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I Had Intestinal Bloating Earlier In The Evening, Then In

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Posted on Mon, 1 Jul 2019
Question: I had intestinal bloating earlier in the evening, then in the middle of the night had sharp lower right back pain. It is hurting enough and sudden that I don’t think it is back muscle
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Answered by Dr. Aaron Branch (0 minute later)
Brief Answer:
Many possibilities

Detailed Answer:
Hello, I'm Dr. Branch, thanks for using Ask a Doctor. The pain you are describing could be from many causes, but the first one that comes to mind is a kidney stone, which can cause sudden, severe pain on the flanks, that comes and goes in waves or spasms, and may change position as the stone travels through the ureter. You may also notice blood in the urine, but often this is not visible. Back muscle pain is possible, especially if the pain is worsened or improved with certain movements or positions, and pressing on the muscle make a difference in the pain. Other possibilities would be appendicitis, diverticulitis (an infection of an out-pouching of the intestine), and sometimes poor blood supply to the intestines or surrounding areas can cause severe pain as well.

If you are fairly certain this is not muscular, then I think it would be best to go to the ER and figure out what is causing this. They will likely want to do a CT scan, which hopefully will show the cause of this and get you started on treatment. The sooner you get started on treatment for whatever this is, the better, so I think it is best not to wait.

I hope that helps, please let me know if you have any questions about any of that, and I would be glad to discuss it with you further.
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Above answer was peer-reviewed by : Dr. Nagamani Ng
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Dr. Aaron Branch

General & Family Physician

Practicing since :2011

Answered : 1202 Questions

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I Had Intestinal Bloating Earlier In The Evening, Then In

Brief Answer: Many possibilities Detailed Answer: Hello, I'm Dr. Branch, thanks for using Ask a Doctor. The pain you are describing could be from many causes, but the first one that comes to mind is a kidney stone, which can cause sudden, severe pain on the flanks, that comes and goes in waves or spasms, and may change position as the stone travels through the ureter. You may also notice blood in the urine, but often this is not visible. Back muscle pain is possible, especially if the pain is worsened or improved with certain movements or positions, and pressing on the muscle make a difference in the pain. Other possibilities would be appendicitis, diverticulitis (an infection of an out-pouching of the intestine), and sometimes poor blood supply to the intestines or surrounding areas can cause severe pain as well. If you are fairly certain this is not muscular, then I think it would be best to go to the ER and figure out what is causing this. They will likely want to do a CT scan, which hopefully will show the cause of this and get you started on treatment. The sooner you get started on treatment for whatever this is, the better, so I think it is best not to wait. I hope that helps, please let me know if you have any questions about any of that, and I would be glad to discuss it with you further.