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What Causes Pain In Both Sides Above Waist Line?

Posted on Sat, 13 Jun 2015

Question: 4 days have burning pain on both side above belt line. Seems to move from side to side, and back. Causing back pain as well. Feels like something is pressing on my sides from inside, like something is trying to expand inside.

Answered by Dr. Muhammad Hanif (2 hours later)

Brief Answer:
Some more information needed regarding pain

Detailed Answer:
Welcome, Dear!

I can understand your worries and I am more than happy to help you. But I need some clarifications in history before I get to some conclusion. Its sometimes difficult to diagnose on the basis of little data available.
Do you have abnormal digestion system (dyspepsia)?
Do you feel bloating?
Do you have constipation?
vomiting?
diarrhoea?
Burning sensation on Urination?
color change of urine, or pain on urination?
how active physically, are you on daily basis?
Any fainting episodes, leg cramps, or abdomen cramps?

Thanks for the patience and I will wait for a detailed reply from you.

Regards!
Dr. Hanif XXXXXXX USA

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Muhammad Hanif (1 hour later)

hi sorry for delay:

you asked 8 questions:
1. Abnormal digest- No
2. Bloat- Yes
3. Constipat- Yes
4. Vomiting- No, Diarrhea- No
5. Burning urin- No
6. color change- No
7. Active- low- moderate
8. No fainting, leg cramps no, some- ab cramps

Hope this helps.

Answered by Dr. Muhammad Hanif (2 hours later)

Brief Answer:
Its Fecal Impaction due to chronic constipation

Detailed Answer:
Welcome back, Dear!

I am happy to see you with a detailed follow up answer. Now, as the things are clear to me, I can well understand your problem and guide you properly.

Its chronic constipation, slow bowel movements, and bloating that makes you feel like that. But don't worry, it will resolve with medical treatment. Please stop Aleve, and BC powder. It will aggravate the situation even more. When Patients like you present in my clinic and I prescribe them Syrup Lactulose 4TSF at bed time + Tablet Itopride 10mg 3times a day 30min before meals + Tablet Hyoscyamine (anaspaz) 0.25mg orally every 4hourly.
Diet modification and Lifestyle modification is needed for you. Its good that you are taking plenty of fluids. Take fresh fruits and leafy vegetables. Avoid junk foods and soda of any kind. Take high-fiber diet and Ispaghola-Husk in milk (keep it dipped for 1hour and take that glass of milk daily). Your goal is daily walk 5000steps. If on a healthy pace that is the best thing I need from you. Take a pedometer to make step counting easier for you and to make a record. Follow the instructions and let me know if there an issue. I will be more than happy to help you.

Hope it helps. Feel free to ask any queries anytime.

Regards!
Your Physician
Dr. Hanif

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad