[25M] Experiencing lower back pain, frequent urination, and loss of appetite

Patient Description

A 25-year-old male presents with a 3-day history of lower back pain, frequent urination with a sensation of fullness in the penis and occasional burning, as well as a loss of appetite. The patient reports clear urine and has not observed any blood. Bowel movements have been less frequent than normal and watery when they occur. The patient experiences abdominal pain when stretching or coughing and has noted a tight feeling on the right side of the chest. The patient works at various construction sites but has not traveled recently or had any new sexual partners. There is no significant past medical history, no current medications, and the only known allergy is to Morphine, which causes hives. There is no report of fever, chills, nausea, vomiting, severe unrelenting pain, or significant weight change.

Arora's Assessment

What might be happening

Based on the symptoms you've described, the following conditions could be possible:

Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs are more common in women, but men can get them too. Symptoms can include a strong, persistent urge to urinate, a burning sensation when urinating, and clear, strong-smelling urine.
- Treatment usually involves antibiotics to kill the bacteria causing the infection. Drinking plenty of water can help to flush the bacteria out of your system.
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, and frequent urination.
- Treatment can involve pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed if the stones are too large.
Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is highly infectious and can be passed through close contact with an infected person or by eating or drinking contaminated food or water. Symptoms can include watery diarrhea, loss of appetite, and abdominal pain.
- Treatment usually involves rest, hydration, and over-the-counter medications.

What you can do

Drink plenty of water: This can help flush bacteria out of your urinary system if you have a UTI, and can help pass kidney stones if that's what's causing your symptoms.
Rest: If you have gastroenteritis, rest can help your body recover.
Over-the-counter pain relievers: These can help manage pain, but they won't treat the underlying condition.

What you should look out for

You should seek immediate medical attention if:

Your symptoms worsen or don't improve after a few days
You develop a high fever
You start vomiting and can't keep fluids down
You have severe abdominal pain
You notice blood in your urine or stool

Please remember that while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare professional who can examine you and give you a proper diagnosis.

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11 mo ago

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