[42F] Experiencing fever, chills, and severe abdominal and lower back pain

Patient Description

A 42-year-old female has been experiencing a sudden onset of fever, chills, hot and cold sweats, severe abdominal and lower back pain, body aches, and dizziness since last Thursday. The abdominal and lower back pain is described as achy and dull, worsens with movement, and does not improve significantly with over-the-counter pain medication. The pain is localized in the middle of the lower lumbar region and the abdomen is sore to touch. Additionally, the patient reports nausea and flank tenderness. There is no change in bowel habits, urine, or recent injuries. The patient has no known allergies to medications except for Demerol and Sulfa, and is not currently on any medications, vitamins, or supplements. There is no personal or family history of urinary tract infections, kidney issues, or kidney stones, and no past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): A UTI can cause lower back or abdominal pain, fever, chills, and a general feeling of being unwell. However, you didn't mention any changes in urination, which is a common symptom of a UTI.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • Kidney Stones: These can cause severe pain in the back or side, below the ribs, and spread to the lower abdomen and groin. Pain can come in waves and fluctuate in intensity, accompanied by fever, chills, and nausea.

    • Treatment can range from pain management and drinking plenty of water to pass the stone, to medical procedures to remove or break up larger stones.
  • Pyelonephritis (kidney infection): This is often a complication of a UTI and can cause pain in the lower back, fever, chills, nausea, and tenderness in the flank area.

    • Treatment typically involves antibiotics and in severe cases, hospitalization.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus or bacteria. It can cause abdominal pain, nausea, and general body aches.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. In severe cases, medical attention is required.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis.

What you can do

  1. Rest and stay hydrated. Dehydration can worsen many symptoms, so make sure you're drinking plenty of fluids.
  2. Over-the-counter pain relievers may help with the body aches and the abdominal and back pain. However, they should not be used for more than a few days without consulting a doctor.
  3. Keep track of your symptoms. If they worsen or do not improve in a few days, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe pain
  • High fever (>101.5°F)
  • Blood in your urine
  • Persistent vomiting
  • Symptoms that last more than a few days or worsen over time

Please remember that while I strive to provide accurate information, I am not a doctor. It's important to consult with a healthcare professional who can evaluate your condition and provide a formal diagnosis.

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10 mo ago

People Also Ask


What are the common symptoms of a kidney infection?

Common symptoms of a kidney infection include fever, chills, back or side pain, nausea, vomiting, and tenderness in the flank area. It often follows a urinary tract infection.


How can I differentiate between kidney stones and a urinary tract infection?

Kidney stones typically cause severe, sharp pain in the back or side, below the ribs, and may spread to the lower abdomen and groin. The pain can come in waves and fluctuate in intensity. A urinary tract infection often causes a burning sensation during urination, frequent urination, and cloudy or strong-smelling urine.


What should I do if over-the-counter pain medications are not relieving my abdominal and back pain?

If over-the-counter pain medications are not effective, it is important to consult a healthcare professional. They can assess your symptoms and may prescribe stronger pain relief or investigate further to determine the underlying cause.


When should I seek medical attention for symptoms like fever, chills, and severe pain?

You should seek medical attention if you experience severe pain, a high fever over 101.5°F, blood in your urine, persistent vomiting, or if your symptoms last more than a few days or worsen over time.


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