[24M] With sudden onset back pain, upper left abdominal pain, and migraine

Patient Description

A 24-year-old male presents with sudden onset sharp and aching back pain localized to the area where the kidneys are situated. The pain has gradually worsened and is exacerbated by bending forward. The patient also reports experiencing abdominal pain in the upper left quadrant and migraine. There are no known alleviating factors for the back pain. No changes in urine color, frequency, or pain during urination have been reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Kidney Stones or Infection: Sharp, aching pain in the back, particularly in the area where your kidneys are located, can be indicative of kidney stones or a kidney infection. Kidney stones can cause severe pain that may radiate to the lower abdomen and groin. A kidney infection might also present with fever, chills, and changes in urine color or frequency.

    • Treatment: Kidney stones may require pain management, increased fluid intake, or medical procedures to remove the stones. Kidney infections typically require antibiotics and sometimes hospitalization for severe cases.
  • Migraine: Migraines are intense headaches that can cause severe throbbing pain, often accompanied by nausea, vomiting, and sensitivity to light and sound. They can be triggered by various factors, including stress, certain foods, and hormonal changes.

    • Treatment: Migraines are often managed with medications to relieve pain and prevent future attacks. Lifestyle changes, such as stress management and avoiding known triggers, can also be helpful.
  • Musculoskeletal Issues: Sharp back pain that worsens with bending forward could be related to muscle strain, a herniated disc, or other spinal issues.

    • Treatment: Rest, physical therapy, pain relievers, and sometimes more advanced interventions like injections or surgery may be necessary, depending on the severity.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of water to help flush out your kidneys, especially if you suspect kidney stones.
  2. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. However, consult a doctor before taking any medication.
  3. Rest and Gentle Movement: Avoid activities that exacerbate your back pain. Gentle stretching and low-impact exercises may help alleviate discomfort.
  4. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in identifying patterns and triggers.
  5. Diet and Lifestyle: Maintain a balanced diet and avoid known migraine triggers. Stress management techniques like meditation or deep breathing exercises can also be beneficial.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Severe Pain: If your pain becomes unbearable or is accompanied by fever, chills, or vomiting.
  • Changes in Urine: Noticeable changes in urine color, frequency, or pain during urination.
  • Neurological Symptoms: If you experience confusion, vision changes, or weakness in your limbs.
  • Persistent Symptoms: If your symptoms do not improve with initial self-care measures or worsen over time.

Remember, while I can provide guidance, it's crucial to consult a healthcare professional for a comprehensive evaluation and appropriate treatment.

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3 mo ago


People Also Ask


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

Common symptoms of kidney stones include sharp, severe pain in the back or side, pain that radiates to the lower abdomen and groin, and sometimes blood in the urine. Kidney infections may present with fever, chills, back pain, and changes in urine color or frequency.


How can migraines be effectively managed or prevented?

Migraines can be managed with medications to relieve pain and prevent future attacks. Lifestyle changes such as stress management, avoiding known triggers, and maintaining a regular sleep schedule can also help prevent migraines.


What are the potential causes of sharp back pain that worsens with movement?

Sharp back pain that worsens with movement could be due to muscle strain, a herniated disc, or other spinal issues. It is important to assess the pain's characteristics and any accompanying symptoms to determine the cause.


When should I seek medical attention for back pain or related symptoms?

You should seek medical attention if your back pain becomes unbearable, is accompanied by fever, chills, or vomiting, if you notice changes in urine, or if you experience neurological symptoms like confusion or vision changes.


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1 Comments


Billy#3955

3 mo ago

Is the pain more on one side or both sides?

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