[43F] Experiencing severe constipation and related symptoms

What might be happening

Based on the information you have provided, possible diagnoses include:

• Chronic Constipation: Given your history of slow motility and worsening constipation, it's possible that your condition has progressed. Chronic constipation can cause bloating and lower back pain.

  • Treatment typically involves lifestyle changes such as increasing dietary fiber, drinking plenty of water, and regular exercise. Over-the-counter or prescription medications may also be used to help soften the stool and stimulate bowel movements.

• Urinary Tract Infection (UTI): High leukocytes (white blood cells) and increased urinary frequency can be signs of a UTI. UTIs can sometimes cause lower back pain if the infection has spread to the kidneys.

  • Treatment for a UTI typically involves antibiotics prescribed by a doctor.

• Vitamin B12 Overdose: High levels of vitamin B12 can cause symptoms like fatigue and frequent urination. This could be due to your multivitamin or fish oil supplement.

  • Treatment involves stopping the supplement that is causing the high levels and monitoring your B12 levels.

Please note that these are potential diagnoses and you should consult with a healthcare professional for a formal diagnosis.

What you can do

1. For constipation, try increasing your fiber intake and drinking more water. Regular exercise can also help stimulate bowel movements.
2. If you suspect a UTI, it's important to see a doctor as soon as possible for a urine test and potential antibiotics.
3. If you're taking a B12 supplement, consider stopping it and see if your symptoms improve. However, you should consult with a healthcare professional before stopping any supplements.

What you should look out for

Seek immediate medical attention if you experience:

• Blood in your stool or urine
• Severe abdominal pain
• Fever or chills
• Worsening back pain
• Symptoms of a severe allergic reaction, such as difficulty breathing or swelling of the face, lips, tongue, or throat

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.