[27F] Experiencing severe left lumbar region pain

Patient Description

A 27-year-old female presents with severe, stabbing pain in the left lumbar region, worsening with movement and radiating slightly to the back. The pain has persisted for approximately 12 hours. The patient reports slight nausea, believed to be secondary to the pain, and increased gas expulsion. No fever, blood in urine, or painful urination is reported. The patient's medical history includes fibromyalgia, chronic fatigue syndrome, chronic migraines, polycystic ovary syndrome (PCOS), and pre-diabetes. Known drug allergies include Tramadol, Sumatriptan, and Topiramate. Current medications are Pregabalin, Qulipta, Slynd, Bupropion, and Hydrocodone as needed for pain management.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your severe left-sided pain include:

  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts in your side or back. It may also come in waves and fluctuate in intensity.

    • Treatment often involves pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed to remove or break up larger stones.
  • Musculoskeletal pain: Given your history of fibromyalgia, it's possible that this is a severe flare-up of your condition.

    • Treatment typically involves a combination of medications, exercise, stress management measures, and healthy lifestyle habits.
  • Gastrointestinal issues: Conditions such as gas, constipation, or diverticulitis (inflammation or infection of small pouches that can form in your intestines) can cause left-sided abdominal pain.

    • Treatment depends on the specific issue and can range from dietary changes to medications or even surgery in severe cases.

Please note that these are only possibilities and not a definitive diagnosis. It's important to seek immediate medical attention given the severity of your pain.

What you can do

  1. Seek immediate medical help: Given the severity of your pain, it's important to get medical attention as soon as possible. This could be a sign of a serious condition that needs prompt treatment.

  2. Stay hydrated: If the pain is due to a kidney stone, drinking water can help the stone pass through your system.

  3. Over-the-counter pain relievers: Non-prescription pain relievers may help alleviate your pain in the short term. However, these should not be used as a substitute for seeking medical help.

What you should look out for

  • If your pain becomes unbearable
  • If you develop a fever
  • If you start vomiting
  • If you notice blood in your urine
  • If you have difficulty urinating

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional who can evaluate your symptoms and condition in person.

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11 mo ago

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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 that comes in waves and fluctuates in intensity, nausea, vomiting, and sometimes blood in the urine.


How can fibromyalgia affect pain perception in other conditions?

Fibromyalgia can amplify pain perception, making individuals more sensitive to pain from other conditions. This is due to the way fibromyalgia affects the central nervous system, potentially leading to heightened pain responses.


What dietary changes can help manage gastrointestinal issues like gas or constipation?

Dietary changes to manage gastrointestinal issues like gas or constipation include increasing fiber intake, staying hydrated, avoiding foods that cause gas (such as beans and carbonated drinks), and eating smaller, more frequent meals.


What are the potential side effects of taking Hydrocodone for pain management?

Potential side effects of taking Hydrocodone include drowsiness, dizziness, nausea, constipation, and risk of dependency or addiction. It's important to use it as prescribed and discuss any concerns with a healthcare provider.


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