[38F] With sharp lower back pain, orange urine, and swollen testicle
Patient Description
A 38-year-old female presents with sharp lower back pain that has been ongoing for the past four days. The pain worsens with movement and has not improved with any specific measures. Additionally, the patient reports orange-colored urine and a swollen, tender left testicle. There is no associated fever, pain or burning sensation while urinating, nausea, vomiting, or changes in the frequency or urgency of urination. The patient denies recent use of substances such as alcohol, tobacco, or recreational drugs, and has not made any recent changes to diet or started any new medications or supplements. There has been no recent travel or exposure to new environments. The patient has no pre-existing conditions or chronic illnesses and is not currently taking any medications.
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Arora's Assessment
What might be happening
Based on the symptoms you've described—sharp lower back pain, orange urine, and a swollen, tender testicle—there are a few serious conditions that could be causing your symptoms:
- Kidney Infection (Pyelonephritis): This is a serious type of urinary tract infection that can cause lower back pain and changes in urine color. It requires prompt medical treatment with antibiotics.
- Kidney Stones: These can cause severe, sharp pain in the lower back and may also lead to changes in urine color. They can sometimes cause an infection, which might explain the orange urine.
- Testicular Torsion: This is a medical emergency where the testicle twists, cutting off its blood supply. It can cause severe pain and swelling in the testicle and requires immediate surgical intervention.
- Epididymitis: This is an inflammation of the epididymis, often caused by infection, which can cause testicular pain and swelling. It can also be associated with urinary symptoms.
What you can do
Given the seriousness of your symptoms, it is crucial to seek immediate medical attention. Here are the steps you should take:
- Go to the Emergency Room: Due to the potential for serious conditions like kidney infection, kidney stones, or testicular torsion, you should go to the emergency room immediately. These conditions require prompt diagnosis and treatment.
- Call 911: If you are unable to get to the hospital on your own, or if your symptoms worsen, call 911 for emergency medical assistance.
- Avoid Eating or Drinking: Until you are evaluated by a healthcare professional, avoid eating or drinking, as you may need tests or procedures that require an empty stomach.
- Stay Hydrated: If you are not advised against it, try to stay hydrated by drinking water, but avoid any other beverages until you have been seen by a doctor.
Please remember that while I can provide information based on your symptoms, I am not a doctor. It is essential to seek care from a real health professional to receive a formal diagnosis and appropriate treatment.
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4 mo ago