[45F] Experiencing lower back pain, temperature fluctuations, and frequent urination

Patient Description

A 45-year-old female presents with symptoms of constant lower back pain on the left side, which is less painful when lying on her back, and began yesterday morning. The pain is rated at a 5 out of 10 in severity and is alleviated by urination. Additionally, she experiences hot flashes and cold chills, with a recent temperature of 102 degrees Fahrenheit. The patient has a medical history of diabetes and thyroid issues, diagnosed approximately 20 and 9 years ago, respectively. She is currently taking Metformin, Levothyroxine, and Trulicity for these conditions, as well as a medication for cholesterol. No known drug allergies. The patient has not reported any recent injuries, nausea, vomiting, or pain during urination.

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Arora's Assessment

What might be happening

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

  • Urinary Tract Infection (UTI): UTIs can cause lower back or flank pain, fever, and frequent urination. They are common in women and can be caused by bacteria entering the urinary tract.

    • Treatment typically involves antibiotics prescribed by a healthcare professional.
  • Kidney Infection (Pyelonephritis): This is a specific type of UTI that affects the kidneys. It can cause similar symptoms to a general UTI, but may also cause nausea and vomiting (which you have not reported).

    • Treatment usually involves antibiotics and sometimes hospitalization if the infection is severe.
  • 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, fever, and frequent urination.

    • Treatment can range from pain management and drinking lots of water to pass the stone, to medical procedures to remove or break up larger stones.

Please note that while these conditions are the most likely based on your symptoms, it's also possible that your symptoms are due to a different condition. Only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Drink plenty of water: This can help flush bacteria out of your urinary system, which may help if you have a UTI or kidney stones.
  2. Over-the-counter pain relievers: These can help manage your back pain in the short term. However, they should not be used as a long-term solution without consulting a healthcare professional.
  3. Seek medical attention: Given your symptoms and especially your fever, it's important to seek medical attention as soon as possible. A healthcare professional can provide a definitive diagnosis and appropriate treatment.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe pain
  • Blood in your urine
  • Nausea and vomiting
  • A fever that continues to rise or doesn't improve with medication

Please remember, while I strive to provide accurate and helpful medical information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain in women.


How can kidney stones be treated or managed?

Kidney stones can be managed by drinking plenty of water to help pass the stone, taking pain relievers, and in some cases, medical procedures may be necessary to break up or remove larger stones. It's important to consult a healthcare professional for appropriate treatment.


What are the potential complications of untreated kidney infections?

Untreated kidney infections can lead to serious complications such as permanent kidney damage, sepsis (a life-threatening response to infection), and recurrent kidney infections. Prompt treatment with antibiotics is crucial.


How does diabetes affect the risk of developing urinary tract infections?

Diabetes can increase the risk of UTIs due to high blood sugar levels, which can promote bacterial growth, and potential nerve damage that affects bladder function. Managing blood sugar levels and maintaining good hygiene can help reduce this risk.


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