[25F] Experiencing back ache, dizziness, and stomach cramps

Patient Description

A 25-year-old female presents with a sharp back ache in the lower and middle back that started suddenly a few days ago and is exacerbated by leaning or stretching forward. The pain is severe, rated 6 out of 10, and does not radiate to other parts of the body. The patient also reports dizziness described as a wobbly and heavy head when not laying down, with a severity of 2 to 3 out of 10, lasting for a day or two. Additionally, the patient is experiencing stomach cramps accompanied by sharp pain and nausea, leading to decreased appetite and recent unexplained weight loss. The last bowel movement was described as looking like dirt. The patient also notes a loss of sensation or weakness in the legs. There is no recent history of injury, fever, chills, changes in bladder or bowel control, or any known allergies or adverse reactions to medications. The only medication currently being taken is birth control. The patient has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

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

  • Musculoskeletal Strain: This is a common cause of back pain and can occur as a result of poor posture, lifting heavy objects, or other strenuous activities. The pain is often described as a sharp or aching sensation in the lower back.

    • Treatment typically involves rest, over-the-counter pain relievers, and physical therapy exercises.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the back or side, along with other symptoms such as nausea and changes in urination.

    • Treatment may include pain relievers, drinking lots of water, and in some cases, medical procedures to remove or break up the stones.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms include stomach pain, nausea, and diarrhea.

    • Treatment usually involves rest, rehydration, and eating light, bland foods.
  • Vertigo: This is a sensation of feeling off balance and is often caused by problems in the inner ear or brain. It can cause dizziness and a feeling of the room spinning.

    • Treatment depends on the cause and can include medications, physical therapy maneuvers, and in some cases, surgery.

Please note that these are possible explanations and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Rest and avoid strenuous activities that may worsen your back pain.
  2. Stay hydrated and eat light, bland foods to help with your stomach ache and nausea.
  3. Over-the-counter pain relievers may help with your back pain, but they should be used as directed by a healthcare provider.
  4. Seek medical attention if your symptoms persist or worsen.

What you should look out for

Reasons to seek urgent medical attention:

  • Severe pain that does not improve with rest or over-the-counter pain relievers
  • Blood in your urine or stool
  • Persistent vomiting or inability to keep down fluids
  • Severe dizziness or difficulty maintaining balance
  • Sudden, severe headache or loss of consciousness

Please remember that while I strive to provide accurate information, I am not a doctor and this advice should not replace a consultation with a healthcare provider.

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11 mo ago

People Also Ask


What are common causes of sudden sharp back pain in young adults?

Common causes of sudden sharp back pain in young adults include musculoskeletal strain from poor posture or lifting heavy objects, kidney stones, or less commonly, conditions like herniated discs. It's important to assess the pain's characteristics and any accompanying symptoms to determine the cause.


How can dizziness and a heavy head sensation be related to other symptoms?

Dizziness and a heavy head sensation can be related to inner ear issues, dehydration, or even stress. When these symptoms occur alongside others like nausea or back pain, it could indicate conditions such as vertigo or an underlying systemic issue. Consulting a healthcare provider is recommended for a thorough evaluation.


What dietary changes can help alleviate stomach cramps and nausea?

To alleviate stomach cramps and nausea, it's advisable to stay hydrated and consume light, bland foods such as bananas, rice, applesauce, and toast (the BRAT diet). Avoiding spicy, fatty, or dairy-rich foods can also help reduce symptoms.


When should I be concerned about unexplained weight loss and changes in bowel movements?

Unexplained weight loss and changes in bowel movements can be concerning if they persist, as they may indicate underlying health issues such as gastrointestinal disorders or infections. It's important to seek medical advice if these symptoms are accompanied by severe pain, blood in stool, or other significant changes in health.


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