[30F] With acute right-sided pain and urinary symptoms
Patient Description
A 30-year-old female presents with sudden onset of sharp, burning, stabbing pain on the right side, rated 8-9/10 in severity. The pain began approximately 20 minutes ago and occurs in waves, accompanied by chills, sweating, and discomfort with movement. The patient reports increased urgency to urinate, but denies any blood in the urine. There is mild nausea attributed to the pain. The patient has a history of kidney stones, first diagnosed at age 11, and has not been drinking adequate fluids recently. No recent medications have been taken, and there are no known allergies.
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Arora's Assessment
What might be happening
Based on your symptoms, a possible explanation could be:
- Kidney Stones: Given your history and symptoms like sharp, burning pain, chills, and increased urgency to urinate, kidney stones are a likely cause. They can cause severe pain that comes in waves and may lead to nausea and sweating.
- Typical Treatment: Drinking plenty of fluids, pain management, and sometimes medical procedures to remove or break down the stones.
What you can do
- Stay Hydrated: Drink plenty of water to help pass the stone.
- Pain Relief: Over-the-counter pain relievers like ibuprofen may help, but consult a healthcare provider first.
- Rest: Try to rest and avoid strenuous activities.
- Track Symptoms: Use MDandMe to journal your symptoms and track any changes. This can be helpful for your healthcare provider.
What you should look out for
Seek medical attention if you experience:
- Severe pain that doesn't improve
- Blood in your urine
- Fever or chills that worsen
- Difficulty urinating
Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment.
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3 mo ago
