[33F] Experiencing abdominal and back pain with bloating

Patient Description

A 33-year-old female is experiencing lower left back pain, lower left abdominal pain, and pain in the upper back around the right shoulder blade and under the shoulder blades. The abdominal pain is described as a dull, constant ache, rated 6-7 out of 10 in severity, and has been present for the past 5-6 hours. The patient also reports bloating and a sensation of needing to pass gas or have a bowel movement but is unable to do so. Stress is noted as a contributing factor, and nausea is also present. The patient is preparing for upcoming surgeries to repair an umbilical hernia and to embolize varicose veins in the ovaries, uterus, and cervix. Medical history includes degeneration of scoliosis, cysts on the ovaries and cervix, precancerous cells removed from the cervix, and reactive hypoglycemia. The patient has a history of four C-sections. Allergies include codeine, codone, and Rocephin. Current medications are Adderall, vitamin D-K2, CoQ-10, turmeric, omega fish oil, and 5-HTP. No fever, chills, changes in appetite, weight loss, or changes in urination are reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Musculoskeletal Pain: The pain in your lower back and shoulder blades could be related to musculoskeletal issues, possibly exacerbated by your history of scoliosis. This type of pain can sometimes be sharp and may worsen with certain activities or positions.

  2. Gastrointestinal Issues: The bloating and abdominal discomfort could be related to gastrointestinal issues such as constipation or gas. Stress can also contribute to gastrointestinal symptoms, including bloating and nausea.

  3. Hernia or Ovarian Issues: Given your upcoming surgery for an umbilical hernia and varicose veins in your ovaries, uterus, and cervix, it's possible that these conditions could be contributing to your abdominal and back pain.

  4. Reactive Hypoglycemia: While not directly related to your pain, reactive hypoglycemia can cause symptoms like nausea and may be influenced by stress or dietary changes.

What you can do

For Back Pain:

  • Rest and Gentle Movement: Try to rest and avoid activities that exacerbate the pain. Gentle stretching and movement can sometimes help alleviate discomfort.
  • Heat Therapy: Applying a warm compress or heating pad to the affected area may help relax tense muscles and reduce pain.
  • Over-the-Counter Pain Relief: Since you can only take Tylenol, continue using it as directed to manage pain.

For Bloating and Abdominal Discomfort:

  • Dietary Adjustments: Consider eating smaller, more frequent meals and avoiding foods that are known to cause gas or bloating.
  • Hydration: Ensure you're drinking enough water, as dehydration can contribute to constipation and bloating.
  • Relaxation Techniques: Stress management techniques such as deep breathing, meditation, or gentle yoga may help reduce stress-related symptoms.

General Health:

  • Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider. This can be particularly helpful in managing complex conditions and preparing for your upcoming surgeries.

What you should look out for

While your symptoms are concerning, they do not appear to be immediately life-threatening. However, you should seek medical attention if you experience any of the following:

  • Severe or worsening pain that does not improve with rest or medication
  • Signs of infection, such as fever or chills
  • Sudden changes in bowel habits or severe constipation
  • Any new or unusual symptoms that cause concern

Remember, it's important to consult with your healthcare provider for a formal diagnosis and treatment plan. They can provide personalized advice based on your medical history and current condition.

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25 d ago


People Also Ask


What could be causing my lower left back and abdominal pain?

Your lower left back and abdominal pain could be due to musculoskeletal issues related to scoliosis, gastrointestinal problems like gas or constipation, or conditions related to your upcoming surgeries, such as an umbilical hernia or varicose veins in the ovaries.


How can stress affect my gastrointestinal symptoms?

Stress can exacerbate gastrointestinal symptoms by affecting digestion and increasing the production of stomach acid, leading to bloating, nausea, and changes in bowel habits.


What are some non-medication methods to relieve musculoskeletal pain?

Non-medication methods to relieve musculoskeletal pain include rest, gentle stretching, applying heat to the affected area, and practicing relaxation techniques like deep breathing or meditation.


How should I manage my reactive hypoglycemia in relation to my current symptoms?

To manage reactive hypoglycemia, eat small, frequent meals that are balanced in carbohydrates, proteins, and fats. Avoid high-sugar foods and manage stress through relaxation techniques to help stabilize blood sugar levels.

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