[45F] With chronic right lower back pain radiating to leg and tension headaches

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Right Lower Back Pain Radiating Down the Outside of Your Leg

• Sciatica: This condition occurs when the sciatic nerve is compressed, often due to a herniated disc or spinal stenosis. It can cause sharp pain that radiates from the lower back down the leg.
• Lumbar Radiculopathy: Similar to sciatica, this condition involves nerve root compression in the lower spine, leading to radiating pain.

Tension Headaches

• Chronic Tension-Type Headache: These headaches are often caused by muscle tension and stress. They can be persistent and may last for days or weeks.

Concentrated Urine

• Dehydration: Concentrated urine is often a sign of dehydration. It can also be influenced by diet, medications, or underlying medical conditions.

Flushing of Cheeks and Nose

• Rosacea: This chronic skin condition causes redness and visible blood vessels in your face. It can also produce small, red, pus-filled bumps.
• Lupus: Given your family history, lupus could be a consideration. It often causes a butterfly-shaped rash across the cheeks and nose.

Family History Considerations

• Autoimmune Conditions: Your family history of lupus and rheumatoid arthritis suggests a potential genetic predisposition to autoimmune diseases.
• Heart Disease and Stroke: Your family history indicates a higher risk for cardiovascular conditions, which could be relevant to your overall health.

What you can do

Right Lower Back Pain Radiating Down the Outside of Your Leg

• See a Doctor: It's important to consult a healthcare provider for a proper diagnosis. They may recommend imaging tests like an MRI or X-ray.
• Physical Therapy: Exercises to strengthen your back and improve flexibility can be beneficial.
• Pain Management: Over-the-counter pain relievers like Aleve can help, but avoid exceeding the recommended dose.

Tension Headaches

• Stress Management: Techniques like yoga, meditation, and deep-breathing exercises can help reduce stress.
• Hydration: Ensure you are drinking enough water throughout the day.
• Over-the-Counter Medications: Pain relievers like ibuprofen or acetaminophen can be effective.

Concentrated Urine

• Hydrate: Increase your water intake to help dilute your urine.
• Monitor: Keep an eye on any other symptoms that may develop and consult a healthcare provider if it persists.

Flushing of Cheeks and Nose

• See a Dermatologist: A specialist can provide a proper diagnosis and treatment plan.
• Avoid Triggers: Common triggers for rosacea include spicy foods, alcohol, and extreme temperatures.

General Health

• Regular Check-Ups: Given your family history, regular medical check-ups are essential for early detection and management of potential health issues.
• Healthy Lifestyle: Maintain a balanced diet, exercise regularly, and avoid smoking and excessive alcohol consumption.

What you should look out for

Given the complexity of your symptoms, it's important to seek medical care for a comprehensive evaluation. Here are some specific signs to watch for:

• Severe or Worsening Pain: If your back pain becomes unbearable or is accompanied by weakness or numbness, seek immediate medical attention.
• Changes in Bowel or Bladder Function: Any significant changes should be evaluated by a healthcare provider.
• New or Worsening Symptoms: Any new symptoms or worsening of existing ones should prompt a visit to your doctor.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.