[47F] Experiencing severe new back pain with associated symptoms

Patient Description

A 47-year-old female presents with a new, severe back pain that started a few hours ago, described as a dull throbbing ache emanating from the spine at bellybutton level and radiating toward the right side. The pain intensifies to a level 10 upon standing and is accompanied by nausea, but is alleviated when sitting. The patient also reports a recent increase in fatigue, leg weakness, and lightheadedness. There is no reported loss of bowel or bladder control, numbness in the groin area, changes in urine, fever, chills, or unexplained weight loss. The patient has a medical history of fibromyalgia, depression, and osteoporosis, and is currently on Topamax, Cymbalta, Abilify, Wellbutrin, Modafinil, and various vitamins including D, B12, and Calcium, along with Restoralax. The patient has a known allergy to Penicillin, which causes a rash.

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Arora's Assessment

What might be happening

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

  • Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back through your hips and buttocks and down each leg, becomes irritated or compressed. This can cause pain, numbness, or weakness in the lower back that radiates down the leg. Your description of pain that starts at your spine and travels outwards, along with the weakness in your legs, is consistent with this condition.

    • Treatment typically involves physical therapy and pain relief medications. In severe cases, surgery may be necessary.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain from kidney stones can start in the back or side below the ribs and radiate towards the groin. Nausea and lightheadedness can also occur.

    • Treatment can involve pain relief medications, drinking lots of fluids to help pass the stone, or medical procedures to break up or remove the stone.
  • Lumbar Herniated Disc: This condition occurs when the soft inner portion of a disc in your spine pushes through a crack in the outer casing. This can irritate nearby nerves and result in pain, numbness, or weakness in an arm or leg.

    • Treatment typically involves physical therapy, medications to relieve pain and inflammation, and in some cases, surgery.

Please note, this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

Given the severity of your pain, it's important to seek immediate medical attention. In the meantime, try to avoid any movements or positions that worsen your pain. Over-the-counter pain relievers may help, but it's important to follow the package instructions.

What you should look out for

Please seek immediate medical attention if:

  • Your pain becomes unbearable
  • You experience loss of bowel or bladder control
  • You have severe abdominal pain
  • You notice blood in your urine
  • Your symptoms worsen or do not improve

Please remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common symptoms of sciatica and how is it treated?

Common symptoms of sciatica include pain that radiates from the lower back down the leg, numbness, tingling, or weakness in the leg. Treatment often involves physical therapy, pain relief medications, and in severe cases, surgery.


How can I tell if my back pain is due to kidney stones?

Back pain from kidney stones typically starts in the back or side below the ribs and may radiate towards the groin. It can be accompanied by nausea and lightheadedness. Treatment includes pain relief, increased fluid intake, and sometimes medical procedures to remove the stone.


What are the signs of a lumbar herniated disc and what treatments are available?

A lumbar herniated disc can cause pain, numbness, or weakness in the back, arm, or leg. Treatment options include physical therapy, pain and anti-inflammatory medications, and possibly surgery if symptoms are severe.


When should I seek immediate medical attention for severe back pain?

Immediate medical attention is necessary if the pain becomes unbearable, if there is loss of bowel or bladder control, severe abdominal pain, blood in the urine, or if symptoms worsen or do not improve.


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