[29F] Experiencing sharp back and abdominal pain with chills

Patient Description

A 29-year-old female presents with sharp, nagging lower left back pain that radiates to the groin, making it difficult to walk and breathe, and sharp lower left abdominal pain resembling period cramps. Both symptoms began yesterday, with back pain rated 8/10 and abdominal pain 6/10 in severity. The patient has a history of kidney stones and a family history of the same. She experiences chills but no fever or vomiting. There is no change in bowel habits, but there is a noted change in the smell of urine. The patient is currently on Lutera (birth control pill) for 3 years and takes daily supplements of turmeric, biotin (1000mg), and vitamin C, with dosages of turmeric and vitamin C unknown. The patient has a known allergy to penicillin. No recent injuries, blood in urine, or unusual vaginal discharge or bleeding reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Kidney Stones: Given your history of kidney stones, the sharp, radiating pain you're experiencing in your lower back and abdomen could be due to another kidney stone. Kidney stones can cause severe pain and may be associated with changes in urine, such as an unusual smell.

    • Treatment for kidney stones often involves pain management and increased fluid intake. In some cases, medical procedures may be necessary to remove or break up larger stones.

  • Urinary Tract Infection (UTI): UTIs can cause lower abdominal pain, changes in urine, and sometimes back pain. However, they are usually also associated with a burning sensation during urination, which you did not report.

    • Treatment for UTIs typically involves antibiotics.

  • Gynecological Issues: Conditions such as ovarian cysts or endometriosis can cause lower abdominal pain and back pain. These conditions can sometimes be associated with changes in menstruation, but not always.

    • Treatment for these conditions varies widely and can include hormonal treatments, pain management, and sometimes surgery.

Please remember that these are just possibilities and not a definitive diagnosis. It's important to see a healthcare provider for an accurate diagnosis and treatment.

What you can do

While you're waiting to see a healthcare provider, here are some things you can do to help manage your symptoms:

  1. Continue taking over-the-counter pain relievers as needed, but avoid exceeding the recommended dose.
  2. Drink plenty of fluids, especially water. This can help flush out your system and may help if you have a kidney stone or UTI.
  3. Rest as much as possible. This can help your body recover and may alleviate some of your pain.
  4. Apply a warm compress to your lower back to help relieve pain.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe pain that doesn't improve with over-the-counter pain relievers
  • Blood in your urine
  • Fever or vomiting
  • Difficulty urinating or a significant decrease in the amount of urine you're producing

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 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, changes in urine color or smell, frequent urination, and sometimes nausea or vomiting.

How can I differentiate between kidney stones and a urinary tract infection (UTI)?

Kidney stones typically cause severe, sharp pain in the back or side that may radiate to the groin, while UTIs often cause a burning sensation during urination, frequent urination, and lower abdominal pain. Both can cause changes in urine, but UTIs are more likely to cause fever.

Can birth control pills like Lutera affect kidney stone formation?

There is no direct evidence that birth control pills like Lutera increase the risk of kidney stone formation. However, hormonal changes can affect fluid balance and metabolism, which might indirectly influence stone formation in some individuals.

What are the potential side effects of taking high doses of biotin and vitamin C?

High doses of biotin and vitamin C can lead to side effects such as skin rashes, digestive upset, and, in the case of vitamin C, an increased risk of kidney stones. It's important to adhere to recommended dosages and consult with a healthcare provider if you have concerns.

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