[52F] Experiencing sudden onset of sharp left flank pain

Patient Description

A 52-year-old female reports a sudden onset of sharp pain in the middle left side of her back, lasting for less than a day. The pain, rated as moderate (5/10), worsens with movements such as getting up from a lying or sitting position and rolling over in bed. The patient finds relief when not moving. There is no reported blood in urine, fever, chills, nausea, or vomiting. The patient's medical history includes high cholesterol diagnosed 10 years ago. She has a known allergy to sulfa drugs. Current medications include Crestor for cholesterol, Wellbutrin and Zoloft for mental health, and hormone replacement therapy with progesterone and estrogen.

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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:

  • Muscular Strain or Sprain: This is a common cause of back pain and can occur from overuse, poor posture, or an awkward movement. The pain is usually localized to the area of injury and can be sharp or dull.

    • Treatment typically involves rest, over-the-counter pain relievers, and physical therapy exercises.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in your back or side, below your ribs. The pain can come in waves and fluctuate in intensity. You might also experience pain during urination, pink, red or brown urine, or 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.
  • Kidney Infection: This is a type of urinary tract infection that starts in your urethra or bladder and travels to one or both of your kidneys. It can cause back, side, or groin pain, fever, frequent urination, and other symptoms.

    • Treatment typically involves antibiotics to clear the infection.

What you can do

  1. Rest and avoid activities that make your pain worse.
  2. Over-the-counter pain relievers, such as ibuprofen, can help with pain and inflammation.
  3. Apply a warm compress to the painful area.
  4. Stay hydrated, especially if kidney stones are a possibility.

What you should look out for

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

  • Severe pain or pain that worsens over time
  • Fever, chills, or other signs of infection
  • Difficulty urinating or blood in your urine
  • Unexplained weight loss or other systemic symptoms

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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11 mo ago

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People Also Ask


What are the common causes of sudden sharp back pain?

Common causes of sudden sharp back pain include muscular strain or sprain, kidney stones, and less commonly, kidney infections. Muscular strain is often due to overuse or awkward movements, while kidney stones and infections can cause more severe and persistent pain.


How can I differentiate between muscular strain and kidney stones?

Muscular strain typically causes localized pain that worsens with movement and improves with rest. Kidney stones may cause severe, fluctuating pain that can radiate to the groin, and may be accompanied by urinary symptoms. A healthcare provider can help differentiate these conditions.


What are the symptoms of a kidney infection?

Symptoms of a kidney infection include back, side, or groin pain, fever, chills, frequent urination, and sometimes nausea or vomiting. It is important to seek medical attention if you suspect a kidney infection.


What should I do if my back pain worsens or I develop additional symptoms?

If your back pain worsens or you develop symptoms like fever, chills, difficulty urinating, or blood in your urine, you should seek immediate medical attention. These could be signs of a more serious condition that requires prompt treatment.


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