[44F] Experiencing sharp kidney pain with fever and nausea

Patient Description

A 44-year-old female has been experiencing sharp, persistent pain on the right side of her kidney area for the past 2 days. The pain remains localized without radiating. Accompanying symptoms include slight fever, nausea, chills, and shaking, indicating a possible infection. The patient also reports feeling dehydrated but has not noticed any changes in urine, such as blood or strong odor, and denies any recent trauma to the back or side. There are no pre-existing conditions, chronic illnesses, or current medications reported. The absence of urinary changes and the presence of systemic symptoms like fever and chills may suggest an infection requiring medical evaluation.

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Arora's Assessment

What might be happening

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

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain when they move through the urinary tract.

    • Typical treatment includes pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed to remove or break up larger stones.
  • Kidney Infection (Pyelonephritis): This is a type of urinary tract infection that generally starts in your urethra or bladder and travels up into your kidneys.

    • Treatment typically involves antibiotics.
  • Kidney Cyst: This is a round pouch of fluid that forms on or in the kidneys. They can cause pain, but often don't cause symptoms.

    • Treatment may not be necessary unless a cyst grows large. In some cases, a procedure to drain the cyst may be needed.

Please remember that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Drink plenty of water: This can help flush out toxins that can cause kidney pain.
  2. Over-the-counter pain relievers: Non-prescription medications like acetaminophen can help manage pain. However, avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, as they can harm the kidneys.
  3. Rest: Sometimes rest can help alleviate symptoms of kidney pain.

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You notice blood in your urine
  • Your fever rises above 101°F
  • You start vomiting or have persistent nausea
  • You have difficulty urinating or notice a decrease in urine output
  • Your symptoms persist or worsen over time

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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7 mo ago


People Also Ask


What are the common symptoms of a kidney infection?

Common symptoms of a kidney infection include sharp pain in the back or side, fever, chills, nausea, and sometimes changes in urination such as pain or urgency.


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

Kidney stones often cause severe, cramping pain that may radiate to the lower abdomen or groin, while a kidney infection typically presents with localized pain, fever, and systemic symptoms like chills and nausea. Both conditions require medical evaluation.


What should I do if I suspect I have a kidney infection?

If you suspect a kidney infection, it's important to see a healthcare professional promptly. They may prescribe antibiotics to treat the infection. In the meantime, stay hydrated and monitor your symptoms.


Are there any home remedies to alleviate kidney pain?

Home remedies for kidney pain include drinking plenty of water to help flush the kidneys, using a heating pad on the affected area, and taking over-the-counter pain relievers like acetaminophen. However, avoid NSAIDs like ibuprofen, as they can harm the kidneys.

1 Comments


Leo#3962

7 mo ago

It sounds likely to be a kidney stone but cannot diagnose without a CT, which is the most sensitive imaging tool for kidney/ureter stones. A CT will also check the rest of your abdomen for abnormalities. Would be good to go to the Emergency Room today

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