[60F] Experiencing sudden low back pain and abdominal spasms

What might be happening

Based on the symptoms you've described, here are some possible explanations:

• Muscle Strain or Spasm: Sudden back pain, especially if it radiates to the buttock and leg, can often be due to a muscle strain or spasm. This can occur even without recent physical activity, especially if you have underlying chronic pain conditions like fibromyalgia.

  • Treatment typically involves rest, applying heat or cold to the affected area, and over-the-counter pain relief. Physical therapy may also be recommended.

• Sciatica: This condition occurs when the sciatic nerve is irritated, often causing pain that radiates from the lower back to the buttock and down the leg. It can be triggered by a herniated disc or spinal stenosis.

  • Treatment may include physical therapy, medications for pain relief, and in some cases, steroid injections.

• Abdominal Issues: Given your history of intestinal blockage and infections, it's possible that abdominal spasms and tenderness could be related to gastrointestinal issues. However, the absence of changes in bowel habits or significant gastrointestinal symptoms makes this less likely.

  • If gastrointestinal issues are suspected, further evaluation by a healthcare provider would be necessary.

What you can do

1. Rest and Gentle Movement: Avoid activities that worsen your pain, but try to keep moving gently to prevent stiffness.
2. Apply Heat or Cold: Use a heating pad or ice pack on your lower back to help alleviate pain and reduce muscle spasms.
3. Pain Relief: Over-the-counter pain medications like ibuprofen or acetaminophen can help manage pain. Be sure to follow dosing instructions and consider any interactions with your current medications.
4. Track Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider. This can help in identifying patterns or triggers.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening pain that does not improve with rest or over-the-counter medications
• New or worsening symptoms, such as numbness or weakness in your legs
• Changes in bowel or bladder function, such as incontinence
• Fever or signs of infection

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.