[22F] Experiencing lower back pain with gastrointestinal symptoms

Patient Description

A 22-year-old female reports experiencing lower back pain for the past 24 hours. The pain is described as a burning, throbbing sensation that worsens with any activity and has not been relieved by any measures. Additionally, the patient is experiencing nausea, loose stools, and abdominal pain. The loose stools vary in amount each time and are not affected by dietary changes. There is no recent history of travel, injuries, or changes in routine or posture that could contribute to the symptoms. The patient has not identified any specific triggers or alleviating factors for the symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—intense lower back pain, nausea, loose stools, abdominal pain, and dark, stringy stools—there are a few possible explanations:

  1. Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can lead to symptoms like nausea, abdominal pain, and diarrhea. The dark, stringy stools could be due to rapid transit through the intestines, but it's important to ensure there's no blood present.

  2. Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine, causing symptoms like cramping, abdominal pain, bloating, gas, and diarrhea. Stress and certain foods can trigger symptoms, but it seems like your symptoms are consistent regardless of diet.

  3. Kidney Stones or Urinary Tract Issues: Intense lower back pain can sometimes be related to kidney stones or a urinary tract infection, especially if the pain is severe and throbbing. However, these conditions typically don't cause diarrhea.

  4. Gastrointestinal Bleeding: The dark color of your stools could indicate bleeding in the gastrointestinal tract, which can be serious. This would require immediate medical attention to rule out conditions like ulcers or other GI issues.

What you can do

  1. Stay Hydrated: With frequent loose stools, it's important to drink plenty of fluids to prevent dehydration. Oral rehydration solutions can be helpful.

  2. Rest: Give your body time to heal by getting plenty of rest.

  3. Monitor Symptoms: Keep track of your symptoms using the MDandMe app. This can help you identify any patterns or triggers and provide useful information to your healthcare provider.

  4. Dietary Adjustments: While you mentioned that food doesn't seem to affect your symptoms, sticking to bland, easy-to-digest foods like bananas, rice, applesauce, and toast (the BRAT diet) might help ease your digestive symptoms.

  5. Seek Medical Attention: Given the intensity of your symptoms and the dark stools, it's important to consult a healthcare professional for a thorough evaluation and appropriate testing.

What you should look out for

  • Seek immediate medical attention if you experience severe abdominal pain, notice blood in your stools, or if your symptoms worsen.
  • Watch for signs of dehydration, such as dry mouth, excessive thirst, or reduced urination.
  • Monitor for fever or chills, which could indicate an infection.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of lower back pain accompanied by gastrointestinal symptoms?

Common causes of lower back pain with gastrointestinal symptoms include conditions like gastroenteritis, irritable bowel syndrome (IBS), and sometimes kidney stones or urinary tract issues. It's important to consider the combination of symptoms and consult a healthcare provider for an accurate diagnosis.


How can I differentiate between gastroenteritis and irritable bowel syndrome (IBS)?

Gastroenteritis is usually acute and often caused by an infection, leading to symptoms like nausea, vomiting, diarrhea, and abdominal pain. IBS is a chronic condition characterized by abdominal pain, bloating, and changes in bowel habits without an underlying infection. A healthcare provider can help differentiate between the two based on symptom patterns and duration.


What should I do if I notice dark stools and abdominal pain?

Dark stools can indicate gastrointestinal bleeding, which is a serious condition requiring immediate medical attention. It's important to consult a healthcare professional to rule out conditions like ulcers or other GI issues, especially if accompanied by severe abdominal pain.


How can I manage symptoms of nausea and loose stools at home?

To manage nausea and loose stools at home, stay hydrated by drinking plenty of fluids, consider oral rehydration solutions, and rest. Eating bland, easy-to-digest foods like those in the BRAT diet (bananas, rice, applesauce, toast) may help. However, if symptoms persist or worsen, seek medical advice.


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