[23F] Experiencing back pain with tingling in legs and stomach tightness

Patient Description

A 23-year-old female presents with a few days of mid to lower back pain, described as a burning sensation that comes and goes, rating the pain severity at 6/10. The pain is exacerbated by lying on her stomach and standing, and is somewhat relieved by applying pressure or stretching. Additionally, she experiences tingling sensations radiating down her back into her thighs and shins, described more as numbness, which occurs off and on, particularly after being on her feet all day. She also reports a new onset of stomach pain today, feeling tightness in the middle and lower stomach, with a pain severity of 3/10. The patient's stool is soft and light brown, with no blood present. She denies recent injuries, fever, chills, sudden weight loss, loss of bowel or bladder control, and any past medical history of note. She is currently taking lutera birth control and has no known drug allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Musculoskeletal Strain: This is a common cause of back pain and can occur as a result of physical strain on the body, such as from heavy lifting or repetitive movements. It can cause a burning sensation in the back and the pain can sometimes radiate to other areas of the body.

    • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.
  • Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your legs, is irritated or compressed. This can cause pain in the lower back that radiates down the legs, and may also cause tingling or numbness in the legs.

    • Treatment often involves physical therapy and pain management strategies.
  • Gastritis or Peptic Ulcer Disease: These conditions involve inflammation or damage to the lining of the stomach, which can cause a tight feeling or pain in the stomach.

    • Treatment typically involves medications to reduce stomach acid and promote healing.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

Here are some general suggestions that might help:

  1. Rest and avoid strenuous activities that could worsen your back pain.
  2. Over-the-counter pain relievers, such as ibuprofen, may help alleviate your back pain.
  3. Regular gentle exercises, like walking or swimming, can help strengthen your back and stomach muscles.
  4. Try to maintain good posture when sitting and standing.
  5. If your stomach pain continues, try to identify any foods or drinks that might be triggering it and consider eliminating them from your diet.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain in your back or stomach
  • Loss of bladder or bowel control
  • Numbness or weakness in your legs
  • Unexplained weight loss
  • Blood in your stool

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are common causes of mid to lower back pain with a burning sensation?

Common causes of mid to lower back pain with a burning sensation include musculoskeletal strain, which can result from physical activities like heavy lifting or repetitive movements. Other causes might include nerve irritation or compression, such as in sciatica.


What is sciatica and how can it affect the body?

Sciatica is a condition where the sciatic nerve, which runs from the lower back down to the legs, becomes irritated or compressed. It can cause pain in the lower back that radiates down the legs, and may also lead to tingling or numbness in the legs.


What are the symptoms and treatment options for gastritis or peptic ulcer disease?

Gastritis and peptic ulcer disease involve inflammation or damage to the stomach lining, causing symptoms like stomach pain or tightness. Treatment typically includes medications to reduce stomach acid and promote healing, such as proton pump inhibitors or antacids.


When should I seek immediate medical attention for back or stomach pain?

Immediate medical attention should be sought if you experience severe pain in your back or stomach, loss of bladder or bowel control, numbness or weakness in your legs, unexplained weight loss, or blood in your stool.


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