Left Lower Back Pain: Causes and When to Seek Help - Internal Medicine

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Left lower back pain can arise from various causes, and understanding these can help you determine when to seek medical assistance. Given your recent lifestyle changes, including a new diet and increased physical activity, it’s essential to consider several factors that could be contributing to your discomfort.

Firstly, the location of your pain is significant. The left lower back corresponds to the area where the left kidney is located, which can sometimes lead to pain if there are issues with the kidney itself. Symptoms such as dark yellow urine can indicate dehydration or potential kidney issues, especially if you have not been drinking enough fluids in the past. While you mentioned that you have been drinking at least 1800cc of water daily for the past 20 days, it’s crucial to ensure that you are adequately hydrated, as dehydration can lead to kidney strain and discomfort.

Additionally, the pain you are experiencing could be related to muscle strain or injury, particularly if you have recently increased your physical activity with aerobic exercises. If your body is not accustomed to this level of activity, it can lead to muscle soreness or strain, especially in the lower back area. This is particularly true if your exercise routine involves movements that put stress on your back, such as bending or twisting.

Moreover, the use of herbal medications for weight loss and other health improvements can sometimes lead to side effects, including gastrointestinal issues or changes in kidney function. If these medications are affecting your hydration status or causing any adverse effects, it could contribute to your symptoms. It’s essential to consult with a healthcare professional about the medications you are taking, as they can provide guidance on potential side effects and interactions.

Given that your symptoms have persisted for three days, it would be wise to seek medical attention if the pain worsens or if you experience additional symptoms such as fever, changes in urination, or persistent discomfort. A healthcare provider can perform a thorough evaluation, which may include a physical examination and possibly imaging studies like an ultrasound or CT scan to assess the kidneys and surrounding structures.

In terms of which specialty to consult, starting with a primary care physician or an internist would be appropriate. They can evaluate your symptoms, review your medication, and determine if a referral to a specialist, such as a nephrologist (for kidney-related issues) or an orthopedic specialist (for musculoskeletal concerns), is necessary.

In summary, your left lower back pain could be due to a combination of factors, including muscle strain from increased physical activity, potential kidney issues, or side effects from herbal medications. Monitoring your symptoms closely and seeking medical advice if they persist or worsen is crucial for proper diagnosis and treatment. Remember to maintain adequate hydration and consider discussing your exercise routine and any medications with your healthcare provider to ensure a safe and effective approach to your health goals.