[20F] Experiencing back pain, stomachache, and loss of appetite

Patient Description

A 20-year-old female reports suffering from sharp back pain in the lower back and shoulder joints, rated 7/10 for severity, persisting for approximately one week. The pain remains constant and is no longer relieved by painkillers. The patient has a history of carrying heavy loads a year prior. Additionally, she experiences a dull stomachache, rated 5/10, located in the middle part of the stomach, and a loss of appetite ongoing for two months, which has led to weight changes. She also reports dull chest pain, rated 6/10, that started three days ago and sometimes accompanies the back pain. Occasional sharp headaches occurring twice a week, rated 4/10, affect the forehead. The patient has a medical history of genital warts diagnosed three months ago and is allergic to Ciprofloxacin. Current medications include Lansoprazole, Clarithromycin, and Tinidazole. No recent injuries, fever, chills, shortness of breath, palpitations, or changes in bowel movements were reported, but the patient notes weakness in the legs.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Musculoskeletal pain: This is a common cause of back pain and can be due to poor posture, especially if you spend a lot of time sitting. The pain can sometimes radiate to other parts of the body, such as the chest or shoulders.

    • Treatment often involves physical therapy, exercises to strengthen the back and improve posture, and over-the-counter pain relievers.
  • Gastritis or Peptic Ulcer Disease: These conditions can cause stomach pain and loss of appetite. They can be caused by bacteria (like H. pylori), certain medications, or stress.

    • Treatment often involves medications to reduce stomach acid and, if necessary, antibiotics to treat H. pylori.
  • Tension headaches: These are common and can cause a dull, aching sensation across your forehead. They can be caused by stress, anxiety, or straining your eyes for a long time.

    • Treatment often involves over-the-counter pain relievers, rest, and stress management techniques.

Please note that these are just possibilities and not a definitive diagnosis. You should consult a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Try to maintain good posture, especially if you spend a lot of time sitting. Take regular breaks to stand up and stretch.
  2. Over-the-counter pain relievers may help with your back pain and headaches. However, you should consult a healthcare professional before starting any new medication.
  3. Try to manage stress, as it can contribute to both tension headaches and stomach problems. Techniques might include relaxation exercises, deep breathing, yoga, or meditation.
  4. If your symptoms persist or worsen, please seek medical attention.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain
  • Sudden onset of severe headache
  • Difficulty breathing or chest pain
  • Blood in your stool or vomit
  • Unintended weight loss
  • Fever or chills

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

People Also Ask


What could be causing my persistent lower back and shoulder pain?

Persistent lower back and shoulder pain could be due to musculoskeletal issues, such as poor posture or strain from previous heavy lifting. It is important to consult a healthcare professional for a proper diagnosis and consider physical therapy or exercises to improve posture.


Why am I experiencing a dull stomachache and loss of appetite?

A dull stomachache and loss of appetite could be symptoms of gastritis or peptic ulcer disease, which may be caused by factors like H. pylori infection, certain medications, or stress. Treatment typically involves medications to reduce stomach acid and possibly antibiotics.


What might be the reason for my occasional sharp headaches?

Occasional sharp headaches, especially in the forehead, might be tension headaches caused by stress, anxiety, or eye strain. Managing stress and using over-the-counter pain relievers can help alleviate these headaches.


How can I manage the weakness in my legs?

Weakness in the legs can be due to various factors, including musculoskeletal issues or nutritional deficiencies. It is important to consult a healthcare provider to determine the underlying cause and appropriate treatment, which may include physical therapy or dietary adjustments.


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