[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 hard deposits made of minerals and salts that form inside your kidneys.

• 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. UTIs are infections in any part of the urinary system, including the kidneys, bladder, or urethra.

• Musculoskeletal Issues: The pain you experience when moving quickly or sitting up could be related to muscle strain or other musculoskeletal issues. This type of pain is often sharp and can be triggered by certain movements.

It's important to consult a healthcare professional for a formal diagnosis. They may recommend tests such as a urine analysis, imaging studies, or blood tests to determine the exact cause of your symptoms.

What you can do

While waiting to see a healthcare provider, here are some steps you can take:

1. Stay Hydrated: Drink plenty of water to help flush out your urinary system. This can be particularly helpful if kidney stones or a UTI are suspected.

2. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen may help alleviate some of the pain. However, consult with a healthcare provider before taking any new medication, especially if you are already taking fentanyl.

3. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, urine color, or frequency. You can use the MDandMe app to journal your symptoms, track progress, and share insights with your healthcare provider.

4. Avoid Triggers: Try to identify and avoid movements or activities that exacerbate your pain.

What you should look out for

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

• Fever or chills, which could indicate an infection
• Blood in your urine
• Severe or worsening pain
• Inability to urinate or significant changes in urination patterns

Remember, it's important to consult with a healthcare professional to receive a proper diagnosis and treatment plan.