[37F] Experiencing left-sided lower back and abdominal pain with frequent urination

Patient Description

A 37-year-old female presents with a one-day history of dull aching pain localized to the left side of the lower back and abdomen. The pain is severe, rated 7/10, and is alleviated by laying down and being still. The patient reports frequent urination with a sensation of incomplete bladder emptying. There is no blood in the urine or changes in its characteristics, and no accompanying fever, chills, nausea, or vomiting. The last bowel movement was a few days prior, with diarrhea. The patient has a known history of herpes and is currently on Valtrex and Nuvaring, with a recent intake of Ibuprofen at a dosage of 500mg twice a day. No allergies to medications have been reported.

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Arora's Assessment

What might be happening

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

  • Urinary Tract Infection (UTI): This is a common condition that can cause lower abdominal pain, back pain, and frequent urination. UTIs are more common in women and can be caused by bacteria entering the urinary tract.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • 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, frequent urination, and sometimes even blood in the urine.

    • Treatment can range from pain management and drinking lots of water to flush out the stone, to medical procedures to remove or break up larger stones.
  • Interstitial Cystitis: This is a chronic condition causing bladder pressure, bladder pain and sometimes pelvic pain, ranging from mild discomfort to severe pain. It can cause a frequent urge to urinate and discomfort during urination.

    • Treatment can involve medications, physical therapy, and in some cases, surgery.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

While waiting for your appointment with a healthcare professional, you can do the following to help manage your symptoms:

  1. Drink plenty of water: This can help flush bacteria out of your urinary system, which may reduce symptoms if you have a UTI.
  2. Avoid caffeine, alcohol, and spicy foods: These can irritate your bladder and worsen your symptoms.
  3. Use a heating pad: Applying a heating pad to your lower abdomen can help reduce bladder pressure and relieve pain.

What you should look out for

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

  • Severe pain
  • Blood in your urine
  • Fever or chills
  • Nausea or vomiting

Remember, while I strive to provide accurate and helpful information, I'm 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 a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain in women.


How can kidney stones be treated at home?

For small kidney stones, treatment at home can include drinking plenty of water to help pass the stone, taking pain relievers like ibuprofen, and using a heating pad to alleviate pain. However, larger stones may require medical intervention.


What lifestyle changes can help manage interstitial cystitis?

Lifestyle changes that can help manage interstitial cystitis include avoiding foods and drinks that irritate the bladder, such as caffeine, alcohol, and spicy foods, practicing stress-reduction techniques, and following a bladder training program.


When should I seek immediate medical attention for lower back and abdominal pain?

You should seek immediate medical attention if you experience severe pain, blood in your urine, fever or chills, or nausea and vomiting, as these could indicate a more serious condition requiring prompt treatment.


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