[46F] Experiencing severe lower back pain and neurological symptoms

Patient Description

A 46-year-old female presents with severe, radiating lower back pain near the coccyx, which has been worsening over the last month. The pain is described as intense, akin to being struck with a bat, and is not alleviated by Tylenol. The patient reports a burning sensation near the shoulder blades for the past three days, nausea followed by diarrhea in the mornings, and an episode of confusion and blackout today. The patient has a history of diabetes and is currently taking Atorvastatin 10 mg once a day. Allergies include aspirin and penicillin. No recent injuries, foreign travel, or unusual dietary changes were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions might be causing your symptoms:

  • Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your feet, is irritated or compressed. It can cause pain, numbness, and a burning sensation in the lower back, buttocks, and legs. However, it doesn't typically cause nausea, diarrhea, or blackouts.

    • Treatment often includes physical therapy, pain relievers, and in some cases, surgery.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can cause diarrhea, nausea, and abdominal pain. However, it doesn't typically cause lower back pain or a burning sensation in the back.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to alleviate symptoms.
  • Vertigo: This condition causes a feeling of dizziness and a loss of balance, which can lead to blackouts. However, it doesn't typically cause lower back pain, a burning sensation in the back, or gastrointestinal symptoms.

    • Treatment often includes physical therapy, medications to relieve symptoms, and in some cases, surgery.

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

What you can do

  1. Seek immediate medical attention: Given the severity of your symptoms and the recent blackout, it's important to seek medical attention as soon as possible.

  2. Rest and hydration: Make sure to rest and stay hydrated, especially if you're experiencing diarrhea.

  3. Over-the-counter pain relief: Continue taking Tylenol for your back pain as needed, but avoid exceeding the recommended dosage.

What you should look out for

  • Increased severity or frequency of blackouts
  • Increased severity or frequency of diarrhea
  • Blood in your stool
  • Severe abdominal pain
  • Fever or chills

Please remember that while I strive to provide accurate information, I am not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What could be causing severe lower back pain that radiates near the coccyx?

Severe lower back pain that radiates near the coccyx could be caused by conditions such as sciatica, where the sciatic nerve is irritated or compressed. Other possibilities include muscle strain, herniated discs, or other spinal issues. It's important to consult a healthcare professional for an accurate diagnosis.


Why might someone experience nausea and diarrhea in the mornings?

Nausea and diarrhea in the mornings could be symptoms of gastroenteritis, which is an inflammation of the stomach and intestines often caused by infections. Other potential causes include stress, dietary issues, or medication side effects. A healthcare provider can help determine the exact cause.


What are potential causes of confusion and blackouts?

Confusion and blackouts can be caused by a variety of conditions, including vertigo, low blood sugar, dehydration, or neurological issues. It's crucial to seek medical attention to identify the underlying cause, especially if these symptoms are new or worsening.


How can diabetes affect symptoms like back pain and gastrointestinal issues?

Diabetes can affect various body systems and may contribute to symptoms like back pain and gastrointestinal issues. Poorly controlled blood sugar levels can lead to nerve damage (neuropathy), which might cause pain or discomfort. Additionally, diabetes can affect digestion and increase the risk of infections. Managing blood sugar levels and consulting with a healthcare provider is important.


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