[50M] Experiencing hematuria, lower back pain, headaches, and edema

Patient Description

A 50-year-old male reports acute onset of sharp, intermittent lower back pain that started early in the morning and has progressively worsened, affecting mobility and daily activities. The patient also notes the presence of blood in the urine (hematuria), headaches, and swelling of the feet and ankles (edema). The pain is not alleviated by any specific measures and is aggravated by movements such as getting up and walking. The combination of these symptoms may suggest a condition that requires prompt medical evaluation.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible causes for 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, blood in urine, and swelling in the feet and ankles.

    • Treatment usually involves pain relievers and drinking lots of water to help pass the stone. In some cases, medical procedures may be needed 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 pain and discomfort, blood in urine, and swelling in the feet and ankles.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Kidney Infection: This is a type of urinary tract infection that generally starts in your urethra or bladder and travels to one or both of your kidneys. Symptoms can include back pain, frequent urination, and swelling in the feet and ankles.

    • Treatment usually involves antibiotics and often requires hospitalization.

Please note, these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

You should seek immediate medical attention, given the severity of your symptoms. In the meantime, try to drink plenty of fluids and avoid activities that exacerbate your back pain.

What you should look out for

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

  • Severe pain or pain that gets progressively worse
  • Fever, nausea, or vomiting
  • Difficulty urinating or a decrease in the amount of urine
  • Blood in your urine or cloudy, foul-smelling urine

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare professional for an accurate diagnosis.

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10 mo ago

People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the back or side, blood in the urine, nausea, vomiting, and frequent urination. The pain often comes in waves and can vary in intensity.


How is a urinary tract infection (UTI) diagnosed and treated?

A urinary tract infection (UTI) is typically diagnosed through a urine test that checks for bacteria and white blood cells. Treatment usually involves a course of antibiotics to eliminate the infection, and symptoms often improve within a few days of starting treatment.


What are the potential complications of a kidney infection?

Potential complications of a kidney infection include chronic kidney disease, kidney failure, or sepsis if the infection spreads to the bloodstream. Prompt treatment with antibiotics is crucial to prevent these complications.


Why might someone experience swelling in the feet and ankles along with back pain?

Swelling in the feet and ankles, known as edema, can occur due to fluid retention, which might be related to kidney issues. When combined with back pain, it could indicate a problem with the kidneys, such as kidney stones or an infection, which requires medical evaluation.


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