[20F] With severe back pain and urinary symptoms

Patient Description

A 20-year-old female is experiencing severe, sharp, consistent, and aching back pain on the left side for the past 3 days. The pain is present throughout the day and is not alleviated by over-the-counter pain medications such as Tylenol, Aleve, and Motrin. The patient also reports a frequent need to urinate, pain during urination, nausea, and chills. The nausea has been present for 4 days and is severe enough to affect appetite. The patient describes the urine as cloudy and foul-smelling but denies any fever or vomiting. No recent injuries or accidents were reported. There is no radiation of the back pain to the legs or groin area.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Urinary Tract Infection (UTI): This is a common infection that can cause pain or a burning sensation during urination, a frequent urge to urinate, cloudy or strong-smelling urine, and lower abdominal pain. UTIs can sometimes cause back pain if the infection spreads to the kidneys (a condition known as pyelonephritis).

    • Treatment typically involves antibiotics prescribed by a healthcare provider.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain during urination, pink, red or brown urine, and nausea.

    • Treatment can range from pain management and drinking lots of water to flush out the stone, to medical procedures to remove or break up larger stones.

What you can do

You should seek immediate medical attention. In the meantime, here are some things you can do:

  1. Drink plenty of water: This can help flush bacteria out of your urinary system.
  2. Avoid drinks that may irritate your bladder: Coffee, alcohol, and soft drinks containing citrus juices and caffeine can worsen your symptoms.
  3. Use a heating pad: Applying a heating pad to your back might help reduce the pain you're experiencing.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve within 24 hours
  • You develop a fever
  • You start vomiting or cannot keep down fluids
  • Your back pain becomes severe or you notice blood in your urine

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 diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a frequent urge to urinate, pain or burning sensation during urination, cloudy or strong-smelling urine, and lower abdominal pain. In some cases, it can also cause back pain if the infection spreads to the kidneys.


How can I differentiate between a UTI and kidney stones?

While both UTIs and kidney stones can cause pain during urination and back pain, kidney stones often cause severe pain in the side and back, below the ribs, and may result in pink, red, or brown urine. Nausea and vomiting are also more common with kidney stones.


What home remedies can help alleviate symptoms of a UTI?

Home remedies for alleviating UTI symptoms include drinking plenty of water to help flush out bacteria, avoiding bladder irritants like caffeine and alcohol, and using a heating pad on the back to reduce pain.


When should I seek medical attention for back pain and urinary symptoms?

You should seek medical attention if your symptoms worsen or do not improve within 24 hours, if you develop a fever, if you start vomiting or cannot keep down fluids, or if your back pain becomes severe or you notice blood in your urine.


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