[30F] Experiencing sharp back pain and loss of appetite

Patient Description

A 30-year-old female has been experiencing sharp back pain for three days, which has worsened and spread to different areas, including the sides of the spinal cord. The pain initially started as an ache in the lower back and felt like pressure when carrying heavy loads, reminiscent of postpartum changes. The patient has also felt discomfort in the tailbone when sitting, although this pain has subsided after two days. Additionally, the patient reported weakness in the lower extremities, particularly behind the thighs and calves, and slight changes in bladder control. A fever was noted, as well as a loss of appetite persisting for about eight months, leading to unexpected weight loss. The patient has been managing migraines with aspirin and has no known allergies or adverse reactions to medications. There are no pre-existing conditions reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, potential explanations for your symptoms include:

  • Musculoskeletal Strain: This is a common cause of back pain and can occur as a result of heavy lifting, poor posture, or other physical stressors. The pain can be sharp or dull, and it can be localized or spread across your back. It can also cause discomfort in the tailbone area.

    • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.
  • Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down the back of each leg, is irritated or compressed. It can cause sharp pain, numbness, or weakness in the lower back, buttock, and leg.

    • Treatment typically involves physical therapy and pain relievers. In severe cases, surgery may be necessary.
  • Kidney Infection: This can cause back pain, fever, and changes in urination. However, it would typically also cause other symptoms like frequent urination, pain during urination, and possibly blood in the urine.

    • Treatment involves antibiotics.
  • Loss of appetite and unexpected weight loss: These symptoms can be caused by a variety of conditions, including stress, depression, or more serious conditions like certain cancers or metabolic disorders.

    • Treatment depends on the underlying cause.

What you can do

  1. Rest and avoid heavy lifting or strenuous activities that could worsen your back pain.
  2. Over-the-counter pain relievers, like ibuprofen, may help alleviate your back pain.
  3. Applying a warm compress to your back may also help relieve pain.
  4. Stay hydrated and try to eat nutritious meals, even if you're not feeling hungry. If you're having trouble eating, try eating smaller, more frequent meals throughout the day.
  5. Consult a healthcare provider for a formal assessment. They may order imaging tests, like an X-ray or MRI, to better understand what's causing your back pain.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe back pain that doesn't improve with rest.
  • Back pain that spreads down one or both legs, especially if the pain extends below the knee.
  • Weakness, numbness, or tingling in one or both legs.
  • Unexplained weight loss.
  • Fever, chills, or other signs of infection.

Please remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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11 mo ago

People Also Ask


What are the common causes of sharp back pain that spreads to different areas?

Common causes of sharp back pain that spreads can include musculoskeletal strain, sciatica, or even kidney infections. Musculoskeletal strain often results from physical stressors like heavy lifting, while sciatica involves irritation of the sciatic nerve. Kidney infections can also cause back pain, typically accompanied by other symptoms.


How can sciatica be distinguished from other types of back pain?

Sciatica is characterized by pain that radiates from the lower back down the leg, often accompanied by numbness or weakness. It is typically caused by compression or irritation of the sciatic nerve, distinguishing it from other types of back pain that may not involve nerve-related symptoms.


What symptoms might indicate a kidney infection rather than a musculoskeletal issue?

Symptoms that might indicate a kidney infection include fever, chills, frequent urination, pain during urination, and possibly blood in the urine. These symptoms, along with back pain, suggest an infection rather than a musculoskeletal issue.


What could be the reasons for a persistent loss of appetite and unexpected weight loss?

Persistent loss of appetite and unexpected weight loss can be caused by stress, depression, or more serious conditions such as certain cancers or metabolic disorders. It's important to consult a healthcare provider to determine the underlying cause.


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