[39F] Experiencing lower back pain, abdominal fullness, and swelling

What might be happening

Based on the information you've provided, here are some possibilities:

• Exacerbation of Irritable Bowel Syndrome (IBS): Given your history of IBS, your symptoms of abdominal pain, fullness, and constipation could be an exacerbation of your condition. IBS can cause a wide range of symptoms, including changes in bowel habits, bloating, and abdominal pain.

  • Treatment typically involves dietary modifications, stress management, and sometimes medications to manage symptoms.

• Exacerbation of Celiac Disease: If you have been exposed to gluten, it could trigger an immune response leading to inflammation and symptoms like fatigue, abdominal pain, and constipation.

  • The main treatment for celiac disease is a strict gluten-free diet.

• Side effects of medication: Some of your symptoms could be side effects of the medications you're taking. For example, constipation can be a side effect of some antidepressants like Lexapro and Wellbutrin.

• Musculoskeletal issues: Your back pain and swelling could be due to a musculoskeletal issue, such as a muscle strain or sprain, especially since the pain worsens with movement.

• Psychological distress: Your feeling of dread and fatigue could be related to anxiety or depression. These conditions can also exacerbate physical symptoms.

What you can do

1. Monitor your diet: Ensure you are strictly adhering to a gluten-free diet. Also, try to identify any food triggers that may be exacerbating your IBS symptoms.

2. Pain management: Over-the-counter pain relievers, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin), may help with your back pain. Always follow the instructions on the label and consult your doctor if the pain persists.

3. Physical activity: Regular, low-impact exercise can help reduce inflammation and can also help manage IBS symptoms.

4. Mental health: Consider techniques to manage stress, such as relaxation exercises, mindfulness, or talking to a mental health professional.

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 medications
• Unexplained weight loss
• Blood in your stool or urine
• Fever or chills
• Persistent or worsening symptoms

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.