[24F] Experiencing sharp body aches, severe lower back pain, and persistent headache

Patient Description

A 24-year-old female presents with sharp, constant body aches in the lower back and rib areas, rated 6 out of 10 in severity, which worsen with walking and lying down. The lower back pain, which has been present for 2 weeks, is described as shooting from the buttock up to the neck, sharp, and severe enough to make breathing difficult, rated 10 out of 10 in severity, and is worse in the morning and at night. The patient also reports a throbbing headache in the forehead and top of the head, rated 8 out of 10 in severity, which has been persistent for 2 weeks. Additionally, the patient has been experiencing loose diarrhea approximately three times a day for the past week, which is triggered by all types of food. There is a tingling sensation in the extremities, but no fever, chills, shortness of breath, or urinary symptoms. The patient has a history of asthma since childhood, PTSD diagnosed at age 16, and a pinched nerve for 4 years. The patient takes Pepto for nausea and has had adverse reactions to Prednisone and Tramadol. No other medications are reported.

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Arora's Assessment

What might be happening

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

  • Musculoskeletal Pain: This is often due to injury, overuse, or inflammation of muscles, bones, joints, tendons, or ligaments. Your constant and sharp body aches, particularly in the lower back and rib areas, could be due to this.

    • Treatment typically involves rest, physical therapy, pain relievers, and sometimes muscle relaxants.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Your diarrhea and upset stomach could be symptoms of this condition.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Tension Headache: This is the most common type of headache, and it can cause a constant dull, aching, or pressure-like pain on both sides of the head or at the back of the head and neck.

    • Treatment usually involves over-the-counter pain relievers, stress management, and sometimes prescription medications.
  • Pinched Nerve: This occurs when too much pressure is applied to a nerve by surrounding tissues. This can cause pain, tingling, numbness, or weakness. You mentioned a history of a pinched nerve, which could be contributing to your symptoms.

    • Treatment can include physical therapy, medications to reduce swelling and pain, and in some cases, surgery.

Please note that these are possibilities based on the symptoms you've described, and the actual cause of your symptoms may be different. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and hydrate: Make sure you're getting enough sleep and drinking plenty of fluids, especially if you're experiencing diarrhea.
  2. Over-the-counter remedies: Over-the-counter pain relievers may help with your body aches and headache. Over-the-counter remedies like loperamide (Imodium) can help with diarrhea.
  3. Heat or cold therapy: Applying a heat pad or cold pack to your aching areas may provide some relief.
  4. Avoid triggers: If certain movements or activities worsen your pain, try to avoid them as much as possible.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain that doesn't improve with rest or over-the-counter medications
  • Symptoms of dehydration, such as extreme thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Fever, chills, or other signs of infection
  • Sudden or severe abdominal pain
  • Blood in your stool

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 accurate information.

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11 mo ago

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People Also Ask


What could be causing my sharp lower back and rib pain that worsens with movement?

Sharp lower back and rib pain that worsens with movement could be due to musculoskeletal issues such as muscle strain, inflammation, or a pinched nerve. It's important to consult a healthcare provider for a proper diagnosis and treatment plan.


Why am I experiencing persistent headaches along with my other symptoms?

Persistent headaches, especially when combined with other symptoms like body aches, could be tension headaches or related to stress and muscle tension. It's advisable to manage stress and consider over-the-counter pain relief, but a healthcare provider should evaluate persistent headaches.


What might be causing my diarrhea that occurs after eating any type of food?

Diarrhea that occurs after eating any type of food could be a sign of gastroenteritis, which is an inflammation of the intestines. It can be caused by infections or food intolerances. Staying hydrated and consulting a healthcare provider is important for proper management.


How can a pinched nerve contribute to my current symptoms?

A pinched nerve can cause pain, tingling, and numbness, which might contribute to your symptoms. It occurs when surrounding tissues apply too much pressure on a nerve. Treatment often involves physical therapy and pain management strategies.


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