[35F] Experiencing lower back pain, upset stomach, and new onset headache

Patient Description

A 35-year-old female presents with a 3-month history of lower back pain that has recently worsened and is now radiating up to below the shoulders, more severe on the right side. The pain is described as a dull ache and sharp, exacerbated by movement and sitting. A heating pad provides some relief. Additionally, the patient reports a new onset dull headache across the front of the head, rated at a 5 out of 10 in intensity, and an upset stomach for the past 3 days. The patient also feels extremely exhausted. Lab tests have revealed blood in the urine, although not visible to the patient, with an appointment scheduled with a urologist. The patient's medical history includes anxiety and depression diagnosed 3 years ago, currently managed with Sertraline, Busparone, and Vitamin D. No known allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Musculoskeletal Back Pain: This is a common condition that can cause lower back pain and can sometimes radiate to other parts of the body. The pain can be dull, sharp, or aching, and can be worsened by certain movements or positions.

    • Treatment typically involves physical therapy, pain management with over-the-counter or prescription medications, and lifestyle modifications such as maintaining a healthy weight and regular exercise.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the back or side, below the ribs, and can sometimes radiate to the lower abdomen and groin. Blood in the urine, nausea, and vomiting are also common symptoms.

    • Treatment can range from pain management and drinking lots of water to pass the stone, to medical procedures to remove or break up larger stones.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. Lower back pain and blood in the urine can be symptoms of a UTI.

    • Treatment typically involves antibiotics to clear the infection.

Please note that these are just possible diagnoses and you should consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Continue to use a heating pad for your back pain, as you've mentioned it provides some relief.
  2. Over-the-counter pain relievers may also help with your back pain and headache.
  3. Drink plenty of water, especially if the cause of your symptoms is kidney stones or a UTI.
  4. Rest as much as possible to help with your feelings of exhaustion.
  5. Keep your appointment with the urologist to investigate the blood in your urine.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe back pain that doesn't improve with rest.
  • Blood in your urine that you can see.
  • Fever, chills, or other signs of infection.
  • Nausea, vomiting, or severe abdominal pain.
  • Sudden increase in the frequency of urination, or pain or burning when urinating.

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, testing, and care.

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11 mo ago

People Also Ask


What are common causes of lower back pain that radiates upwards?

Common causes of lower back pain that radiates upwards include musculoskeletal issues such as muscle strain or herniated discs, kidney problems like stones or infections, and less commonly, conditions affecting the spine or nerves. It's important to consult a healthcare provider for an accurate diagnosis.


How can blood in the urine be related to back pain?

Blood in the urine, known as hematuria, can be related to back pain if there is an underlying issue with the kidneys or urinary tract, such as kidney stones or a urinary tract infection. These conditions can cause pain in the back or side and may require medical evaluation.


What are the symptoms and treatment options for kidney stones?

Symptoms of kidney stones include severe pain in the back or side, blood in the urine, nausea, and vomiting. Treatment options vary depending on the size and type of stone and may include pain management, increased fluid intake to help pass the stone, or medical procedures to remove or break up larger stones.


How can anxiety and depression affect physical symptoms like back pain and headaches?

Anxiety and depression can exacerbate physical symptoms like back pain and headaches due to increased muscle tension, changes in pain perception, and stress-related behaviors. Managing mental health with therapy, medication, and lifestyle changes can help alleviate these physical symptoms.


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