groin, pain during urination, pink, red or brown urine, and fatigue.


How can dark soda consumption affect kidney health?

Dark sodas can contain high levels of phosphoric acid, which may contribute to the formation of kidney stones in some individuals. Additionally, caffeine and sugar in sodas can lead to dehydration, which is a risk factor for kidney stones.


What are the signs that a urinary tract infection has progressed to pyelonephritis?

Signs that a urinary tract infection has progressed to pyelonephritis include severe back or side pain, fever, chills, nausea, vomiting, and a strong, persistent urge to urinate.


What immediate steps should be taken if experiencing severe back pain and blood in urine?

If experiencing severe back pain and blood in urine, it is important to seek medical attention immediately. In the meantime, staying hydrated and avoiding triggers like dark soda can help manage symptoms. Over-the-counter pain relievers may provide temporary relief, but a healthcare provider should be consulted for proper diagnosis and treatment.


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