[6M] With fever, headache, and left flank pain

Patient Description

A 6-year-old male is presenting with symptoms of fever, headache, and pain upon touch on the left side of his flank. The pain's nature, whether it is sharp, dull, or throbbing, has not been specified. There is no mention of any recent injuries, surgeries, or pre-existing conditions. Further information is required to assess the potential causes of these symptoms, which could range from infections to other medical conditions affecting the kidneys or adjacent areas.

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Arora's Assessment

What might be happening

Based on the symptoms you've described for your son - fever, headache, and pain to the touch on the left side of his flank - here are a few possibilities:

  • Urinary Tract Infection (UTI): UTIs are common in children and can cause fever, abdominal pain, and sometimes headaches. They're typically caused by bacteria and require antibiotics for treatment.

  • Kidney Infection (Pyelonephritis): This is a specific type of UTI that affects the kidneys. It can cause fever, flank pain, and sometimes headaches. It's a serious condition that needs immediate medical attention.

  • Appendicitis: This is an inflammation of the appendix, a small organ on the right side of the abdomen. It typically causes pain on the right side, but in some cases, the pain can be felt elsewhere. It's a medical emergency that requires immediate attention.

What you can do

Given the symptoms you've described, it's important to seek immediate medical attention for your son. Here's what you can do:

  1. Take your son to the nearest emergency department or urgent care center. If his pain is severe or his condition worsens rapidly, call an ambulance.

  2. Keep him hydrated and comfortable. Avoid giving him any food or drink if you suspect appendicitis, as this could complicate potential surgery.

What you should look out for

Watch out for these symptoms, as they could indicate a more serious condition:

  • Severe or worsening pain
  • Vomiting
  • Blood in the urine
  • Inability to pass urine
  • Extreme fatigue or lethargy

Remember, I'm an AI and not a doctor. Your son's symptoms could indicate a serious condition, so please seek immediate medical attention.

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11 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI) in children?

Common symptoms of a UTI in children include fever, abdominal pain, frequent urination, pain or burning during urination, and sometimes headaches. It's important to consult a doctor for proper diagnosis and treatment.


How can a kidney infection (pyelonephritis) be distinguished from a regular UTI?

A kidney infection, or pyelonephritis, often presents with more severe symptoms than a regular UTI, including high fever, flank or back pain, nausea, and vomiting. It requires immediate medical attention as it can lead to serious complications if untreated.


What are the signs of appendicitis in children, and why is it considered an emergency?

Signs of appendicitis in children include abdominal pain that typically starts near the belly button and then moves to the lower right side, loss of appetite, nausea, vomiting, and fever. It is considered an emergency because if the appendix bursts, it can lead to a life-threatening infection.


What immediate steps should be taken if a child is experiencing severe flank pain and fever?

If a child is experiencing severe flank pain and fever, it is crucial to seek immediate medical attention. This could involve visiting an emergency department or urgent care center. Keeping the child hydrated and comfortable is important, but avoid giving food or drink if appendicitis is suspected.


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