[60F] Experiencing constant flank pain with a history of kidney stones

Patient Description

A 60-year-old female is reporting a constant, stiff, and sharp pain in the flank area that has been present for 2 weeks and radiates throughout the mid-back, especially when moving or bending. There is no relief from the pain. The patient has a medical history of asthma and chronic kidney stones (10 mm in the left kidney), diagnosed approximately 5 years ago. Current medications include daily Losartan/Hydrochlorothiazide 50 mg/25 mg, Wixela one puff twice daily, and Albuterol as needed. The patient has allergies to several antibiotics. No new medications have been started recently. No other symptoms such as fever, blood in urine, unexpected weight loss, changes in bowel or bladder function, or neurological deficits were reported.

Arora's Assessment

What might be happening

Based on the information you've provided, the following are possible causes for your symptoms:

Kidney Stones: Given your history of chronic left kidney stones, the pain you're experiencing could be due to a kidney stone that has moved into the urinary tract. The pain from kidney stones is often severe and can radiate from the flank to the mid back.
- Treatment typically involves pain management and drinking plenty of fluids to help pass the stone. In some cases, medical procedures may be needed to remove or break up larger stones.
Musculoskeletal Strain: This is a common cause of flank pain and can occur due to overuse or injury to the muscles, ligaments, and discs that support your spine. Pain can be sharp and is often worsened by movement or bending.
- Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.
Kidney Infection (Pyelonephritis): This is an infection of one or both kidneys. While you did not report fever or changes in urination, which are common symptoms of a kidney infection, it's still a possibility given your history of kidney stones, which can increase the risk of infections.
- Treatment typically involves antibiotics.

What you can do

For Kidney Stones: Drink plenty of water to help pass the stone. Non-prescription pain relievers like ibuprofen can help manage the pain. If the pain becomes severe or you notice blood in your urine, seek immediate medical attention.
For Musculoskeletal Strain: Rest and avoid activities that make your pain worse. Over-the-counter pain relievers and heat or cold therapy can also help relieve symptoms. If your pain persists or worsens, seek medical attention.
For Kidney Infection: If you develop symptoms such as fever, persistent back pain, or changes in urination, seek immediate medical attention as you may need antibiotics.

What you should look out for

If your pain becomes severe or you notice blood in your urine, seek immediate medical attention.
If you develop symptoms such as fever, persistent back pain, or changes in urination, seek immediate medical attention as these could be signs of a kidney infection.

Please note that while I strive to provide accurate and helpful health information, I'm an AI and not a doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

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