[23M] Experiencing persistent lower back pain with fever, congestion, and headache

Patient Description

A 23-year-old male presents with persistent dull lower back pain rated 7/10 in severity, which worsens when sitting or lying down without support. The pain has been ongoing for 2 days and is somewhat alleviated by Tylenol (1000mg). The patient also reports moderate congestion, which is slightly relieved by tea, and a headache concentrated around the forehead, rated 6/10 in severity, both of which have been present for 2 days. Additionally, the patient experiences weakness in the legs, particularly around the knees, with sensations of tingling in the ligaments. This weakness makes walking difficult and is exacerbated by remaining still. The patient has a history of lower back injury from martial arts, which may be exacerbating current symptoms. He is currently taking Tylenol, tramadol, vitamin C powder, and drinking tea for symptom management. No other chronic conditions or medication allergies are reported.

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Arora's Assessment

What might be happening

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

  • Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. Symptoms include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antiviral medications may be prescribed in some cases.

  • COVID-19: Given the current pandemic, this is a possibility given your symptoms of fever, chills, and body aches. COVID-19 can present with a wide range of symptoms, and some people may experience exacerbation of pre-existing conditions due to the systemic inflammation caused by the virus.

    • Treatment is supportive and may include rest, hydration, and over-the-counter remedies. More severe cases may require hospitalization.

  • Musculoskeletal Pain: Your chronic lower back pain and leg weakness could be due to a musculoskeletal issue, possibly exacerbated by your recent illness. This could be related to your previous martial arts injury.

    • Treatment typically involves physical therapy, pain management (like the Tylenol and tramadol you're taking), and sometimes surgery.

What you can do

  1. Rest and hydrate: Regardless of the cause, your body needs energy to fight off the infection and recover. Make sure you're drinking enough fluids and getting plenty of sleep.

  2. Over-the-counter remedies: Continue taking Tylenol as directed for your fever and body aches.

  3. COVID-19 testing: Given your symptoms and the current pandemic, it would be a good idea to get tested for COVID-19.

  4. Back pain management: Continue with your pain management regimen. Once your acute illness resolves, if your back pain continues, consider consulting a physical therapist or a specialist for further evaluation and treatment.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face
  • Severe, persistent headache or dizziness
  • Seizures
  • Persistent vomiting
  • Signs of dehydration (very dry mouth, no urination for 8 hours, noticeably dark urine).

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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6 mo ago

People Also Ask

What are the common symptoms of influenza and how can it be treated?

Common symptoms of influenza include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue. Treatment typically involves rest, hydration, and over-the-counter remedies like Tylenol. In some cases, antiviral medications may be prescribed.

How can I differentiate between COVID-19 and the flu based on symptoms?

Both COVID-19 and the flu can present with fever, chills, and body aches. However, COVID-19 may also include symptoms like loss of taste or smell, and it can cause more severe respiratory issues. Testing is the most reliable way to differentiate between the two.

What are some effective ways to manage musculoskeletal pain, especially in the lower back?

Effective management of musculoskeletal pain includes physical therapy, pain management with medications like Tylenol and tramadol, and sometimes surgery. Maintaining good posture and using supportive seating can also help alleviate lower back pain.

When should I seek medical attention for symptoms like headache and leg weakness?

Seek medical attention if you experience severe or persistent headache, difficulty breathing, chest pain, new confusion, bluish lips or face, seizures, persistent vomiting, or signs of dehydration. These could indicate a more serious condition requiring immediate care.

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