[29F] Experiencing back pain and upper respiratory symptoms

Patient Description

A 29-year-old female is reporting a dull back pain located on the lower left side that started yesterday. The pain intensity is severe, rated at a 7 out of 10, and is described as so tight it feels like it could snap, with stabbing sensations when standing straight or arching the back. The pain occasionally feels like a spasm and slightly improves when leaning forward to stretch but does not completely alleviate. No recent injuries were reported, and there is no associated numbness or tingling in the legs or feet. Additionally, the patient is experiencing a dull headache in the front of the head, rated at a 3 out of 10, which has been occurring on and off since last night. The patient also has a sore throat that is painful to swallow, which started yesterday, along with a cough, congestion, a stuffy nose, and one crusty eye. No fever or chills are present. The patient has a history of headaches.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Common Cold: This is a viral infection of your nose and throat. It's usually harmless, although it might not feel that way. Common signs and symptoms of a cold may appear one to three days after exposure to a cold-causing virus and might include a runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, low-grade fever, and generally feeling unwell (malaise).

    • Treatment for a common cold is usually focused on relieving symptoms and can include rest, staying hydrated, and over-the-counter cold remedies.
  • Influenza (Flu): Influenza is a viral infection that attacks your respiratory system — your nose, throat and lungs. Influenza is commonly called the flu, but it's not the same as stomach "flu" viruses that cause diarrhea and vomiting. Flu symptoms are more severe than those of the common cold and can include fever, aching muscles, chills and sweats, headache, dry cough, fatigue and weakness, nasal congestion, and sore throat.

    • Treatment for the flu can include antiviral drugs prescribed by a doctor, as well as rest and hydration.
  • Musculoskeletal Back Pain: This is a common condition and it's usually caused by strain or injury to the muscles and ligaments that support the spine. It can be triggered by poor posture, lifting heavy objects, or other stressors. Your description of the pain as being worse with certain movements and better with others is consistent with this.

    • Treatment can include physical therapy, pain relievers, and exercises to strengthen the back and improve posture.

Please note that these are possibilities based on the information you've provided, and not a definitive diagnosis.

What you can do

  1. Rest and stay hydrated. Both the common cold and the flu require plenty of fluids and rest to help the body fight off the virus.
  2. Over-the-counter remedies can help with symptoms of a cold or the flu. These might include decongestants for a stuffy nose, cough suppressants, and pain relievers for body aches or a sore throat.
  3. For your back pain, try to avoid activities that worsen the pain. Gentle stretching exercises might help. Over-the-counter pain relievers can also be used. Applying a hot or cold pack to the area might provide some relief.

What you should look out for

If your symptoms worsen or you develop new symptoms, you should seek medical attention. Specifically, if your back pain becomes severe, is accompanied by fever, causes bowel or bladder problems, or is associated with numbness or weakness in your legs, you should seek immediate medical attention.

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are the common symptoms of a cold and how can they be managed?

Common symptoms of a cold include a runny or stuffy nose, sore throat, cough, congestion, slight body aches, mild headache, sneezing, and generally feeling unwell. Management typically involves rest, staying hydrated, and using over-the-counter remedies like decongestants and pain relievers.


How can I differentiate between a common cold and the flu?

The flu generally presents with more severe symptoms than a cold, such as high fever, aching muscles, chills, sweats, fatigue, and a dry cough. While both are viral infections, the flu can lead to more serious health complications and may require antiviral medication prescribed by a doctor.


What are some effective ways to relieve musculoskeletal back pain?

To relieve musculoskeletal back pain, consider using over-the-counter pain relievers, applying hot or cold packs, and performing gentle stretching exercises. It's also important to avoid activities that exacerbate the pain and to maintain good posture.


When should I seek medical attention for back pain?

You should seek medical attention for back pain if it becomes severe, is accompanied by fever, causes bowel or bladder problems, or is associated with numbness or weakness in your legs. These could be signs of a more serious condition requiring immediate care.


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