[25M] Experiencing lower back pain with urine color changes

Patient Description

A 25-year-old male has been experiencing lower back pain around the kidney area for the past two days. The pain worsens when getting up from bed or standing up, and there has been no relief from any measures. The patient also noticed that his back appears a little curved. The pain has gradually worsened over time. Additionally, he has observed changes in his urine color, ranging from dark yellow almost orange to very clear. He has not experienced any fever, nausea, vomiting, blood in his urine, pain radiating to the groin area, changes in bowel movements, recent weight loss, or loss of appetite. The patient reports adequate fluid intake and has no history of kidney problems or urinary tract infections. He does not use tobacco, alcohol, or recreational drugs, and has not made any recent changes to his diet or been exposed to chemicals or toxins. He has not traveled recently to areas with known health risks. The patient has no pre-existing conditions or chronic illnesses and is currently taking ibuprofen for pain at a dosage of 100 mg every 3 hours. He is not taking any other prescription medications, over-the-counter medications, supplements, or herbal remedies, and has no allergies to medications.

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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:

  • Muscle Strain or Sprain: This is a common cause of lower back pain, especially if you have been engaging in activities that put stress on your back. Muscle strain can cause pain that worsens with movement and may lead to a curved posture as your body tries to compensate for the pain.

    • Treatment: Rest, ice or heat application, over-the-counter pain relievers like ibuprofen, and gentle stretching exercises can help alleviate symptoms. Physical therapy may also be recommended.
  • Kidney Issues: Changes in urine color and lower back pain could indicate a kidney issue such as a kidney infection or kidney stones. However, the absence of fever, nausea, vomiting, and pain radiating to the groin makes this less likely.

    • Treatment: If a kidney issue is suspected, a healthcare provider may order urine tests, blood tests, or imaging studies to diagnose the problem. Treatment may include antibiotics for infections or other specific interventions for kidney stones.
  • Postural Issues: A curved back and pain that worsens with movement could be related to poor posture or spinal alignment issues.

    • Treatment: Improving posture, ergonomic adjustments, physical therapy, and exercises to strengthen the back and core muscles can be beneficial.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

  1. Rest and Avoid Strain: Give your back some rest and avoid activities that exacerbate the pain.
  2. Apply Ice or Heat: Use ice packs or heating pads on the affected area to reduce pain and inflammation.
  3. Over-the-Counter Pain Relief: Continue taking ibuprofen as directed, but be cautious about the dosage and frequency. It's generally recommended to take 200-400 mg every 4-6 hours as needed, not exceeding 1200 mg in 24 hours unless directed by a doctor.
  4. Stay Hydrated: Drink plenty of water to help maintain kidney function and overall health.
  5. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, urine color, or other new symptoms. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Pain: If the pain becomes severe or continues to worsen despite self-care measures.
  • Fever or Chills: These could indicate an infection.
  • Blood in Urine: This could be a sign of a more serious kidney issue.
  • Inability to Urinate: Difficulty or inability to urinate could indicate a blockage or other serious condition.
  • Unexplained Weight Loss or Loss of Appetite: These could be signs of a more serious underlying condition.

Remember, while these suggestions can help manage your symptoms, they are not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and appropriate treatment.

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4 mo ago

People Also Ask


What are common causes of lower back pain in young adults?

Common causes of lower back pain in young adults include muscle strain or sprain, poor posture, and sometimes more serious conditions like herniated discs or kidney issues. Activities that put stress on the back, such as heavy lifting or prolonged sitting, can also contribute.


Can changes in urine color indicate a kidney problem?

Yes, changes in urine color can indicate a kidney problem. Dark yellow or orange urine can be a sign of dehydration, but if accompanied by pain, it might suggest a kidney issue such as an infection or stones. It's important to monitor other symptoms and consult a healthcare provider if concerned.


How can poor posture contribute to back pain?

Poor posture can lead to back pain by putting extra strain on the muscles and ligaments in the back. Over time, this can cause muscle fatigue and discomfort, especially if the spine is not properly aligned. Improving posture and strengthening core muscles can help alleviate this pain.


What are safe dosages for ibuprofen to manage pain?

For adults, the typical dosage of ibuprofen is 200-400 mg every 4-6 hours as needed, not exceeding 1200 mg in 24 hours unless directed by a doctor. It's important to follow the recommended dosage to avoid potential side effects such as stomach irritation or kidney issues.


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