[39F] Experiencing severe back pain, gastrointestinal symptoms, and fever

Patient Description

A 39-year-old female presents with a constellation of symptoms including severe back pain described as a dull sensation, as if bones are breaking, which radiates to the mid back and abdomen, more pronounced on the left side. The pain is persistent and not influenced by the time of day but is exacerbated by pressure. Accompanying gastrointestinal symptoms include bloating, particularly in the lower abdomen, with episodes of loose stools and difficulty with bowel movements over the past 3 days. The patient also reports a low-grade fever of 99.2°F, chills, and a new onset of a sore throat on one side that began a few hours ago. Additionally, she has experienced a rapid heart rate intermittently over the past 2 days without a discernible pattern. The patient has a history of kidney disease of unknown etiology, with no current medications or known drug allergies. Recent Covid-19 testing was negative, and there has been no recent travel. The patient also noted a small amount of blood in a rectal test but did not specify the context of this finding.

Arora's Assessment

What might be happening

Based on the symptoms you've described, several conditions could be causing your discomfort:

Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is often referred to as stomach flu. Symptoms can include diarrhea, abdominal pain, vomiting, headache, fever and chills.
Kidney Stones: Given your history of kidney disease, kidney stones could be a possibility. They can cause severe pain in the back or side, along with other symptoms like nausea, vomiting, fever, and blood in urine.
Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, diarrhea or constipation, or both.
Gastritis: This is an inflammation of the stomach lining. It can cause upper abdominal pain, nausea, bloating, and possibly fever.
Urinary Tract Infection (UTI): Although you didn't mention any urinary symptoms, a UTI can sometimes present with lower abdominal pain, back pain, and fever.

What you can do

Given the range of your symptoms and their severity, it's important to seek medical attention as soon as possible. In the meantime, try to stay hydrated, especially if you're experiencing diarrhea. Over-the-counter pain relievers may help with your back pain, but they should be used sparingly and only if necessary.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek immediate medical attention:

Severe abdominal pain
Blood in your stool or urine
Persistent vomiting or diarrhea
High fever (over 102°F)
Symptoms of dehydration, such as dry mouth, feeling extremely thirsty, or producing very little urine

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can evaluate your symptoms and condition properly.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines