[52M] Experiencing chronic back pain and fatigue

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Musculoskeletal Strain: This is a common cause of back pain and can occur without a specific injury. It's characterized by a dull ache, similar to what you're experiencing. However, it typically improves with rest and worsens with activity, which doesn't align with your symptoms.

  • Treatment usually involves rest, over-the-counter pain relievers, and physical therapy.

• Kidney Conditions: Your back pain's location suggests it could be related to your kidneys. Conditions like kidney stones or a kidney infection can cause back pain, but these usually come with other symptoms like changes in urine or fever, which you haven't reported.

  • Treatment depends on the specific condition and can range from antibiotics for infections to surgical intervention for stones.

• Lymphoma Recurrence: Given your history of NHL Follicular B Cell, it's important to consider the possibility of a recurrence. Symptoms of lymphoma can include fatigue, night sweats, and back pain, although the pain is usually due to enlarged lymph nodes, which you haven't mentioned.

  • Treatment would involve chemotherapy, radiation, or other cancer therapies.

• Chronic Fatigue Syndrome (CFS): This is a complex disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue is often worsened by physical or mental activity, but it doesn't improve with rest.

  • Treatment usually involves a combination of lifestyle changes, psychological therapy, and medication to manage symptoms.

What you can do

It's important to consult with your healthcare provider about your symptoms. They can perform a physical examination and order relevant tests to help determine the cause of your symptoms. In the meantime, you can:

1. Rest and avoid strenuous activities that may exacerbate your back pain.
2. Use over-the-counter pain relievers as needed, but always follow the instructions on the package.
3. Keep a symptom diary. Note when your fatigue and back pain occur, how severe they are, and if anything makes them better or worse. This can be helpful information for your healthcare provider.

What you should look out for

You should seek immediate medical attention if you experience:

• Severe back pain that doesn't improve with rest.
• Changes in your urine, such as blood or a strong smell.
• Fever, chills, or other signs of infection.
• Unexplained weight loss.
• Swelling or lumps in your neck, armpits, or groin.

Please remember that while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.