[22F] Experiencing lower back pain and fatigue

Patient Description

A 22-year-old female presents with lower back pain that is described as between sharp and dull, which has been present for the last 20 minutes. The pain is exacerbated by standing and walking and is spread across the lower back. The patient also reports feeling fatigued and has a desire to sleep, but is not currently experiencing nausea. There is a history of feeling suffocated in crowded or closed spaces since the age of 18, suggestive of claustrophobia. The patient has experienced fever or chills recently and reports feeling weakness in the legs. There is no known history of urinary changes, loss of bowel or bladder control, allergies to medications, or current use of any medications. No recent injuries or accidents were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Muscular Strain or Sprain: This is a common cause of lower back pain, especially if the pain started suddenly. It can occur due to heavy lifting, awkward movements, or prolonged poor posture.

    • Treatment typically involves rest, over-the-counter pain relievers, and physical therapy exercises.
  • Kidney Infection or Stones: These conditions can cause lower back pain, especially if the pain is severe and came on suddenly. Other symptoms can include fever, chills, and changes in urination, but these are not always present.

    • Treatment typically involves antibiotics for infections and pain management for stones. Some stones may need to be removed surgically.
  • Anxiety or Stress: You mentioned feeling suffocated in crowded or closed places and experiencing shortness of breath. These could be symptoms of anxiety or panic attacks, which can also cause physical symptoms like fatigue and muscle tension, potentially contributing to your back pain.

    • Treatment typically involves psychological therapies, such as cognitive-behavioral therapy, and sometimes medications.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms. It's important to see a healthcare provider for a formal diagnosis.

What you can do

  1. Rest and avoid heavy lifting or strenuous activity until you see a doctor.
  2. Over-the-counter pain relievers like ibuprofen can help with the pain.
  3. Try relaxation techniques, such as deep breathing or meditation, to help manage potential anxiety symptoms.
  4. Stay hydrated, especially if you have a fever or chills.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe pain or pain that gets progressively worse
  • Fever or chills
  • Changes in urination, such as blood in your urine or difficulty urinating
  • Numbness, weakness, or tingling in your legs
  • Difficulty breathing or chest pain

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

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People Also Ask


What are common causes of lower back pain in young adults?

Common causes of lower back pain in young adults include muscular strain or sprain, poor posture, prolonged sitting, heavy lifting, and sometimes more serious conditions like herniated discs or kidney issues.


How can anxiety or stress contribute to physical symptoms like back pain?

Anxiety or stress can lead to physical symptoms such as muscle tension, fatigue, and pain. Stress can cause the muscles in the back to tighten, leading to discomfort or pain. Additionally, anxiety can exacerbate the perception of pain.


What are the symptoms of a kidney infection or kidney stones?

Symptoms of a kidney infection or kidney stones can include severe back or side pain, fever, chills, nausea, vomiting, and changes in urination such as pain during urination or blood in the urine.


When should someone with lower back pain seek immediate medical attention?

Immediate medical attention should be sought if someone with lower back pain experiences severe or worsening pain, fever or chills, changes in urination, numbness or weakness in the legs, or difficulty breathing or chest pain.


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