[25M] Experiencing dull aching pain in lower back

Patient Description

A 25-year-old male reports a constant dull ache in the kidney region of his lower back. The pain is described as a 6 on a scale of 1-10 in terms of severity and is present on both sides. The patient has not identified any specific activities that exacerbate the pain, nor has he found any measures that relieve it. There have been no recent injuries to the back. Additionally, the patient has noticed changes in urine and has experienced a hot flash or two, but is unsure about the presence of fever, nausea, or vomiting. No other symptoms were reported.

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Arora's Assessment

What might be happening

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

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain during urination, pink, red or brown urine, and frequent urination. A key sign is usually intense pain that comes and goes, but you've reported a constant dull pain.

    • Treatment can involve pain relievers and drinking lots of water to help pass the stone. Medical procedures may be required if the stone is too large.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most infections involve the lower urinary tract — the bladder and the urethra. However, a UTI can also lead to a kidney infection, which is a serious condition. Symptoms can include persistent urge to urinate, burning sensation when urinating, passing frequent, small amounts of urine, urine that appears cloudy, urine that appears red or bright pink (a sign of blood in the urine), and pelvic pain in women.

    • Treatment typically involves antibiotics.
  • Kidney Infection (Pyelonephritis): This is often a complication of a urinary tract infection. Symptoms can include back, side (flank) or groin pain, abdominal pain, frequent urination, strong, persistent urge to urinate, burning sensation or pain when urinating, pus or blood in your urine (hematuria), urine that smells bad or is cloudy, and fever.

    • Treatment typically involves antibiotics.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Drink plenty of water to help clear out potential infections or help pass a kidney stone.
  2. Over-the-counter pain relievers may help with the discomfort.
  3. Rest and avoid heavy lifting or strenuous activity that could exacerbate the pain.

What you should look out for

Reasons to see a doctor more urgently:

  • If your pain becomes severe or unbearable
  • If you develop a fever (temperature over >100.4°F) or chills
  • If you notice blood in your urine or have difficulty urinating
  • If your symptoms persist or worsen

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis.

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11 mo ago

People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the side and back, pain that radiates to the lower abdomen and groin, pain during urination, pink, red or brown urine, and frequent urination. The pain is often intense and comes in waves.


How can a urinary tract infection lead to a kidney infection?

A urinary tract infection can lead to a kidney infection if the bacteria causing the UTI travel up the ureters to the kidneys. This can result in more severe symptoms and requires prompt medical treatment to prevent complications.


What are the typical treatments for a kidney infection?

Typical treatments for a kidney infection include antibiotics to clear the infection and pain relievers to manage discomfort. In severe cases, hospitalization may be necessary for intravenous antibiotics and fluids.


When should I see a doctor for back pain in the kidney region?

You should see a doctor for back pain in the kidney region if the pain becomes severe or unbearable, if you develop a fever or chills, if you notice blood in your urine, or if you have difficulty urinating. Persistent or worsening symptoms also warrant medical attention.


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