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What Causes Severe Lower Back Pain And Abdominal Pain?

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Posted on Wed, 18 Feb 2015
Question: I had a CT scan done to see what the cause of my horrible horrible lower back pain is. I get really bad lower back pain and abdominal pain (sometimes) that starts with my left side hurting. The pain especially the lower back pain is so bad that I am unable to bend down.
doctor
Answered by Dr. T Chandrakant (42 minutes later)
Brief Answer:
MRI of the spine and back and An opinion of Orthopedic Surgeon.

Detailed Answer:
Hi.
Thanks for your query and an elucidate history and the reports of the CT scan of the abdomen.

Noted your history of horrible lower back pain, that you are unable to bend down.
Sometimes you are getting pain in abdomen starting with left side hurting.
It is definitely good to get the CT scan of the abdomen done, I have read the report and has nothing that can explain the pain in the abdomen or the back.

I think of the following:
There has to be a problem in the Back itself for which you need to Get an MRI of the back. This will enable to see the discs and the spinal cord which is not seen on CT scan of the back.
MRI will help to get the proper diagnosis and to be correlated with the physical examination findings of the Orthopedic Surgeon to come to the final conclusion. This can help to plan a proper treatment.

I hope this answer helps you to get an early and proper diagnosis and treatment plan.
Till then apply lumbar spinal support, do not bend or pick up heavy objects.
Take mild laxatives if you have constipation. Take full bed-rest to keep the back muscles relaxed.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (8 minutes later)
what did it mean by small amount of calcific densisty in the appendiceal lumen could represent dense ingested material? And tiny pelvic phleboliths are incidentally noted?
doctor
Answered by Dr. T Chandrakant (16 minutes later)
Brief Answer:
Findings not clinically significant

Detailed Answer:
Well, as expected your query about the above. The report specifically mentions- that there is no appendiceal enlargement or periappendiceal stranding to suggest appendicitis. Small amount of calcific densities in the appendix could represent dense ingested material versus appendicoliths. These are the standard radiological signs based on which the report is given.
Appendiceal enlargement or periappendiceal stranding are the most certain radiological signs. The present picture suggests that this can be dense ingested material, meaning the digested food material in the appendix appearing after absorption of the water can appear like this.
Secondly- Tiny pelvic phleboliths, are noted as they are present and incidentally meaning this is the finding with no clinical significance.

Both the above findings are not related to the severe backache you have, nor be responsible for pain in the left side of the abdomen.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19780 Questions

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What Causes Severe Lower Back Pain And Abdominal Pain?

Brief Answer: MRI of the spine and back and An opinion of Orthopedic Surgeon. Detailed Answer: Hi. Thanks for your query and an elucidate history and the reports of the CT scan of the abdomen. Noted your history of horrible lower back pain, that you are unable to bend down. Sometimes you are getting pain in abdomen starting with left side hurting. It is definitely good to get the CT scan of the abdomen done, I have read the report and has nothing that can explain the pain in the abdomen or the back. I think of the following: There has to be a problem in the Back itself for which you need to Get an MRI of the back. This will enable to see the discs and the spinal cord which is not seen on CT scan of the back. MRI will help to get the proper diagnosis and to be correlated with the physical examination findings of the Orthopedic Surgeon to come to the final conclusion. This can help to plan a proper treatment. I hope this answer helps you to get an early and proper diagnosis and treatment plan. Till then apply lumbar spinal support, do not bend or pick up heavy objects. Take mild laxatives if you have constipation. Take full bed-rest to keep the back muscles relaxed.