[25M] With sudden onset lower back pain, body aches, and gastrointestinal symptoms

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Gastroenteritis:

   • Rationale: Your symptoms of stomach pain, diarrhea, and feeling generally unwell could be due to gastroenteritis, which is often caused by a viral or bacterial infection. The recent consumption of potentially undercooked food supports this possibility.
   • Typical Treatments/Testing: Treatment usually involves staying hydrated and resting. In some cases, a stool sample may be tested to identify the specific cause.

2. Muscle Strain or Spasm:

   • Rationale: The sudden onset of lower back pain, especially when sitting, could be due to a muscle strain or spasm. This can happen even without a specific injury or physical activity.
   • Typical Treatments/Testing: Rest, over-the-counter pain relievers, and applying heat or ice to the affected area can help. If the pain persists, a doctor may recommend physical therapy or further imaging tests.

3. Side Effects of Remeron (Mirtazapine):

   • Rationale: Mirtazapine can cause side effects such as body aches, chills, and gastrointestinal issues in some people.
   • Typical Treatments/Testing: If you suspect your medication is causing these symptoms, consult your doctor. They may adjust your dosage or switch you to a different medication.

What you can do

For Gastroenteritis:

• Stay Hydrated: Drink plenty of fluids like water, oral rehydration solutions, or clear broths to prevent dehydration.
• Rest: Give your body time to recover by getting plenty of rest.
• Diet: Eat bland foods like bananas, rice, applesauce, and toast (the BRAT diet) until your stomach feels better.

For Lower Back Pain:

• Rest and Gentle Movement: Avoid activities that worsen the pain, but try to keep moving gently to prevent stiffness.
• Heat/Ice: Apply a heating pad or ice pack to your lower back for 15-20 minutes at a time.
• Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can help alleviate pain.

For General Unwell Feeling and Body Aches:

• Rest: Ensure you get enough sleep and rest to help your body recover.
• Hydration: Drink plenty of fluids to stay hydrated.
• Monitor Symptoms: Keep track of your symptoms and note any changes.

Medication Concerns:

• Consult Your Doctor: If you suspect that Remeron (mirtazapine) is contributing to your symptoms, consult your doctor for advice. They may adjust your dosage or switch you to a different medication.

Using MDandMe:

• Journal Your Symptoms: Use MDandMe to track your symptoms, monitor your progress, and get insights.
• Share with Your Provider: Share your longitudinal medical notes with your healthcare provider for a more comprehensive evaluation.

What you should look out for

Given the severity of your symptoms and the possibility of underlying issues, you should seek medical care if you experience any of the following:

• Severe or Worsening Pain: If your lower back pain or stomach pain becomes severe or doesn't improve.
• Persistent Diarrhea: If diarrhea persists for more than a couple of days or is accompanied by severe dehydration.
• High Fever: If you develop a high fever or persistent chills.
• Blood in Stool: If you notice blood in your stool.
• Difficulty Urinating or Bowel Movements: If you experience difficulty urinating or changes in bowel movements.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to continue the conversation.