[62F] Experiencing stabbing low back and groin pain with urinary frequency

Patient Description

A 62-year-old female presents with stabbing pain in the right groin and lower back, which has persisted throughout the day. The back pain radiates to the knee and worsens when lying down. No relief has been found, and the pain remains constant. The patient also experiences a frequent urge to urinate but only passes a small amount. She has no chronic illnesses but is overweight. She has allergies to Penicillin and Macrobid. Current medications include Benadryl as needed, Tylenol Extra Strength for pain, and Gabapentin 200mg daily. There is no recent history of injury or trauma to the back.

Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the back and groin area, and can also cause frequent urination or the feeling of needing to urinate but only passing small amounts.
- Treatment typically involves pain management and drinking lots of fluids 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 in the lower back and groin, as well as frequent urination or the feeling of needing to urinate but only passing small amounts.
- Treatment typically involves antibiotics to clear the infection.
Sciatica: This is pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. Sciatica typically affects only one side of your body and can cause severe pain in the lower back and leg.
- Treatment typically involves physical therapy and pain management. In severe cases, surgery may be needed.

Please note that these are potential diagnoses and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol) or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin IB) may help with pain relief.
Stay hydrated: Drink plenty of fluids, especially water. This can help with both kidney stones and UTIs.
Rest: Try to rest and avoid strenuous activities until you can see a doctor.