[32M] Experiencing lower back pain and excessive nocturnal thirst

Patient Description

A 32-year-old male reports suffering from dull, achy lower back pain that has persisted for a week, with an intensity of 8 out of 10. The pain is exacerbated by lying down and sitting, and occasionally, Advil provides relief. The patient also experiences excessive thirst at night, waking up three times due to this symptom. There have been no recent injuries or weight changes. The patient has a history of Irritable Bowel Syndrome (IBS) diagnosed at age 17. Currently, the patient is not on any medications other than Advil for the back pain and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible causes for your symptoms:

  • Dehydration: Excessive thirst, especially at night, can be a sign of dehydration. This can also cause back pain due to muscle cramping.

    • Treatment: Increase your fluid intake, especially water, and avoid dehydrating substances like caffeine and alcohol.
  • Diabetes: Excessive thirst and urination can be symptoms of diabetes. While you didn't mention frequent urination, the bubbly urine could be due to high sugar levels.

    • Treatment: If you have diabetes, it can be managed with lifestyle changes, medication, and regular monitoring of blood sugar levels.
  • Kidney disease: Back pain and changes in urination can be signs of kidney disease. The bubbly urine could be due to protein in the urine, which is a common symptom of kidney disease.

    • Treatment: Depending on the stage of kidney disease, treatments can range from lifestyle changes to dialysis or kidney transplant.
  • Spinal conditions: Conditions like herniated discs, spinal stenosis, or degenerative disc disease can cause lower back pain. These conditions can be aggravated by certain positions or movements.

    • Treatment: Treatment can range from physical therapy and pain relievers to surgery in severe cases.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis.

What you can do

  1. Increase your fluid intake, especially water, and monitor if this helps with your thirst and back pain.
  2. Monitor your symptoms and note any changes or patterns. This information can be helpful for your doctor.
  3. Try gentle exercises or stretches for lower back pain. However, stop if these cause more pain.
  4. Schedule an appointment with your doctor to discuss your symptoms. They may want to run some tests to determine the cause of your symptoms.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe back pain that doesn't improve with rest
  • Back pain that radiates down one or both legs
  • Weakness, numbness, or tingling in one or both legs
  • Unexplained weight loss
  • Frequent urination or increased thirst that doesn't improve with increased fluid intake

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can provide a formal diagnosis and treatment plan based on a comprehensive evaluation of your condition.

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1 yr ago

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People Also Ask


What could be causing my excessive thirst at night?

Excessive thirst at night could be due to dehydration, diabetes, or kidney issues. It's important to increase your fluid intake and consult a doctor for further evaluation.


How can I manage my lower back pain effectively?

Managing lower back pain can involve using over-the-counter pain relievers like Advil, engaging in gentle exercises or stretches, and avoiding positions that exacerbate the pain. Consulting a healthcare provider for a tailored treatment plan is also advisable.


Could my symptoms be related to a condition like diabetes or kidney disease?

Yes, excessive thirst and back pain could be related to diabetes or kidney disease. Diabetes can cause high blood sugar levels leading to increased thirst, while kidney disease can cause back pain and changes in urination. A medical evaluation is necessary to determine the cause.


What are some potential spinal conditions that could cause lower back pain?

Potential spinal conditions that could cause lower back pain include herniated discs, spinal stenosis, and degenerative disc disease. These conditions can be aggravated by certain movements or positions and may require medical assessment and treatment.


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