[37F] With acute back and abdominal pain

Patient Description

A 37-year-old female reports experiencing intense back pain that began as dull and became severe over the past hour. The pain worsens with walking and came on gradually without any recent injuries. She also reports abdominal pain described as cramping, with a severity of 5 out of 10, present all day. Additional symptoms include bloating, increased urination without pain, and fever. There are no changes in stool, nausea, vomiting, heartburn, or fatigue. The patient has a family history of kidney or urinary issues and was diagnosed with bipolar disorder and heart disease in 2012. She is currently taking 12 mg of Suboxone once a day and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Urinary Tract Infection (UTI): Increased urination and fever can indicate a UTI, even without pain during urination. UTIs can cause abdominal discomfort and back pain if the infection spreads to the kidneys.

    • Treatment: Typically involves antibiotics prescribed by a doctor. Drinking plenty of water can help flush out the bacteria.

  • Kidney Stones: These can cause intense back pain, abdominal discomfort, and increased urination. Fever can occur if there's an associated infection.

    • Treatment: Pain management and hydration are key. In some cases, medical procedures may be needed to remove the stones.

  • Gastrointestinal Issues: Bloating and cramping could be related to digestive issues, which might also cause back pain.

    • Treatment: Dietary changes and over-the-counter medications may help, but a doctor can provide a more specific diagnosis.

What you can do

  • Stay Hydrated: Drink plenty of water to help with urinary symptoms and overall health.
  • Monitor Symptoms: Keep track of any changes or worsening of symptoms. Using MDandMe to journal your symptoms can be helpful.
  • Rest: Try to rest and avoid activities that worsen your pain.
  • Consult a Doctor: It's important to see a healthcare provider for a proper diagnosis and treatment plan.

What you should look out for

  • Seek Immediate Care If:
    • You experience severe pain that doesn't improve.
    • You notice blood in your urine.
    • Your fever persists or worsens.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment.

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3 mo ago

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People Also Ask

What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include increased frequency of urination, urgency to urinate, pain or burning sensation during urination, cloudy or strong-smelling urine, and sometimes fever. In some cases, there may be back pain if the infection has spread to the kidneys.

How can kidney stones cause back pain and what are the treatment options?

Kidney stones can cause intense back pain due to the stone moving through the urinary tract, which can also lead to abdominal discomfort and increased urination. Treatment options include pain management, hydration to help pass the stone, and in some cases, medical procedures to remove larger stones.

Can gastrointestinal issues cause both abdominal and back pain?

Yes, gastrointestinal issues such as bloating and cramping can cause both abdominal and back pain. This can be due to the proximity of the digestive organs to the back muscles and nerves. Dietary changes and over-the-counter medications may help alleviate these symptoms.

What should I do if I experience severe pain or notice blood in my urine?

If you experience severe pain that doesn't improve or notice blood in your urine, it's important to seek immediate medical care. These could be signs of a serious condition that requires prompt treatment, such as a kidney infection or a complication from kidney stones.

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