[41F] With left-sided back pain and headache

Patient Description

A 41-year-old female reports experiencing sharp, nagging pain under the left rib cage for approximately six months. The pain is exacerbated by prolonged sitting and lasts for hours. The patient also reports a new onset of headaches with an intensity of 7 out of 10. Additionally, the patient feels as if poisoned, with nausea and difficulty eating normal foods, which worsens the sensation. There is no history of recent head or neck injuries. No relief measures have been identified for the back pain.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

  1. Kidney Issues: The sharp, nagging pain under your left rib cage that worsens with prolonged sitting could be related to kidney issues, such as a kidney stone or infection. These conditions can cause localized pain and may also affect your ability to eat normally due to discomfort.

  2. Gastrointestinal Problems: The feeling of being "poisoned" and issues with eating could suggest a gastrointestinal issue, such as gastritis or an ulcer. These conditions can cause discomfort after eating and may be associated with other symptoms like nausea or changes in bowel habits.

  3. Musculoskeletal Pain: The pain under your ribs could also be related to musculoskeletal issues, such as a strain or inflammation of the muscles or ribs in that area. This type of pain can be exacerbated by certain positions or activities.

  4. Constipation: Your off-and-on constipation could be contributing to your discomfort and may be related to dietary factors, hydration levels, or other underlying conditions.

What you can do

For the back pain and potential kidney issues:

  • It's important to consult a healthcare professional to rule out any serious conditions like kidney stones or infections. They may recommend imaging tests or other evaluations.
  • In the meantime, try to stay hydrated and monitor any changes in your urine, such as color or frequency, which can provide additional clues.

For gastrointestinal discomfort:

  • Consider keeping a food diary to track which foods exacerbate your symptoms. This can help identify potential triggers.
  • Eating smaller, more frequent meals and avoiding spicy or acidic foods may help alleviate some discomfort.
  • Over-the-counter antacids might provide temporary relief, but it's important to discuss persistent symptoms with a healthcare provider.

For constipation:

  • Ensure you're drinking plenty of water and consuming a diet high in fiber, including fruits, vegetables, and whole grains.
  • Regular physical activity can also help improve bowel regularity.

General advice:

  • Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider. This can be a valuable tool in managing your health and identifying patterns.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening pain, especially if it becomes unbearable or is accompanied by fever or chills.
  • Blood in your urine or significant changes in urination patterns.
  • Persistent nausea or vomiting that prevents you from keeping food down.
  • Any new or concerning symptoms that arise.

Remember, while I can provide guidance based on your symptoms, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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1 mo ago

People Also Ask


What could be causing sharp pain under the left rib cage?

Sharp pain under the left rib cage could be caused by kidney issues such as stones or infections, gastrointestinal problems like gastritis or ulcers, or musculoskeletal pain from muscle strain or inflammation.


How can gastrointestinal issues lead to a feeling of being poisoned?

Gastrointestinal issues like gastritis or ulcers can cause discomfort after eating, leading to nausea and a sensation of being poisoned. These conditions can irritate the stomach lining, causing pain and digestive disturbances.


What are some common causes of headaches with a high intensity?

High-intensity headaches can be caused by various factors, including tension, migraines, dehydration, or stress. It's important to monitor other symptoms and consult a healthcare provider for a proper diagnosis.


How can constipation contribute to overall discomfort?

Constipation can lead to discomfort by causing bloating, abdominal pain, and a feeling of fullness. It can be influenced by diet, hydration, and physical activity levels, and addressing these factors can help alleviate symptoms.


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