[31F] With severe back pain and urinary changes

What might be happening

Based on the symptoms you've described, here are some possible explanations:

• Kidney Stones: The severe pain under your rib cage and in your back, especially when moving or coughing, could be related to kidney stones. These can cause sharp, stabbing pain and may also lead to discolored or smelly urine. Kidney stones are small, hard deposits that form in the kidneys and can cause significant discomfort as they pass through the urinary tract.

  • Typical treatment involves pain management, increased fluid intake to help pass the stones, and sometimes medical procedures if the stones are too large to pass on their own.

• Urinary Tract Infection (UTI): Discolored and smelly urine can be a sign of a UTI, which can sometimes cause back pain if the infection spreads to the kidneys (pyelonephritis). UTIs are infections in any part of the urinary system, including the kidneys, bladder, or urethra.

  • Treatment usually involves antibiotics to clear the infection and drinking plenty of fluids to help flush out bacteria.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment, here are some steps you can take in the meantime:

1. Stay Hydrated: Drink plenty of water to help flush out your urinary system. This can be particularly helpful if you have a UTI or kidney stones.
2. Pain Management: Over-the-counter pain relievers like ibuprofen may help alleviate some of the pain, but be sure to follow the recommended dosage and consult a healthcare provider if you're unsure.
3. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, urine color, or frequency. You can use MDandMe to journal your symptoms, track progress, and share this information with your healthcare provider.
4. Avoid Triggers: If certain movements exacerbate your pain, try to avoid them as much as possible until you can see a healthcare professional.

What you should look out for

Seek medical attention promptly if you experience any of the following:

• Fever or Chills: These could indicate an infection that requires immediate treatment.
• Severe or Worsening Pain: If your pain becomes unbearable or significantly worsens, it's important to seek medical care.
• Blood in Urine: This can be a sign of a more serious condition and should be evaluated by a healthcare professional.

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare provider for a proper diagnosis and treatment plan.