[31F] Experiencing multiple symptoms including nausea and back pain
Patient Description
A 31-year-old female reports experiencing a range of symptoms including tingling, anxiety, frequent urination, nausea with vomiting, hot flashes with sweating, cramping in the lower back, extreme fatigue, brain fogginess, teeth sensitivity, and brown mucus discharge. The patient notes that the left side lower back pain is achy and tingly, and is accompanied by a tingling sensation in the feet. The pain worsens when lying down. Additionally, the patient experiences frequent urination and brown discharge on panties and light brown cervical mucus when wiping after urination. The patient reports that her period was three days late last month. She denies any blood in the urine, fever, chills, or burning sensation when urinating. No recent changes in medications or supplements have been made. The patient has a history of endometriosis. Pregnancy is considered a possibility due to the symptoms and changes in the menstrual cycle. A home pregnancy test is recommended for confirmation.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possibilities:
-
Kidney Stones or Urinary Tract Infection (UTI):
- Symptoms: Left side lower back pain, tingling, frequent urination, nausea.
- Explanation: These conditions can cause pain in the back or side, frequent urges to urinate, and nausea.
- Testing/Treatment: A healthcare provider may recommend urine tests, imaging, and possibly antibiotics for a UTI.
-
Hormonal Changes or Endometriosis Flare-Up:
- Symptoms: Brown discharge, cramping, hot flashes, fatigue.
- Explanation: Hormonal changes or endometriosis can cause these symptoms.
- Testing/Treatment: Monitoring symptoms, hormonal therapy, or consulting with a specialist.
-
Possible Pregnancy:
- Symptoms: Nausea, fatigue, frequent urination, brown discharge.
- Explanation: These could be early signs of pregnancy.
- Testing/Treatment: Consider taking a home pregnancy test and consulting a healthcare provider for confirmation.
What you can do
-
For Back Pain and Tingling:
- Rest and avoid activities that worsen the pain.
- Apply a warm compress to the affected area.
- Consider over-the-counter pain relief if needed.
-
For Nausea and Frequent Urination:
- Stay hydrated and eat small, bland meals.
- Avoid caffeine and alcohol.
- Keep track of your symptoms using MDandMe to share with your provider.
-
For Brown Discharge and Cramping:
- Monitor the discharge and note any changes.
- Use a panty liner for comfort.
- If you suspect pregnancy, take a home test.
What you should look out for
Seek medical attention if you experience:
- Severe or worsening pain.
- Fever or chills.
- Blood in urine or significant changes in discharge.
- Dizziness or fainting.
Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to reach out.
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1 mo ago
