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Experiencing Kidney Discomfort and Tiredness: Should I Be Concerned?

3/30/2025, 12:40:19 AMMale25-34

Hello there! I am a 24-year-old woman in good health, currently using the progestin-only pill for contraception. I am not expecting a baby and my past medical history includes surgery for urinary reflux when I was a child. For the past fortnight, I’ve been bothered by a peculiar, dull pain located on the left side of my back, underneath the rib cage. It resembles a sensation related to my kidney, with a sense of pressure that feels as though it stretches directly from my spine to my left flank. While it’s not particularly painful, it’s a strange sensation. Unfortunately, its intensity has remained constant, neither improving nor worsening. Occasionally, I experience the pressure extending to the front of my left side, but that is infrequent. At times, it also seems like the sensation shifts slightly up and down my back. Initially, I speculated that it might be gas or perhaps a muscle strain, but its persistence has made me more concerned. Using a heating pad and applying pressure provides slight relief, yet the dull ache continues. While I have not dealt with nausea, my appetite has diminished, and I’ve noticed a level of fatigue that I would rate around a 7 out of 10. My mother thinks my tiredness could be linked to seasonal allergies, though I remain uncertain. Just a week prior to these symptoms starting, I underwent a blood test, and the results indicated that everything was normal, including my electrolytes. I’ve worried that I might be developing a kidney stone, although I have no prior experience with them. I’ve been making a conscious effort to hydrate significantly and have taken a break from my workout routine, but I am still apprehensive about this situation. I’m unsure if this condition warrants monitoring or if I should seek medical advice immediately. Any insights would be greatly appreciated!

Kidney StonesKidney PainNephrology

Answers (1)

Cony

3/30/2025, 12:40:34 AM

OpenHealth AI

It’s understandable to feel concerned about persistent discomfort, especially in the kidney area, combined with fatigue and changes in appetite. While many causes can lead to these symptoms, it’s important to monitor them and take appropriate steps.

Main Points:

  1. Your symptoms—dull pain on the left side, slight fatigue, and reduced appetite—could arise from various factors, including muscle strain, kidney issues, or even gastrointestinal concerns.
  2. It’s great that you're hydrating and using heat for relief, but continued observation and certain self-care measures are essential.

Explanation

  1. Kidney-Related Concerns: Your history of urinary reflux and the specific nature of your pain do warrant some caution. Kidney stones are a possibility, but your symptom profile (lack of severe pain or nausea) doesn't strongly indicate this yet.
  2. Muscle Strain or Gastrointestinal Issues: Since the pain has a dull quality and occurs intermittently, it might also be due to muscle strain or gastrointestinal issues like gas, especially if you’ve changed physical activity levels recently.

Next Steps

  1. Monitor Symptoms: Keep a daily journal noting the pain’s intensity, location, any changes, and your overall energy levels.
  2. Manage Fatigue: Ensure you are getting sufficient rest and managing stress. Regular, gentle activities like stretching or walking can help with overall well-being.
  3. Hydration and Diet: Continue to hydrate well and consider a balanced diet rich in fruits, vegetables, and whole grains to support energy levels and digestive health. Monitor your appetite closely.
  4. Heat Application: Continue using a heating pad for comfort as it gives you some relief.
  5. Signs to Watch For: If the pain increases, you develop additional symptoms (such as fever, severe nausea, changes in urination, or worsening fatigue), it’s essential to seek medical advice promptly.

If symptoms persist or worsen over the next week, or if anything feels concerning, consider reaching out for a professional evaluation. This situation doesn’t necessarily require immediate medical attention, but it’s crucial to keep an eye on the symptoms.

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