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My son has been suffering from quite severe lower back

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Posted on Thu, 14 Feb 2019
Question: My son has been suffering from quite severe lower back pain for the last 24 hours. He feels this is being caused by a urine or kidney infection. He feels feverish, but does not have nausea or vomiting. He works outdoors all day. Could the cold be making it worse. His urine is quite dark in colour . Does alcohol make this kind of infection worse. He has recently been drinking more than usual.
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Follow up: Dr. Antoneta Zotaj (7 minutes later)
I would like to know how long the answer will take
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Follow up: Dr. Antoneta Zotaj (7 minutes later)
Where is the reply to my question? You have taken payment. Please reply
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Follow up: Dr. Antoneta Zotaj (1 minute later)
I wish to cancel this as l feel it takes too long. Could you please cancel my membership. Thankyou
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Answered by Dr. Antoneta Zotaj (17 minutes later)
Brief Answer:
Explanations related to the pain and how to help with it

Detailed Answer:
Hello, thanks for asking,

I carefully read your query.

Kidney infection generally causes pain in the back that is closer to the waist area, close to lower ribs. It is a pain that is much worse than any direct hit-injury. He also would get urinary symptoms like burning and frequency in urination.

Dark urine can happen with urinary infection but also if he has not been hydrating well. Furthermore, alcohol itself can be dehydrating and cause such.

If the pain is in the midline or is on one side but closer to the lower back, above the hip area (not close to the rib area) then very likely this is muscular pain, especially if the pain is worse with certain movements and he has no urinary symptoms.

To conclude I would say:
- it is advisable to drink plenty of fluids (at least 3Ltr a day)
- he can take Acetaminophen (Tylenol) to help with the pain
- if the pain is on one side, close to the rib area and he has any burning sensation in the urine or frequency, he will need to have a urinalysis to rule out urinary infection. In young males with urinary symptoms, if sexually active, the doctor might ask for more tests to rule out the risk for sexually transmitted infections as well.

- it is good to check the temperature when he feels like he has a temperature. If his temperature is 38°C and above he is feverish and infection is likely.

- As per the clinical findings and the results of the investigations the doctor will be able to decide on proper treatment.

I hope this is helpful and answers to your query. Please let me know if I can assist you further.

Kind regards,

Antoneta Zotaj, General and Family Physician
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Follow up: Dr. Antoneta Zotaj (14 minutes later)
Please confirm that you have cancelled my payment as l do not wish to continue with this service. Thankyou
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Answered by Dr. Antoneta Zotaj (17 hours later)
Brief Answer:
Please write to the management related to this.

Detailed Answer:
Hello,

Please talk with the management related to this. Writing here will put you in contact with the doctor.

Kind regards,

Dr. Antoneta Zotaj, General and Family Physician
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 3235 Questions

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My son has been suffering from quite severe lower back

I would like to know how long the answer will take