[22F] With severe lower back pain and frequent vomiting
Patient Description
Show More
Arora's Assessment
What might be happening
Based on the information you’ve provided, here are some possible explanations for your symptoms:
-
Acute Back Pain: Given your history of back surgery and a previous injury from lifting a heavy weight, your severe lower back pain could be related to a musculoskeletal issue such as a muscle strain, ligament sprain, or even a herniated disc. These conditions can cause sharp pain that worsens with movement and may improve with rest and heat application.
- Treatment: Initial treatment typically includes rest, avoiding activities that worsen the pain, applying heat or cold packs, and taking over-the-counter pain relievers like ibuprofen or acetaminophen. Physical therapy may also be recommended.
-
Gastroenteritis or Food Intolerance: Frequent vomiting, especially after eating, could be due to a gastrointestinal infection (gastroenteritis) or a food intolerance. Gastroenteritis is often accompanied by other symptoms like diarrhea and abdominal pain.
- Treatment: Staying hydrated is crucial. Drink small sips of water or an oral rehydration solution. Avoid solid foods until vomiting subsides, then gradually reintroduce bland foods like toast or rice.
-
Dehydration: Frequent vomiting can lead to dehydration, which might explain your drowsiness, soreness, and tiredness.
- Treatment: Ensure you drink plenty of fluids. Oral rehydration solutions can help replace lost electrolytes.
What you can do
- Rest and Hydration: Rest as much as possible and stay hydrated. Drink clear fluids like water, broth, or oral rehydration solutions.
- Heat Application: Continue using heating pads on your lower back to alleviate pain.
- Over-the-Counter Pain Relief: Consider taking over-the-counter pain relievers like ibuprofen or acetaminophen to manage your back pain.
- Bland Diet: Once vomiting subsides, try eating bland foods like toast, rice, or bananas.
What you should look out for
Seek medical attention if you experience any of the following:
- Severe or Worsening Pain: If your back pain becomes unbearable or does not improve with rest and over-the-counter medications.
- Inability to Keep Fluids Down: If you are unable to keep any fluids down for more than 24 hours.
- Signs of Dehydration: Such as dry mouth, decreased urination, dizziness, or lightheadedness.
- New or Worsening Symptoms: Such as fever, blood in vomit or stool, or changes in urination.
Please remember that this information is not a substitute for professional medical advice. It is important to consult with a healthcare provider to receive a formal diagnosis and appropriate treatment.
Show More
Save
6 mo ago