[42F] Experiencing sharp, stabbing waves of pain and cramping

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for what might be happening:

Gut Cramping and Pain

• Irritable Bowel Syndrome (IBS): IBS can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation. The pain you describe, especially when coughing or bearing down, could be related to this condition.
• Diverticulitis: This condition involves inflammation or infection of small pouches that can form in your intestines. It can cause severe abdominal pain, especially on the left side, and changes in bowel habits.
• Hernia: A hernia can cause pain that worsens with coughing or straining. It might explain the cramping and pain in your abdomen.

Sciatic Pain and Right Calf Pain

• Sciatica: Given your history of pinched nerves and bulging discs, it's likely that your sciatic pain is related to this. Sciatica can cause pain that radiates from your lower back down your leg.
• Peripheral Neuropathy: This condition can cause pain, tingling, or numbness in your extremities and might be related to your existing nerve issues.

Gum Pain

• Dental Issues: Pain in your gums could be related to dental problems such as gum disease or an abscess. It might be worth seeing a dentist to rule out these issues.

Difficulty with Bowel Movements and Reduced Sensation During Sex

• Pelvic Floor Dysfunction: This condition can cause difficulty with bowel movements and reduced sensation during sex. It involves the muscles in your pelvic floor not working properly.
• Nerve Compression: Given your history of bulging discs, nerve compression could be affecting your pelvic floor muscles and contributing to these symptoms.

What you can do

Gut Cramping and Pain

• Dietary Changes: Try to identify and avoid foods that trigger your symptoms. A diet high in fiber can help with constipation.
• Hydration: Drink plenty of water to help with bowel movements.
• Over-the-Counter Medications: Antacids or anti-gas medications might help with bloating and cramping.

Sciatic Pain and Right Calf Pain

• Physical Therapy: Exercises and stretches designed to relieve sciatic pain can be very effective.
• Pain Management: Over-the-counter pain relievers like ibuprofen can help manage pain. Continue taking Gabapentin as prescribed.
• Heat and Ice: Applying heat or ice to the affected area can help reduce pain and inflammation.

Gum Pain

• Oral Hygiene: Maintain good oral hygiene by brushing and flossing regularly. Consider using an antiseptic mouthwash.
• Dental Check-Up: Schedule an appointment with your dentist to rule out any dental issues.

Difficulty with Bowel Movements and Reduced Sensation During Sex

• Pelvic Floor Exercises: Kegel exercises can help strengthen your pelvic floor muscles.
• Consult a Specialist: A pelvic floor therapist or a specialist in pelvic health can provide targeted exercises and treatments.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or worsening pain: If your pain becomes unbearable or significantly worsens.
• Changes in bowel habits: Persistent diarrhea, constipation, or any blood in your stool.
• Numbness or weakness: Any new or worsening numbness or weakness in your legs or other parts of your body.
• Fever or chills: These could indicate an infection.

Remember, while I can provide some guidance, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider.