[19M] Experiencing worsening dull lower back pain and extreme thirst

Patient Description

A 19-year-old male reports a dull lower back pain that has been worsening over the past 3 days. The pain is exacerbated by bending and is particularly severe upon waking up. The patient has not experienced any recent injuries and reports no changes in weight or appetite. Additionally, the patient has been experiencing extreme thirst and has noticed that his urine is darker and foamy, but there is no accompanying fever, swelling, redness, or loss of bladder or bowel control. There are no symptoms of radiating pain, numbness, or tingling in the legs or feet. No other symptoms have been reported, and there is no family history of kidney disease or diabetes provided.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Musculoskeletal Back Pain: This is a common condition often caused by strain or injury to the muscles and ligaments that support the spine. It can cause dull pain, especially when bending or lifting. However, this doesn't typically cause changes in urine or increased thirst.

    • Treatment usually involves rest, physical therapy, and over-the-counter pain relievers.

  • Kidney Disease: Your back pain, especially if it's located on the sides of your lower back, combined with changes in your urine and increased thirst, could suggest a problem with your kidneys. Conditions like kidney stones or a kidney infection can cause these symptoms.

    • Treatment depends on the specific kidney condition, but can include medication, dietary changes, or in severe cases, dialysis or surgery.

  • Diabetes: Increased thirst and changes in urine can be symptoms of diabetes. However, diabetes doesn't typically cause back pain.

    • Treatment usually involves lifestyle changes, medication, and monitoring blood sugar levels.

What you can do

You should definitely see a healthcare professional who can evaluate your symptoms and potentially order tests to determine the cause of your symptoms. In the meantime, here are a few things you can do:

  1. Stay hydrated: Drink plenty of fluids, especially water, to help clear out any potential toxins and keep your kidneys functioning properly.
  2. Rest your back: Avoid heavy lifting and strenuous activity to give your back a chance to heal.
  3. Over-the-counter pain relievers: Non-prescription medications like ibuprofen can help relieve back pain.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe back pain that doesn't improve with rest
  • Pain that radiates down your legs, especially if it reaches below your knee
  • Loss of bladder or bowel control
  • Fever, nausea, or vomiting

Please remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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9 mo ago

People Also Ask

What could be causing my dull lower back pain that worsens when bending?

Dull lower back pain that worsens with bending is often due to musculoskeletal issues, such as muscle strain or ligament injury. It is important to rest and avoid activities that exacerbate the pain.

Why am I experiencing extreme thirst and changes in my urine?

Extreme thirst and changes in urine, such as darker or foamy urine, can be symptoms of conditions like diabetes or kidney issues. It is important to consult a healthcare professional for proper evaluation.

Could my symptoms be related to a kidney problem?

Yes, your symptoms could be related to a kidney problem, such as kidney stones or an infection. These conditions can cause back pain, changes in urine, and increased thirst. A healthcare professional can perform tests to determine the cause.

What should I do if my back pain becomes severe or I experience additional symptoms?

If your back pain becomes severe, does not improve with rest, or if you experience additional symptoms like radiating pain, loss of bladder or bowel control, or fever, you should seek immediate medical attention.

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