[33F] Experiencing back pain, stomach pain, headaches, and nausea

Patient Description

A 33-year-old female presents with a one-week history of sharp lower back pain that worsens when sitting and standing up, particularly in the evenings. The pain is centralized in the middle of the lower back with an intensity of 5/10. She also reports new-onset headaches on the right side, lasting a couple of hours without identifiable triggers, and rates the headache pain as 5/10. Additionally, she experiences random bouts of nausea rated 5/10 in severity, and intermittent, centralized lower stomach pain, also rated 5/10. The patient has been diagnosed with adenomyosis three years ago. She reports fatigue and high blood pressure but no fever, chills, changes in bowel movements, or urination. She has allergies to amoxicillin, Vicodin, and oxycodone but is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, several conditions could be causing your symptoms:

  • Adenomyosis: This is a condition you've been previously diagnosed with, where the inner lining of the uterus (the endometrium) breaks through the muscle wall of the uterus (the myometrium). Symptoms can include lower abdominal pain, heavy periods, and bloating. It's possible that your current lower abdominal pain is related to this condition.

    • Treatment options for adenomyosis include pain medication, hormone therapy, and in severe cases, surgery (hysterectomy).
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the back and side, pain that radiates to the lower abdomen and groin, pain during urination, and nausea. However, you mentioned that you don't have any changes in urination, which is a common symptom of kidney stones.

    • Treatment for kidney stones varies depending on the size and type of the stone and whether it is causing symptoms. Small stones with minimal symptoms can be managed with pain medication and drinking lots of water to flush out the urinary system. Larger stones may require more invasive treatments.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include abdominal pain, nausea, and diarrhea. However, you mentioned that you don't have diarrhea, which is a common symptom of gastroenteritis.

    • Treatment for gastroenteritis usually involves rest, hydration, and over-the-counter medications to help with symptoms.
  • Gallstones: These are hardened deposits in the gallbladder that can cause abdominal pain and nausea. However, pain from gallstones is usually concentrated on the right side of the upper abdomen.

    • Treatment for gallstones may not be necessary unless they are causing symptoms. In cases where they are, options include surgery to remove the gallbladder or medications to dissolve the gallstones.

Please note that these are potential conditions that could explain your symptoms based on the information you've provided. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Rest and Hydrate: Make sure you're getting plenty of rest and staying hydrated. This can help your body recover and manage some of your symptoms.

  2. Pain Management: Over-the-counter pain relievers may help manage your back pain and headaches. However, be sure to follow the instructions on the bottle and do not exceed the recommended dose.

  3. Monitor Your Symptoms: Keep track of your symptoms and any potential triggers. This information can be helpful when you consult with a healthcare professional.

  4. Seek Medical Attention: Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. Your healthcare provider can conduct a thorough evaluation and provide a more accurate diagnosis and treatment plan.

What you should look out for

If any of the following occur, seek medical attention immediately:

  • Severe or worsening pain
  • Blood in your stool or urine
  • Vomiting or inability to keep down fluids
  • High fever (temperature over 100.4°F)
  • Sudden or severe headache
  • Any other symptoms that are severe or concerning to you

Remember, while I strive to provide accurate and helpful information, I'm an AI and not a doctor. Always consult with a healthcare professional for accurate information.

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11 mo ago

People Also Ask


What are the common symptoms of adenomyosis?

Common symptoms of adenomyosis include heavy menstrual bleeding, severe menstrual cramps, chronic pelvic pain, and bloating. Some women may also experience pain during intercourse.


How can lower back pain be managed at home?

Lower back pain can often be managed at home with rest, applying heat or cold packs, gentle stretching exercises, and over-the-counter pain relievers like ibuprofen or acetaminophen. It's important to maintain good posture and avoid activities that worsen the pain.


What are the potential causes of new-onset headaches?

New-onset headaches can be caused by a variety of factors including stress, dehydration, poor posture, eye strain, or more serious conditions like migraines or tension headaches. It's important to monitor the frequency and intensity of the headaches and consult a healthcare provider if they persist.


When should I seek medical attention for nausea?

You should seek medical attention for nausea if it is severe, persistent, or accompanied by other symptoms such as vomiting, dehydration, high fever, or if you are unable to keep down fluids. These could be signs of a more serious underlying condition.


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