[34F] Experiencing sharp abdominal and back pain with gastrointestinal symptoms

Patient Description

A 34-year-old female presents with a sharp pain in the middle of the stomach, which worsens towards the lower abdomen and shifts to the lower left side of the back. The pain, rated an 8-9 out of 10, becomes intense during bowel movements. The patient has been experiencing small, ball-shaped stools for a few days and reports dark urine despite increased water intake. There is no fever, chills, or blood in urine or stool. The patient feels weak and has some nausea but no difficulty passing urine. She has a history of endometriosis and ovarian cysts diagnosed at age 22, and a family history of Crohn's disease and colitis. The patient is allergic to amoxicillin and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They often cause severe pain in your back or side, blood in your urine, and other symptoms. The pain can be located in the lower abdomen and can radiate to the back. The fact that your urine was dark could be a sign of dehydration, which can contribute to the formation of kidney stones.

    • Treatment for kidney stones varies depending on the size of the stone and whether it is causing symptoms. Small stones with minimal symptoms can be treated with pain medication and drinking lots of water to help pass the stone. Larger stones may require more extensive treatment.
  • Diverticulitis: This is a condition where small, bulging pouches (diverticula) that can form in the lining of your digestive system become inflamed or infected. This can cause severe abdominal pain, fever, nausea, and a change in your bowel habits.

    • Treatment for diverticulitis typically involves antibiotics to treat the infection, a temporary liquid diet to let your colon rest, and over-the-counter pain relievers.
  • Endometriosis: This is a disorder in which tissue similar to the tissue that forms the lining of your uterus grows outside of your uterine cavity. The pain you're experiencing could be related to your known diagnosis of endometriosis.

    • Treatment for endometriosis usually involves medication or surgery.

What you can do

Given the severity of your pain, it would be best to seek immediate medical attention. In the meantime, try to stay as comfortable as possible and stay hydrated.

What you should look out for

Reasons to seek immediate medical attention:

  • If your pain becomes unbearable
  • If you develop a fever
  • If you notice blood in your urine or stool
  • If you start vomiting

Please remember that 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, testing, and care recommendations.

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10 mo ago

People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the back or side, pain that radiates to the lower abdomen and groin, pain during urination, pink, red, or brown urine, nausea, and frequent urination.


How is diverticulitis diagnosed and treated?

Diverticulitis is typically diagnosed through a physical examination, blood tests, and imaging tests like a CT scan. Treatment often involves antibiotics, a temporary liquid diet, and pain relievers. In severe cases, surgery may be necessary.


Can endometriosis cause severe abdominal and back pain?

Yes, endometriosis can cause severe abdominal and back pain, especially during menstruation. The pain is due to the growth of endometrial-like tissue outside the uterus, which can cause inflammation and scarring.


What lifestyle changes can help prevent kidney stones?

To help prevent kidney stones, it is recommended to drink plenty of water, reduce salt and animal protein intake, and eat a diet rich in fruits and vegetables. Maintaining a healthy weight and avoiding excessive intake of oxalate-rich foods can also be beneficial.


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