[60M] Experiencing persistent right lower side and back pain

Patient Description

A 60-year-old male reports experiencing a consistent pain around the right lower side and back, described as an internal sensation of an organ being stressed. The pain has been present for approximately 2 months and is severe, rated 9 out of 10 in intensity. The patient notes that the pain is felt when lying down and is particularly noticeable when placing hands under the right lower ribs. There has been no recent injury or accident reported that could be associated with the pain. No other symptoms have been mentioned. The patient has not indicated any relief with changes in position or other interventions.

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Arora's Assessment

What might be happening

Based on the information you've provided, you are experiencing persistent pain in your right lower side and back. Here are some possible causes:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts in the back or side below the ribs.

    • Treatment usually involves pain relievers and drinking lots of water to help pass the stone. Medical procedures may be required if the stone is too large.
  • Gallstones: These are hardened deposits in the gallbladder that can cause sudden pain in the upper right abdomen.

    • Treatment may involve medication to dissolve the gallstones or surgery to remove the gallbladder.
  • Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It typically causes pain in the lower right abdomen.

    • Treatment typically involves surgery to remove the appendix.
  • Musculoskeletal Pain: This could be due to a muscle strain or other injury. However, you mentioned that you haven't had any recent injuries.

    • Treatment usually involves rest, ice, and over-the-counter pain relievers.

Please note that these are potential causes and not a definitive diagnosis. It's important to seek medical attention for a formal diagnosis and treatment.

What you can do

Given the severity and persistence of your pain, you should seek medical attention immediately. In the meantime, try to rest and avoid any activities that exacerbate the pain.

What you should look out for

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

  • The pain becomes unbearable
  • You develop a fever
  • You start vomiting
  • You notice blood in your urine or stool
  • The pain moves to your lower right abdomen

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can provide a formal diagnosis and appropriate treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the back or side below the ribs, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, nausea, vomiting, and blood in the urine.


How can gallstones be treated without surgery?

Gallstones can sometimes be treated with medication that helps dissolve the stones, although this process can take months or years. Dietary changes and maintaining a healthy weight can also help manage symptoms.


What are the warning signs of appendicitis?

Warning signs of appendicitis include sudden pain that begins on the right side of the lower abdomen, pain that worsens with movement, coughing, or sneezing, nausea, vomiting, loss of appetite, and fever.


Can musculoskeletal pain occur without a recent injury?

Yes, musculoskeletal pain can occur without a recent injury. It can be caused by overuse, poor posture, or underlying conditions such as arthritis or fibromyalgia.


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