[35F] Experiencing severe lower back pain, nausea, and dark urine

Patient Description

A 35-year-old female presents with severe lower back pain described as a constant vice-like sensation, which is worse when standing or sitting and improves when lying down. This pain has been present for approximately 3 days. Additionally, she reports experiencing nausea and dark urine with a potent smell, which has been noted for a couple of weeks. The patient has a medical history of polycystic ovarian syndrome and asthma, diagnosed at age 14. She has allergies to Bactrim and penicillin but is not currently on any medications. There are no recent injuries, fever, chills, blood in urine, changes in urination frequency, loss of sensation, or leg weakness reported.

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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 the back or side, and may be associated with dark, strong-smelling urine.

    • Treatment can include pain relievers, drinking lots of water, and in some cases, medical procedures.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs can cause pain and discomfort, and can also cause dark, strong-smelling urine.

    • Treatment typically involves antibiotics to clear the infection.
  • Musculoskeletal Strain: This is when muscles or ligaments in your back are stretched or torn, often due to heavy lifting or a sudden awkward movement. This can cause severe back pain.

    • Treatment typically involves rest, ice, and over-the-counter pain relievers.

What you can do

You should seek immediate medical attention due to the severity of your symptoms. In the meantime, you can:

  1. Drink plenty of water to help flush out your urinary system.
  2. Apply a warm compress to your lower back to help alleviate pain.
  3. Avoid lifting heavy objects and try to rest as much as possible.

What you should look out for

Please seek immediate medical attention if:

  • Your pain becomes unbearable.
  • You develop a fever.
  • You notice blood in your urine.
  • You start vomiting or become excessively nauseous.

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 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, cloudy or foul-smelling urine, nausea, and vomiting.


How can a urinary tract infection affect urine appearance and smell?

A urinary tract infection can cause urine to appear dark and have a strong, unpleasant smell. This is due to the presence of bacteria and white blood cells in the urine, which can also cause it to appear cloudy.


What are some effective home remedies for managing musculoskeletal back pain?

Effective home remedies for managing musculoskeletal back pain include resting, applying ice or heat to the affected area, taking over-the-counter pain relievers like ibuprofen or acetaminophen, and performing gentle stretching exercises to improve flexibility and reduce tension.


When should someone with severe back pain seek immediate medical attention?

Someone with severe back pain should seek immediate medical attention if the pain is unbearable, if they develop a fever, if there is blood in their urine, or if they experience vomiting or excessive nausea.


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