[21F] Experiencing lower back pain and urinary symptoms

Patient Description

A 21-year-old female is experiencing sharp, deep lower back pain on the right side, rated 6/10 in severity, which worsens with movement and is relieved by rest. The pain began 2 days ago and is accompanied by painful urination and difficulty initiating urination. Additionally, the patient reports intermittent vaginal itching, rated 7/10, worsening with movement, and also starting 2 days ago. The patient has a history of Vaginal Atrophy diagnosed 6 years prior and is currently on several medications including Wellbutrin, Adderall, Metronidazole, Solifenacin, and Estradiol vaginal cream. No recent injuries, fever, chills, blood in urine, severe abdominal pain, or changes in urine color or odor were reported. No new sexual partners and no known drug allergies. The patient does not take any over-the-counter medications, vitamins, supplements, or herbal remedies.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): This is an infection that affects any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs are often caused by bacteria, but they can also be caused by viruses and fungi. Your symptoms of lower back pain, painful urination, and difficulty urinating could be due to a UTI.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water can help to flush bacteria out of your urinary system.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Kidney stones can cause severe pain in your back or side, and can also cause painful urination.

    • Treatment can range from pain relievers and drinking lots of water to pass the stone, to medical procedures to remove or break up larger stones.
  • Vaginal Yeast Infection: This is a fungal infection that causes irritation, discharge and intense itchiness in the vagina and the vulva — the tissues at the vaginal opening. Your symptom of vaginal itching could be due to a yeast infection.

    • Treatment typically involves antifungal medication, which can be either a cream or a pill.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to perform some tests to confirm a diagnosis, such as a urine test or a vaginal swab test.
  2. In the meantime, drink plenty of water to help flush out your urinary system.
  3. Avoid any potential irritants to your vaginal area, such as scented soaps or bubble baths.
  4. Over-the-counter treatments are available for yeast infections, but it's best to confirm the diagnosis with your healthcare provider before starting any new medications.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe pain in your back or side that won't go away
  • Blood in your urine
  • Fever and chills
  • Vomiting
  • Discharge from your vagina that has a strong, unpleasant odor

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

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


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

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain in women.


How can kidney stones be diagnosed and treated?

Kidney stones can be diagnosed through imaging tests such as an ultrasound or CT scan. Treatment may involve drinking plenty of water to help pass the stone, taking pain relievers, or undergoing medical procedures to break up or remove larger stones.


What are the signs of a vaginal yeast infection?

Signs of a vaginal yeast infection include intense itching in the vaginal area, a thick, white vaginal discharge that resembles cottage cheese, redness and swelling of the vulva, and a burning sensation, especially during intercourse or while urinating.


Can medications like Wellbutrin and Adderall affect urinary or vaginal health?

While Wellbutrin and Adderall are not directly known to affect urinary or vaginal health, they can have side effects that might indirectly influence these areas. It's important to discuss any new or worsening symptoms with a healthcare provider to determine if medications could be contributing factors.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback