Final Answer:
The possible causes of Hose's severe back and abdominal pain could be appendicitis, kidney stones, gallstones, or muscle strain. So, the correct options are 1) Appendicitis, 2) Kidney stones, 3) Gallstones and 4) Muscle strain.
Step-by-step explanation:
Severe back and abdominal pain present a range of potential causes, each with distinct symptoms and characteristics. Appendicitis is often associated with pain starting around the navel and migrating to the lower right abdomen, accompanied by nausea and fever. Kidney stones manifest with excruciating pain in the back or lower abdomen, usually accompanied by blood in the urine. Gallstones typically lead to intense pain in the upper abdomen, especially after meals, often accompanied by nausea or vomiting. Muscle strain can cause localized pain in the back or abdomen due to overexertion or injury.
Appendicitis is characterized by specific symptoms such as rebound tenderness in the lower right abdomen, whereas kidney stones are notorious for causing waves of severe pain that can radiate to the groin area. Gallstone pain tends to manifest more intensely after eating, particularly high-fat meals, while muscle strain pain usually subsides with rest and may be exacerbated by movement or certain positions.
Each of these conditions warrants prompt medical attention, and accurate diagnosis typically involves physical examinations, imaging tests, and sometimes laboratory investigations to pinpoint the exact cause of the pain. Therefore, Hose's symptoms suggest multiple potential causes, each requiring thorough evaluation by a healthcare professional to determine the precise diagnosis and appropriate treatment.
So, the correct options are 1) Appendicitis, 2) Kidney stones, 3) Gallstones and 4) Muscle strain.