[37F] Experiencing mid-back and right side pain with nausea

Patient Description

A 37-year-old female has been experiencing dull mid-back pain on the right side, rated 6/10 in severity, since Saturday. The pain is exacerbated by standing for long periods, bending, or lifting, and is alleviated by lying flat on her back. The pain radiates to the lower back but does not spread to the legs. Additionally, she reports waves of nausea throughout the day for the past week, rated 5/10 in severity, which occur regardless of food intake. She has not noticed any changes in urination or fever. The patient has no known allergies or adverse reactions to medications and is not currently on any medication except for Ubrelvy for migraines as needed. She recently took ibuprofen for a headache. There are no pre-existing conditions reported, and the patient has not experienced any recent injuries.

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Arora's Assessment

What might be happening

Based on the information you provided, here are some possible explanations for your symptoms:

  • Musculoskeletal Strain: This is a common cause of back pain and can occur as a result of everyday activities, such as lifting heavy objects or standing for long periods. The pain is often described as a dull ache and can radiate to other areas of the back. Rest and over-the-counter pain relievers are typically effective in managing this type of pain.

    • Treatment often involves rest, heat or cold therapy, over-the-counter pain relievers, and physical therapy exercises.
  • Kidney Stone: Given your recent UTI and the location of your pain, a kidney stone could be a possibility. 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 range from pain management and drinking lots of water to help pass the stone, to medical procedures to remove or break up larger stones.
  • Gastrointestinal Issue: Conditions such as gastritis, peptic ulcer disease, or gallstones can cause abdominal pain and nausea. The pain is often described as a dull, aching sensation that comes and goes.

    • Treatment depends on the specific condition and can range from dietary changes to medication to surgery in severe cases.

What you can do

You should seek medical attention to get a proper diagnosis. In the meantime, here are some things you can do:

  1. Rest and avoid heavy lifting or long periods of standing to see if this improves your back pain.
  2. Over-the-counter pain relievers can help manage your pain. Be sure to follow the package instructions.
  3. Stay hydrated, especially if you have a kidney stone. This can help the stone pass through your system.
  4. If your nausea continues, try eating smaller, more frequent meals instead of three large meals a day. Avoid foods that are high in fat, greasy, or spicy.

What you should look out for

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

  • Severe pain or pain that gets progressively worse
  • Fever or chills
  • Blood in your urine
  • Persistent nausea and vomiting
  • Unexplained weight loss

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 recommendations.

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11 mo ago

People Also Ask


What are common causes of dull mid-back pain that radiates to the lower back?

Common causes of dull mid-back pain that radiates to the lower back include musculoskeletal strain, kidney stones, and gastrointestinal issues such as gallstones or ulcers. Each condition has distinct characteristics, so it's important to consider other symptoms and consult a healthcare provider for an accurate diagnosis.


How can I differentiate between musculoskeletal pain and kidney stones?

Musculoskeletal pain is often related to physical activity and can be alleviated by rest and over-the-counter pain relievers. Kidney stones, on the other hand, typically cause severe pain that may radiate to the lower abdomen and groin, and can be accompanied by nausea, vomiting, or blood in the urine. A healthcare provider can perform tests to confirm the presence of kidney stones.


What are some effective home remedies for managing nausea?

Effective home remedies for managing nausea include eating smaller, more frequent meals, avoiding greasy or spicy foods, staying hydrated, and trying ginger or peppermint tea. If nausea persists, it's important to consult a healthcare provider.


When should I seek medical attention for back pain and nausea?

You should seek medical attention for back pain and nausea if you experience severe or worsening pain, fever or chills, blood in your urine, persistent nausea and vomiting, or unexplained weight loss. These could be signs of a more serious condition that requires prompt medical evaluation.


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