[26F] Experiencing severe lower back and abdominal pain

Patient Description

A 26-year-old female has been suffering from severe lower back pain and sharp abdominal pain under the ribs for 5 days. The back pain is described as radiating, constant, and worsens in the evening, with a severity score of 10/10. The abdominal pain also scores a 10/10 in severity. Additionally, the patient experiences pelvic cramping associated with intercourse, rated at 7/10 for pain. The patient has taken magnesium citrate, resulting in a liquid bowel movement. There is no fever or chills, no known allergies or adverse reactions to medications, and no chronic illnesses. The only medication being taken is Albuterol as needed.

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Arora's Assessment

What might be happening

Based on the information provided, here are some possible explanations for your symptoms:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in your back or side along with other symptoms. The pain can be severe and usually comes in waves.

    • Typical treatment includes pain relievers and drinking lots of water to help pass the stone. Medical procedures may be required if the stone is too large.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus or bacteria. It can cause stomach pain, diarrhea, and vomiting.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if bacteria are the cause.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's usually caused by a sexually transmitted infection. Pain in the lower abdomen is the most common symptom.

    • Treatment typically involves antibiotics to clear the infection.
  • Endometriosis: This is a disorder where tissue similar to the tissue that normally lines the inside of your uterus grows outside of your uterus. It can cause pain in your lower abdomen or pelvis, especially during your period or intercourse.

    • Treatment may involve pain relievers, hormone therapy, or surgery.

What you can do

  1. If you suspect kidney stones, stay hydrated. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system.
  2. For gastroenteritis, rest and hydration are key. Avoid foods that are high in fiber (such as whole grains and fruits) until you feel better.
  3. If you suspect PID or endometriosis, avoid sexual intercourse until you have been evaluated by a healthcare provider.
  4. Over-the-counter pain relievers may help with the pain, but they are not a substitute for medical evaluation and treatment.

What you should look out for

Please seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You have blood in your urine or stool
  • You develop a high fever (over 100.4°F)
  • You are unable to keep down fluids due to vomiting

Remember, while I strive to provide accurate information, I'm not a doctor and this advice is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment.

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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 back or side, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, nausea and vomiting, and blood in the urine.


How can gastroenteritis be distinguished from other abdominal conditions?

Gastroenteritis is typically characterized by symptoms such as diarrhea, vomiting, stomach cramps, and sometimes fever. It is often distinguished from other conditions by the presence of these symptoms following the consumption of contaminated food or water, or contact with an infected person.


What are the potential causes of pelvic pain during intercourse?

Pelvic pain during intercourse can be caused by several conditions, including pelvic inflammatory disease (PID), endometriosis, ovarian cysts, or infections. It is important to consult a healthcare provider for an accurate diagnosis.


What are the treatment options for endometriosis?

Treatment options for endometriosis include pain relief medications, hormone therapy to reduce or eliminate menstruation, and surgical options to remove endometrial tissue. The choice of treatment depends on the severity of symptoms and the patient's desire for future fertility.


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