[31F] Experiencing severe back pain and abdominal discomfort

Patient Description

A 31-year-old female presents with severe back pain, described as a sensation of someone trying to rip out her spine, localized to the middle of the back. The pain, which has been present for a couple of hours, is rated 10/10 in severity and is exacerbated by standing up straight. Relief is obtained by laying flat with arms up. Additionally, the patient reports extreme fatigue, stomach pain in the lower abdomen, and mild nausea. The stomach pain, which has been ongoing for a few hours, is described as feeling like there's a rock in the stomach and is rated 7/10 in severity. The patient's last bowel movement was 30 minutes prior, with stool resembling bricks. There is no fever or chills, no known pre-existing conditions, allergies, or adverse reactions to medications, and the patient is not currently taking any medications.

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Arora's Assessment

What might be happening

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

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in your back or side, along with nausea and stomach pain. The pain can be constant or come in waves, and it can change in intensity and location as the stones move through your urinary tract.

    • Treatment for kidney stones usually involves pain relievers and drinking lots of water to help pass the stone. In some cases, medical procedures may be needed to remove or break up larger stones.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. It can cause stomach pain, nausea, and diarrhea.

    • Treatment for gastroenteritis usually involves rest, hydration, and over-the-counter remedies to manage symptoms. Antibiotics may be needed if the cause is bacterial.
  • Musculoskeletal Strain: Overuse or injury to your muscles, ligaments, and discs that support your spine can lead to back pain. If you've been doing heavy lifting or other physical work, this could be the cause.

    • Treatment for musculoskeletal strain usually involves rest, ice, and over-the-counter pain relievers. Physical therapy may also be helpful.

What you can do

  1. Drink plenty of water: This can help if you have kidney stones or gastroenteritis.
  2. Rest: If your symptoms are due to a strain or gastroenteritis, rest can help your body recover.
  3. Over-the-counter pain relievers: These can help manage your back pain and stomach pain. Be sure to follow the instructions on the package.
  4. Seek medical attention: Given the severity of your symptoms, it's important to see a healthcare provider for a proper diagnosis and treatment.

What you should look out for

  • If your pain becomes unbearable
  • If you see blood in your urine or stool
  • If you develop a high fever
  • If you start vomiting and can't keep fluids down

Please remember that 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 symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the back or side, pain that comes in waves, nausea, vomiting, and sometimes blood in the urine.


How can I differentiate between musculoskeletal strain and other causes of back pain?

Musculoskeletal strain often results from overuse or injury and is typically localized to the muscles or ligaments. It may improve with rest and over-the-counter pain relievers, whereas other causes like kidney stones may have additional symptoms like nausea or changes in urination.


What are the typical treatments for gastroenteritis?

Typical treatments for gastroenteritis include staying hydrated, resting, and using over-the-counter medications to manage symptoms. If the cause is bacterial, antibiotics may be prescribed.


When should I seek medical attention for severe back and stomach pain?

You should seek medical attention if your pain becomes unbearable, if you notice blood in your urine or stool, if you develop a high fever, or if you start vomiting and cannot keep fluids down.


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