[22F] With severe lower back pain and frequent vomiting

What might be happening

Based on the information you’ve provided, here are some possible explanations for your symptoms:

• Acute Back Pain: Given your history of back surgery and a previous injury from lifting a heavy weight, your severe lower back pain could be related to a musculoskeletal issue such as a muscle strain, ligament sprain, or even a herniated disc. These conditions can cause sharp pain that worsens with movement and may improve with rest and heat application.

  • Treatment: Initial treatment typically includes rest, avoiding activities that worsen the pain, applying heat or cold packs, and taking over-the-counter pain relievers like ibuprofen or acetaminophen. Physical therapy may also be recommended.

• Gastroenteritis or Food Intolerance: Frequent vomiting, especially after eating, could be due to a gastrointestinal infection (gastroenteritis) or a food intolerance. Gastroenteritis is often accompanied by other symptoms like diarrhea and abdominal pain.

  • Treatment: Staying hydrated is crucial. Drink small sips of water or an oral rehydration solution. Avoid solid foods until vomiting subsides, then gradually reintroduce bland foods like toast or rice.

• Dehydration: Frequent vomiting can lead to dehydration, which might explain your drowsiness, soreness, and tiredness.

  • Treatment: Ensure you drink plenty of fluids. Oral rehydration solutions can help replace lost electrolytes.

What you can do

1. Rest and Hydration: Rest as much as possible and stay hydrated. Drink clear fluids like water, broth, or oral rehydration solutions.
2. Heat Application: Continue using heating pads on your lower back to alleviate pain.
3. Over-the-Counter Pain Relief: Consider taking over-the-counter pain relievers like ibuprofen or acetaminophen to manage your back pain.
4. Bland Diet: Once vomiting subsides, try eating bland foods like toast, rice, or bananas.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Worsening Pain: If your back pain becomes unbearable or does not improve with rest and over-the-counter medications.
• Inability to Keep Fluids Down: If you are unable to keep any fluids down for more than 24 hours.
• Signs of Dehydration: Such as dry mouth, decreased urination, dizziness, or lightheadedness.
• New or Worsening Symptoms: Such as fever, blood in vomit or stool, or changes in urination.

Please remember that this information is not a substitute for professional medical advice. It is important to consult with a healthcare provider to receive a formal diagnosis and appropriate treatment.