[39F] With severe abdominal and lower back pain, dark urine, and other symptoms

What might be happening

Based on the symptoms you've described, there are several serious conditions that could be causing your severe abdominal and lower back pain, dark brown urine, weakness, nausea, headache, lack of appetite, and swelling in your legs and feet. Here are some possibilities:

1. Kidney Infection (Pyelonephritis): This is a serious infection that can cause severe back and abdominal pain, dark urine, fever, chills, and nausea. It requires immediate medical attention and is typically treated with antibiotics.

2. Kidney Stones: These can cause severe cramping and sharp pain in the lower back and abdomen, along with dark urine and nausea. Treatment may involve pain management, increased fluid intake, or medical procedures to remove the stones.

3. Acute Kidney Injury: This can result from various causes, including severe infections, dehydration, or medications. Symptoms include dark urine, swelling, fatigue, and nausea. Immediate medical evaluation is necessary to determine the cause and appropriate treatment.

4. Urinary Tract Infection (UTI): A severe UTI can cause lower abdominal pain, back pain, dark urine, and fever. UTIs are treated with antibiotics, and it's important to seek medical care promptly.

5. Gastrointestinal Issues: Conditions like diverticulitis, appendicitis, or bowel obstruction can cause severe abdominal pain, changes in bowel habits, and nausea. These conditions often require urgent medical evaluation and treatment.

6. Gynecological Issues: Given your history of endometriosis and partial hysterectomy, complications related to these conditions could also be contributing to your symptoms.

What you can do

Given the severity and combination of your symptoms, it is crucial to seek immediate medical attention. Here are the steps you should take:

1. Go to the Emergency Room: Your symptoms suggest that you may be experiencing a serious medical condition that requires prompt evaluation and treatment. If possible, have someone drive you to the nearest emergency room.

2. 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.

3. Stay Hydrated: While waiting for medical help, try to stay hydrated by drinking small sips of water, but avoid large amounts if it worsens your nausea.

4. Rest: Lie down and try to stay as comfortable as possible while you wait for medical care.

5. Avoid Eating: Given your lack of appetite and nausea, it's best to avoid eating until you have been evaluated by a healthcare professional.

Remember, I am not a doctor, and this information is not a substitute for professional medical advice. Please seek care from real health professionals to receive a formal diagnosis and appropriate treatment.