[42M] Experiencing back and stomach pain with associated symptoms

Patient Description

A 42-year-old male presents with a one-week history of lower back pain described as a constant aching sensation, rated 5/10 in severity, which does not change with movement or time of day, and is unrelieved by any measures. The patient also reports sharp and crampy stomach pain, rated 5/10 in severity, that started three days ago and is worse after meals. Accompanying these symptoms are feelings of being gassy throughout the day for the same duration, nausea, minor chills, and a one-day history of itching on the left rib cage. The patient has also been experiencing an aching headache for three days, rated 3/10 in severity. There is no report of recent bowel changes, jaundice, vomiting, blood in stool, significant weight loss, or any specific triggers for the gassiness. The patient has a history of similar headaches in the past. No further medical history, allergies, or medications have been reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral, bacterial, or parasitic infection. Symptoms can include stomach pain, gas, and nausea.

    • Treatment usually involves rest, hydration, and over-the-counter remedies.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment often includes diet changes, medication, and stress management.
  • Gastritis: This is an inflammation of the stomach lining, which can cause upper abdominal pain, nausea, and gas.

    • Treatment usually involves antacids and other medications to reduce stomach acid.
  • Peptic Ulcer: This is a sore on the lining of your stomach, upper small intestine or esophagus. Pain that feels like a dull ache or burning in your stomach is the most common symptom.

    • Treatment usually involves medication to decrease stomach acid. If an infection with a bacterium known as H. pylori is causing your peptic ulcers, you'll need to take antibiotics.
  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause pain in the right upper abdomen, as well as back pain.

    • Treatment may involve medication to dissolve the gallstones or surgery to remove the gallbladder.

What you can do

You should definitely see a healthcare provider to get a proper diagnosis and treatment. In the meantime, here are a few things you can do to help manage your symptoms:

  1. Stay hydrated: Drink plenty of fluids, especially water, to prevent dehydration, especially if you're experiencing diarrhea or vomiting.
  2. Eat a bland diet: Avoid spicy, fatty, or fried foods and stick to simple foods like rice, bananas, and toast until your symptoms improve.
  3. Over-the-counter remedies: Antacids can help with stomach pain and gas. Pain relievers can help with back pain and headaches.

What you should look out for

If your symptoms worsen or you experience any of the following, seek immediate medical attention:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Unexplained weight loss
  • Yellowing of your skin or eyes
  • Persistent vomiting or inability to keep down fluids
  • High fever (>101.5°F)

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of lower back pain that doesn't change with movement?

Lower back pain that doesn't change with movement can be caused by muscle strain, poor posture, or conditions like degenerative disc disease. It's important to consult a healthcare provider for a proper diagnosis.


How can I differentiate between gastritis and a peptic ulcer based on symptoms?

Gastritis often causes upper abdominal pain, nausea, and gas, while a peptic ulcer typically presents as a dull ache or burning sensation in the stomach. Both conditions can be confirmed with medical tests, so it's best to see a doctor for an accurate diagnosis.


What dietary changes can help alleviate symptoms of irritable bowel syndrome (IBS)?

For IBS, it's recommended to eat a high-fiber diet, avoid trigger foods like caffeine and alcohol, and eat smaller, more frequent meals. Keeping a food diary can help identify specific triggers.


When should I seek medical attention for stomach pain and nausea?

You should seek medical attention if you experience severe abdominal pain, blood in your stool or vomit, unexplained weight loss, yellowing of your skin or eyes, persistent vomiting, or a high fever.


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