[46M] With lower left side back pain, gas, constipation, and bloating

Patient Description

A 46-year-old male presents with lower left side back pain for the past two days, described as a pressure sensation that worsens after eating. The pain has not been relieved by resting or using a heating pad. The patient also reports constipation for the same duration, despite using a suppository and laxatives, with a usual pattern of daily bowel movements. Additionally, the patient has experienced bloating and excessive gas that comes and goes, which started a few hours ago. The patient suspects that drinking a lot of cola and eating cheese puffs might have contributed to these symptoms. There is no blood in the stool or significant weight loss. The patient has no recent travel, changes in diet, or new medications. Recent ER visit ruled out pancreatitis and kidney stones/infection, with normal blood work results. The patient has no pre-existing conditions, allergies, or current medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Gastrointestinal Issues: The combination of back pain, gas, constipation, and bloating could be related to gastrointestinal issues such as Irritable Bowel Syndrome (IBS) or a temporary digestive upset due to dietary choices (e.g., consuming a lot of cola and cheese puffs). IBS can cause a range of symptoms, including abdominal pain, bloating, and changes in bowel habits.

    • Treatment: Management of IBS often involves dietary changes, stress management, and sometimes medications to relieve specific symptoms. For temporary digestive upset, avoiding trigger foods and staying hydrated can help.

  • Musculoskeletal Strain: The lower left side back pain could be due to a musculoskeletal strain, especially if you have engaged in any physical activities that might have strained your back.

    • Treatment: Rest, over-the-counter pain relievers, and gentle stretching exercises can help alleviate musculoskeletal pain.

  • Constipation: Your constipation could be contributing to the back pain and bloating. Constipation can cause discomfort and pressure in the abdomen and lower back.

    • Treatment: Increasing fiber intake, staying hydrated, and using over-the-counter laxatives as needed can help relieve constipation.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

  1. Dietary Adjustments: Avoid foods and drinks that can cause gas and bloating, such as carbonated beverages and high-fat snacks. Instead, focus on a balanced diet rich in fiber, fruits, vegetables, and whole grains.
  2. Hydration: Drink plenty of water to help ease constipation and support overall digestive health.
  3. Physical Activity: Gentle exercise, such as walking, can help stimulate bowel movements and relieve constipation.
  4. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage back pain. Applying a warm compress to the affected area may also provide relief.
  5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share longitudinal medical notes with your healthcare provider. This can help identify patterns and triggers for your symptoms.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening abdominal or back pain
  • Blood in your stool
  • Persistent constipation despite treatment
  • Fever or chills
  • Unexplained weight loss

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any further questions or concerns, don't hesitate to reach out to a medical provider.

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3 mo ago

People Also Ask

What dietary changes can help alleviate symptoms of bloating and constipation?

To alleviate symptoms of bloating and constipation, focus on a balanced diet rich in fiber, such as fruits, vegetables, and whole grains. Avoid foods and drinks that can cause gas and bloating, like carbonated beverages and high-fat snacks.

How can I differentiate between gastrointestinal issues and musculoskeletal strain as the cause of my back pain?

Gastrointestinal issues often come with symptoms like bloating, gas, and changes in bowel habits, while musculoskeletal strain is usually related to physical activity and may improve with rest and pain relievers. If the pain is accompanied by digestive symptoms, it might be gastrointestinal.

What are some effective over-the-counter treatments for constipation?

Effective over-the-counter treatments for constipation include fiber supplements, stool softeners, and laxatives. It's important to follow the instructions on the packaging and consult a healthcare provider if symptoms persist.

When should I seek medical attention for my symptoms?

Seek medical attention if you experience severe or worsening abdominal or back pain, blood in your stool, persistent constipation despite treatment, fever or chills, or unexplained weight loss.

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