[28F] Experiencing persistent upper back pain and gastrointestinal distress

What might be happening

Based on the information you've provided, possible diagnoses include:

• Irritable Bowel Syndrome (IBS): This is a chronic condition that you've been diagnosed with, and it can cause symptoms like diarrhea, constipation, and abdominal pain. The sharp and cramping stomach pain you're experiencing, along with your persistent diarrhea, could be related to a flare-up of your IBS.

  • Treatment for IBS often involves dietary modifications, stress management, and certain medications. Since you're already taking IBgard, it might be worth discussing your ongoing symptoms with your doctor to see if any adjustments need to be made to your treatment plan.

• Musculoskeletal Pain: The persistent, sharp pain in your upper back, shoulder, and shoulder blade, along with the radiating pain to your arms, hands, and feet, could be due to a musculoskeletal issue. This could be related to strain, overuse, or injury to the muscles, ligaments, and nerves in these areas.

  • Treatment for musculoskeletal pain often involves rest, physical therapy, pain relievers, and sometimes muscle relaxants.

• Fibromyalgia: This is a chronic condition that can cause widespread body pain, fatigue, and sleep problems. Given your all-over body pain, this could be a possibility. However, fibromyalgia is usually diagnosed by a doctor based on a certain set of criteria, including the presence of other symptoms like tender points on the body, fatigue, and cognitive difficulties.

  • Treatment for fibromyalgia often involves a combination of medications, exercise, stress management techniques, and healthy lifestyle habits.

Please note that these are only possible diagnoses based on the information you've provided. It's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

What you can do

Here are some steps you can take to manage your symptoms:

1. Continue taking your IBgard as directed by your doctor. If your IBS symptoms are not improving, it might be worth discussing this with your doctor to see if any adjustments need to be made to your treatment plan.

2. For your upper back pain, try rest and over-the-counter pain relievers like ibuprofen or acetaminophen. Applying a hot or cold pack to the painful area might also provide some relief. However, if your pain is severe or not improving, it's important to seek medical attention.

3. For your all-over body pain, try gentle exercises like stretching or yoga, which can help to relieve muscle tension and improve flexibility. Again, if your pain is severe or not improving, it's important to seek medical attention.

4. Stay hydrated and eat a balanced diet to help manage your diarrhea. Avoid foods that seem to trigger your symptoms.

What you should look out for

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

• Severe pain that doesn't improve with rest or over-the-counter pain relievers
• Difficulty moving or weakness in your arms or legs
• Severe or worsening diarrhea, especially if it's accompanied by fever, severe abdominal pain, or blood in your stool
• Any other new or worsening symptoms

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare professional for accurate information.