[28F] With sudden onset lower right back pain and recent gastrointestinal symptoms

What might be happening

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

1. Kidney Stones or Infection:

   • Rationale: The sudden onset of dull, cramping pain in the lower right side of your back, along with darker urine, could indicate a kidney issue such as kidney stones or a kidney infection. These conditions can cause back pain that radiates to the front and changes in urine color.
   • Typical Treatments/Testing: Diagnosis often involves a urinalysis, blood tests, and imaging studies like an ultrasound or CT scan. Treatment may include pain management, increased fluid intake, and possibly antibiotics if an infection is present.

2. Gastrointestinal Issues:

   • Rationale: Given your recent history of diarrhea and slight loss of appetite, gastrointestinal issues such as an infection or inflammation (e.g., gastroenteritis) could be contributing to your symptoms.
   • Typical Treatments/Testing: Stool tests, blood tests, and possibly imaging studies can help diagnose the issue. Treatment may include hydration, dietary adjustments, and medications to manage symptoms.

3. Post-Surgical Complications:

   • Rationale: Given your history of gastric sleeve surgery, it's important to consider potential complications such as nutrient deficiencies or gastrointestinal changes that could be contributing to your symptoms.
   • Typical Treatments/Testing: Follow-up with your surgeon or a gastroenterologist may be necessary. Blood tests to check for nutrient deficiencies and imaging studies to assess the gastrointestinal tract may be recommended.

What you can do

Kidney Stones or Infection:

• Seek Medical Attention: It's important to see a healthcare provider as soon as possible to rule out kidney stones or an infection. They may perform tests to diagnose the issue and recommend appropriate treatment.
• Stay Hydrated: Drink plenty of water to help flush out your kidneys and reduce the risk of stone formation or infection.

Gastrointestinal Issues:

• Monitor Symptoms: Keep track of your bowel movements, appetite, and any other gastrointestinal symptoms. This information can be helpful for your healthcare provider.
• Dietary Adjustments: Consider eating a bland diet (e.g., bananas, rice, applesauce, toast) to help manage diarrhea and give your digestive system a break.

Post-Surgical Complications:

• Follow-Up with Surgeon: Schedule a follow-up appointment with your surgeon or a gastroenterologist to discuss your symptoms and ensure there are no complications from your gastric sleeve surgery.
• Nutrient Monitoring: Ensure you are getting adequate nutrition and consider taking supplements if recommended by your healthcare provider.

General Tips:

• Pain Management: Over-the-counter pain relievers like acetaminophen (Tylenol) can help manage pain, but avoid NSAIDs like ibuprofen if you suspect kidney issues.
• Symptom Tracking: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the severity of your symptoms and the possibility of serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or worsening pain
• Blood in your urine
• High fever or chills
• Persistent vomiting or inability to keep fluids down
• Fainting or severe dizziness

Remember, while I can provide information and suggestions, it's crucial to consult with a real healthcare professional to receive a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.