[71F] Experiencing severe back, side, and stomach pain with constipation

What might be happening

Based on the information you've provided, here are a few possibilities:

• Kidney stones: Your symptoms of severe, stabbing pain in the lower back, side, and front, which radiates to your leg, could be indicative of a kidney stone. Kidney stones can cause severe pain and discomfort, and can sometimes lead to complications if not treated promptly.

  • Treatment usually involves pain relief and drinking lots of fluids to help pass the stone. In some cases, medical procedures may be needed to remove or break up the stone.

• Gastrointestinal issues: Your symptoms of constipation, gas, and changes in bowel movements could be related to a number of gastrointestinal issues, such as Irritable Bowel Syndrome (IBS), which you've mentioned you have a history of. However, the severity and duration of your symptoms suggest that there may be another issue at play, such as a blockage or other digestive disorder.

  • Treatment will depend on the underlying cause and may include dietary changes, medication, and in some cases, surgery.

• Pancreatic insufficiency: This is a condition where the pancreas does not produce enough of certain enzymes the body uses to digest food in the small intestine. It can cause greasy, foul-smelling stools that are hard to flush, pain in the abdomen, and bloating and gas. You've mentioned that you have a history of pancreatic insufficiency.

  • Treatment usually involves taking pancreatic enzyme supplements that help the body break down and process nutrients in food.

What you can do

1. Seek immediate medical attention. The severity and duration of your symptoms, particularly the pain, warrant a prompt evaluation by a healthcare professional. They can perform a physical examination and order tests such as blood tests, imaging studies, or endoscopic procedures to determine the cause of your symptoms.

2. Keep a symptom diary. Note down when your symptoms occur, their severity, and any potential triggers (such as food or activities). This can help your healthcare provider in their evaluation.

3. Stay hydrated and eat a balanced diet. This can help with constipation and general health. Avoid foods that you notice make your symptoms worse.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe, sudden, or worsening pain
• Blood in your stool or dark, tarry stools
• Vomiting or inability to keep down fluids
• High fever (temperature over 100.4°F)
• Dizziness, fainting, or confusion

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.