[26F] Experiencing back spasms and stomach pain

Patient Description

A 26-year-old female presents with back spasms and stomach pain that started two to three days ago. The back pain is described as a stiffening sensation that occurs when attempting to walk or lie down, rated as 5 or 6 out of 10 in severity. The patient also experiences a dull, consistent stomach pain, rated 5 out of 10, and occasional chills on the right side. Additionally, the patient reports a dull ache in the right elbow, a lingering issue from a fall a few years prior. Urination was limited the day before yesterday, but there is no pain during urination and the urine is yellow. The patient has no known pre-existing conditions, is not currently on any medications, and has a latex glove allergy.

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Arora's Assessment

What might be happening

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

  • Musculoskeletal Strain: This is a common cause of back pain and can occur as a result of daily activities, physical exertion, or improper lifting. The pain is usually localized and may be associated with muscle spasms.

    • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts in the back or side below the ribs, and may radiate to the lower abdomen and groin. The pain may come in waves and fluctuate in intensity. Other symptoms can include changes in urination.

    • Treatment can range from pain management and drinking lots of water to help pass the stone, to medical procedures if the stone is too large.
  • Gastrointestinal Conditions: Several conditions could cause concurrent back and stomach pain, such as gallstones, pancreatitis, or peptic ulcers. These conditions often cause other symptoms like nausea, vomiting, or changes in bowel movements.

    • Treatment depends on the specific condition and can range from dietary changes to medication or surgery.
  • Elbow Pain: Given your history of trauma to the elbow, your elbow pain could be due to a chronic injury. Over time, injuries can lead to conditions like arthritis or bursitis.

    • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Rest and avoid strenuous activities that may exacerbate your back pain.
  2. Apply a warm compress to your back to help alleviate muscle spasms.
  3. Over-the-counter pain relievers can help manage your pain. Be sure to follow the package instructions.
  4. Stay hydrated, especially if you have kidney stones. This can help the stone pass through your system.
  5. If your pain is severe, persistent, or accompanied by other symptoms like fever, nausea, vomiting, or changes in bowel movements, seek immediate medical attention.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain
  • Fever
  • Nausea or vomiting
  • Changes in bowel movements or urination
  • Unexplained weight loss
  • Pain that wakes you up from sleep

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare professional for a definitive diagnosis and treatment.

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1 yr ago

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People Also Ask


What are common causes of back spasms and how can they be treated?

Back spasms are often caused by muscle strain, overuse, or injury. Treatment typically involves rest, applying heat or ice, gentle stretching, and over-the-counter pain relievers. If the pain persists, physical therapy may be recommended.


How can I tell if my stomach pain is related to kidney stones?

Kidney stones often cause severe pain that starts in the back or side and may radiate to the lower abdomen. The pain can come in waves and may be accompanied by changes in urination, such as frequency or color. If you suspect kidney stones, it's important to stay hydrated and consult a healthcare professional.


What are some gastrointestinal conditions that cause both back and stomach pain?

Conditions like gallstones, pancreatitis, or peptic ulcers can cause both back and stomach pain. These conditions may also present with symptoms like nausea, vomiting, or changes in bowel movements. A healthcare professional can help diagnose and treat these conditions.


What should I do if I have lingering pain from an old injury?

For lingering pain from an old injury, it's important to rest the affected area and avoid activities that exacerbate the pain. Physical therapy and over-the-counter pain relievers can also help. If the pain persists or worsens, consult a healthcare professional for further evaluation.


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