[25F] With lower back pain and urinary symptoms

Patient Description

A 25-year-old female presents with sudden onset lower back pain lasting for 5 days. The pain is constant and sharpens with movement, such as bending over. The patient reports no relief from the pain. Additionally, she experiences dark and cloudy urine, frequent urination, and has recently started experiencing pain during urination. There is no presence of blood in the urine, and the patient denies any nausea, vomiting, fever, or chills. The patient is unsure about any foul smell in the urine. There is also flank pain noted, which is pain on the sides of the lower back near the kidneys. The patient's medication regimen includes Levothyroxine 100mg and Wellbutrin 150mg taken once daily, and Ibuprofen 200mg taken every six hours. There are no known allergies to these medications, and no recent injuries or physical activities that could have contributed to the symptoms. The patient has not traveled recently.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Urinary Tract Infection (UTI): Your symptoms of frequent urination, pain during urination, and cloudy urine could indicate a UTI. UTIs are common infections that affect the urinary system, including the bladder and urethra. They can cause discomfort and changes in urine appearance.

    • Treatment: UTIs are typically treated with antibiotics prescribed by a healthcare provider. It's important to complete the full course of antibiotics even if symptoms improve.
  • Kidney Stones: The sudden onset of sharp lower back pain, especially with flank pain, could suggest kidney stones. These are hard mineral deposits that form in the kidneys and can cause severe pain as they move through the urinary tract.

    • Treatment: Treatment may include pain management, increased fluid intake to help pass the stone, and in some cases, medical procedures to break up or remove the stones.
  • Dehydration: Dark urine can be a sign of dehydration, which can also contribute to the formation of kidney stones. Ensuring adequate hydration is important for overall kidney health.

What you can do

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

  1. Stay Hydrated: Drink plenty of water to help flush out your urinary system and prevent dehydration. This can also help if you have a UTI or kidney stones.
  2. Pain Management: Over-the-counter pain relievers like ibuprofen can help manage discomfort, but be cautious with their use and follow dosing instructions.
  3. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, urine appearance, or new symptoms. You can use MDandMe to journal your symptoms, track progress, and share this information with your healthcare provider.
  4. Seek Medical Attention: If your symptoms persist or worsen, or if you develop new symptoms like fever or severe pain, seek medical attention promptly.

What you should look out for

Be aware of the following signs that may require more urgent medical attention:

  • Severe Pain: If you experience severe or worsening pain, especially in your back or abdomen, seek medical care.
  • Fever or Chills: These could indicate a more serious infection that requires prompt treatment.
  • Blood in Urine: If you notice blood in your urine, contact a healthcare provider.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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1 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include frequent urination, pain or burning during urination, cloudy or strong-smelling urine, and sometimes pelvic pain. It's important to see a healthcare provider for diagnosis and treatment.


How can kidney stones cause lower back and flank pain?

Kidney stones can cause severe pain as they move through the urinary tract, often resulting in sharp lower back or flank pain. This pain can be sudden and intense, and may also be accompanied by changes in urine color or frequency.


What are the signs of dehydration and how can it affect kidney health?

Signs of dehydration include dark urine, infrequent urination, dry mouth, and fatigue. Dehydration can lead to kidney stones and other kidney issues, so it's important to stay well-hydrated by drinking plenty of water.


When should I seek medical attention for back pain and urinary symptoms?

You should seek medical attention if you experience severe or worsening pain, fever, chills, or notice blood in your urine. These could indicate a more serious condition that requires prompt treatment.


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