[42F] Experiencing persistent flank pain, nausea, and headache

Patient Description

A 42-year-old female presents with a 4-day history of bilateral flank pain described as dull, aching, and sharp, accompanied by persistent nausea for 3 days, rated 8 out of 10 in severity, and a 2-day history of a dull, pounding headache located at the temples and forehead, rated 7 out of 10 in severity. The patient has a significant medical history of bladder cancer diagnosed 10 years ago and currently has nephrostomy tubes in place. No current medications are being taken, and there are no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you provided, the following conditions could be causing your symptoms:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the back or side (flank pain), nausea, and abdominal pain. Given your history of nephrostomy tubes, you may be at a higher risk for kidney stones.

    • Treatment typically involves pain relief and drinking lots of fluids to help pass the stone. In some cases, medical procedures may be necessary to remove or break up larger stones.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs can cause flank pain, abdominal pain, and nausea. Your history of bladder cancer and current nephrostomy tubes may increase your risk for UTIs.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Pyelonephritis: This is a type of urinary tract infection where one or both kidneys become infected. It can cause flank pain, abdominal pain, and nausea.

    • Treatment typically involves antibiotics. In severe cases, hospitalization may be necessary.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

Given the severity of your symptoms and your medical history, it's important to seek medical attention as soon as possible. In the meantime, here are some things you can do:

  1. Drink plenty of fluids: This can help flush bacteria out of your urinary system and may help pass a kidney stone if that's the cause of your symptoms.

  2. Over-the-counter pain relievers: Non-prescription pain relievers like acetaminophen or ibuprofen may help alleviate your pain. However, they should not be used as a substitute for seeking medical attention.

  3. Rest: Try to get plenty of rest to help your body recover.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen
  • You develop a fever or chills
  • You notice blood in your urine
  • Your pain becomes severe or unbearable

Remember, I'm an AI and this advice is based on the information you provided. It's important to consult with a healthcare professional who can evaluate your symptoms in person.

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11 mo ago

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People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the back or side (flank pain), nausea, vomiting, and blood in the urine. The pain may come in waves and vary in intensity.


How can a urinary tract infection (UTI) affect someone with a history of bladder cancer?

A urinary tract infection in someone with a history of bladder cancer can be more complicated due to potential changes in the urinary tract and the presence of devices like nephrostomy tubes, which can increase the risk of infection. It's important to monitor symptoms closely and seek medical treatment promptly.


What is pyelonephritis and how is it treated?

Pyelonephritis is a type of urinary tract infection that affects the kidneys. It can cause symptoms such as flank pain, fever, chills, and nausea. Treatment typically involves antibiotics, and in severe cases, hospitalization may be necessary to manage the infection.


What should I do if I have a nephrostomy tube and experience severe flank pain?

If you have a nephrostomy tube and experience severe flank pain, it's important to seek medical attention immediately. This could indicate a blockage, infection, or other complications that need to be addressed by a healthcare professional.


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