[27F] Experiencing abdominal pain, back pain, and urinary changes

Patient Description

A 27-year-old female presents with a 3-day history of right abdomen pain described as sharp and cramp-like, localized below the ribs, and radiating to the lower back. The pain is severe enough to hinder walking, sleeping, sitting, and breathing. The abdomen is swollen and hard to the touch. Accompanying symptoms include lower back pain, drowsiness, chills, hot flashes, and moderate cloudy urine with a chemical-like odor, persisting for a week. The patient has taken acetaminophen, which relieves the back pain but only makes the abdominal pain bearable. No bowel movement irregularities were mentioned. No recent injuries, no nausea or vomiting, and no blood in the urine. The patient experiences urgency to urinate but no significant change in frequency. The patient's medical history is unremarkable with no known allergies or adverse reactions to medications, and she is currently on birth control. No pre-existing conditions or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, possible diagnoses include:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. The 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, cloudy or foul-smelling urine, and persistent need to urinate.

    • Treatment often involves pain relievers and drinking lots of water to help flush the stone out of your urinary system. In some cases, surgery may be required.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. Symptoms can include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, and cloudy, strong-smelling urine.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Pyelonephritis: This is a type of urinary tract infection where one or both kidneys become infected. Symptoms can include pain in the side and back, below the ribs, high fever, frequent urination, and cloudy, strong-smelling urine.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Gallstones: These are hardened deposits in the gallbladder that can cause sudden pain in the upper right abdomen, back pain between your shoulder blades, and fever.

    • Treatment may not be necessary unless the gallstones cause symptoms. In some cases, surgery may be required.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Drink plenty of water: This can help dilute your urine and may help flush out any bacteria or stones that may be causing your symptoms.
  2. Over-the-counter pain relievers: These can help manage your pain in the short term. However, they should not be used as a long-term solution without consulting a healthcare provider.
  3. Rest: Try to get plenty of sleep and avoid strenuous activities until you can see a healthcare provider.

What you should look out for

Please seek immediate medical attention if you:

  • Notice blood in your urine
  • Have a high fever
  • Experience severe pain
  • Have nausea and vomiting that prevents you from keeping down fluids
  • Have symptoms that worsen or do not improve after a few days

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

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10 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, below the ribs, pain that radiates to the lower abdomen and groin, pain during urination, cloudy or foul-smelling urine, and a persistent need to urinate.


How can a urinary tract infection (UTI) be treated?

A urinary tract infection (UTI) is typically treated with antibiotics to kill the bacteria causing the infection. It's important to complete the full course of antibiotics as prescribed by a healthcare provider.


What is pyelonephritis and how is it different from a regular UTI?

Pyelonephritis is a type of urinary tract infection where one or both kidneys become infected. It is more severe than a regular UTI and can cause symptoms such as pain in the side and back, high fever, frequent urination, and cloudy, strong-smelling urine. Treatment usually involves antibiotics.


When should someone seek immediate medical attention for abdominal pain?

Immediate medical attention for abdominal pain should be sought if there is blood in the urine, a high fever, severe pain, nausea and vomiting that prevents keeping down fluids, or if symptoms worsen or do not improve after a few days.


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