[33F] Experiencing severe back pain, headaches, and frequent burping

Patient Description

A 33-year-old female presents with a constellation of symptoms that started this morning, including severe lower back pain that is aching and sharp, particularly on the right side, with a severity rating of 8 out of 10. The back pain is exacerbated by walking, standing, and lying down. The patient also reports a throbbing headache with a severity rating of 6 out of 10, which is worse with movement and has been experienced before. Additionally, she is experiencing frequent burping every few minutes, sometimes with a taste reminiscent of rotten eggs, but has not identified any specific foods that exacerbate this symptom. The patient also reports a general feeling of being unwell. No recent injuries or accidents have been reported, and the back pain radiates to the legs or feet.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause symptoms like stomach pain, headache, and general malaise. The rotten egg burps could be due to the production of sulfur-containing gases in the stomach.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the right side of the abdomen and back. The pain is often severe and may radiate to the shoulder or back.

    • Treatment can range from dietary changes to medications to dissolve the stones, or surgery in more severe cases.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts in the back or side below the ribs, and may radiate to the lower abdomen and groin.

    • Treatment can include pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed if the stones are too large.
  • Musculoskeletal strain or injury: This could be due to lifting heavy objects, poor posture, or other physical activities. This would explain the back pain and general body aches.

    • Treatment usually involves rest, physical therapy, and over-the-counter pain relievers.

What you can do

  1. Rest and stay hydrated. This can help your body fight off any potential infections and recover from any strain or injury.
  2. Try over-the-counter pain relievers for your back pain and headache, but be sure to follow the package instructions.
  3. Avoid foods that you notice make your burping worse. This could help reduce the frequency of your burps.
  4. If your symptoms persist or worsen, seek medical attention. Your doctor 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 any of the following:

  • Severe abdominal pain
  • Blood in your urine or stool
  • Fever or chills
  • Persistent vomiting or diarrhea
  • Severe or worsening headache

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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1 yr ago

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People Also Ask


What could cause severe lower back pain that radiates to the legs or feet?

Severe lower back pain that radiates to the legs or feet could be caused by conditions such as kidney stones, musculoskeletal strain, or nerve compression like sciatica. It's important to consult a healthcare provider for an accurate diagnosis.


Why might someone experience burping with a taste of rotten eggs?

Burping with a taste of rotten eggs is often due to the production of sulfur-containing gases in the stomach, which can occur with conditions like gastroenteritis or indigestion. Identifying and avoiding trigger foods may help reduce this symptom.


What are the common symptoms of gallstones?

Common symptoms of gallstones include severe pain in the right side of the abdomen or back, pain that may radiate to the shoulder, nausea, vomiting, and sometimes jaundice. Diagnosis and treatment should be guided by a healthcare provider.


How can you differentiate between a headache caused by stress and one caused by other medical conditions?

A headache caused by stress is often a tension-type headache, characterized by a dull, aching sensation and tightness around the forehead or back of the head. Other medical conditions, like migraines or sinus infections, may cause more severe, throbbing pain, and additional symptoms such as nausea or visual disturbances. A healthcare provider can help determine the cause based on symptoms and medical history.


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