[59F] Experiencing intense headache, backache, and foul-smelling urine

Patient Description

A 59-year-old female presents with an intense headache localized behind the eyes, a constant low backache radiating to the hip, and foul-smelling urine. The backache, rated 8/10 in severity, worsens with walking and later in the day, but is somewhat alleviated by a hot water bottle and taking Panadol. The headache, described as very intense, began concurrently with the backache in the middle of the night and is accompanied by bloodshot eyes. There has been no recent back injury, and the patient has not experienced these symptoms in combination before. The patient's urine has a strong odor, which is a new symptom.

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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:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs are more common in women, and they can cause pain in your lower back, foul-smelling urine, and other symptoms. If the infection spreads to your kidneys, it can cause intense back pain.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of fluids can help to flush bacteria out of your system.
  • 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, blood in your urine, and other symptoms. The pain can be constant or come in waves, and it can spread to your lower abdomen and groin.

    • Treatment can include pain relievers and drinking lots of water to help the stone pass. In some cases, medical procedures may be needed to remove or break up the stones.
  • Migraines: These are a type of headache characterized by intense, throbbing pain, usually on one side of the head. They can cause sensitivity to light and sound, nausea, and other symptoms. The pain can last for hours to days.

    • Treatment can include over-the-counter pain relievers, as well as prescription medications to prevent migraines or reduce their severity.

What you can do

It's important to see a healthcare professional for a formal diagnosis and treatment. In the meantime, you can:

  1. Drink plenty of water to help flush bacteria out of your urinary system and possibly help a kidney stone pass.
  2. Rest and use a heating pad on your back to help alleviate the pain.
  3. Take over-the-counter pain relievers as directed for your back pain and headache.
  4. Avoid caffeine, alcohol, and smoking, which can worsen headaches.

What you should look out for

Please seek immediate medical attention if:

  • Your pain becomes severe or unbearable.
  • You develop a fever, chills, or other signs of infection.
  • You see blood in your urine.
  • You have difficulty or pain while urinating.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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10 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 at home?

Home treatment for kidney stones includes drinking plenty of water to help the stone pass, taking over-the-counter pain relievers to manage pain, and possibly using a heating pad to alleviate discomfort. However, medical intervention may be necessary if the stone does not pass on its own.


What are the typical symptoms of a migraine headache?

Typical symptoms of a migraine include intense, throbbing pain on one side of the head, sensitivity to light and sound, nausea, and sometimes visual disturbances known as auras. The pain can last from a few hours to several days.


When should I seek immediate medical attention for back pain?

You should seek immediate medical attention for back pain if it becomes severe or unbearable, if you develop a fever or chills, if you notice blood in your urine, or if you experience difficulty or pain while urinating.


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