[39M] Experiencing right-side abdominal and lower back pain with foul-smelling urine

What might be happening

Based on the information you've provided, possible diagnoses include:

• Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are more common in women, but men can get them too. Symptoms can include pain in the lower abdomen, foul-smelling urine, and frequent urination.

  • Treatment typically involves antibiotics, which you are currently taking (Keflex).

• Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Kidney stones have many causes and can affect any part of your urinary tract. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, and foul-smelling urine.

  • Treatment can include pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed to remove or break up larger stones.

• Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is highly infectious and can be passed through close contact with an infected person or by eating or drinking contaminated food or water. Symptoms can include diarrhea, abdominal cramps, nausea, and vomiting.

  • Treatment usually involves rest, hydration, and antibiotics if it's caused by bacteria.

• Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

  • Treatment includes diet changes, medications, and other therapies.

Please note that these are only possible diagnoses based on the information you've provided. You should consult a healthcare professional for an accurate diagnosis.

What you can do

1. Continue taking your prescribed medication (Keflex).
2. Drink plenty of water to help flush out your urinary system and to stay hydrated, especially since you're experiencing diarrhea.
3. Rest as much as possible.
4. Try to identify any triggers for your abdominal pain or diarrhea, such as certain foods or stress.

What you should look out for

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

• Severe abdominal or back pain
• Blood in your urine or stool
• Persistent or worsening symptoms
• Fever or chills
• Nausea or vomiting
• Difficulty urinating or emptying your bladder completely

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.