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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Lower Back Pain Radiating To Abdomen, Spine, Have Low Appetite, Vomiting, On Tramadol, Paracetamol. Advice?

Hi ok so for 7months now i have been suffering from Chronic lower back pain that radiates to My abdomen and up my spine , constant pressure feeling that radiates to my bum cheeks and lowrer abdomen.. I ve had ultrasounds upper and lower abdomen, stomach and chest x rays, Barium meal and endoscopy .. I have no appitie and vomit a lot.. If its through pain im not sure, i ve lost nearly 4stone in 4months... The pain is so bad i m reduced to tears daily.. movement and rest doesn t help.. Hot water bottles ice packs also do not help Currently taking Tramadol and Paracetamol and this fails to ease the pain........
Wed, 3 Apr 2013
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General & Family Physician,  's  Response
Hi,
Thanks for the query.
Your main issue seems to be the lower back pain. If we are looking at the causes for low back pain, it can be from bones, muscles, nerves or organs. You said that you have undergone the ultrasound scans and x-rays. Though I could not see your results, I presume that they were normal. I would also like to know if you have done X-ray and MRI of your spine and the results. You can get pain if there is any cause in the bone part of spine, the nerves or the muscles. That can be identified by proper investigation as mentioned above. Once the problem is identified, it would be easier to treat. Loss of appetite and vomiting can be due to long term use of pain killers, if you were using them.
You also need to take regular exercise to strengthen your back muscles and avoid lifting heavy weights by yourself. If you are in a work where you have to sit for long, make sure you take a walk and stretch at least once in an hour. Sitting posture needs to be straight without any stress on your back. Hope this answer helps to reduce your pain and suffering. If any further queries, I would be happy to be at your service. Thank you.

Regards
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Orthopaedic Surgeon,  Dr. Dr. Praveen Tayal's  Response
Hello.
Thanks for writing to us.
The chronic lower back pain radiating to the spine is likely to be related to a spine pathology. You need to get the MRI scan of the spine done to find out the cause. Oral muscle relaxants and local analgesic gel can help in the meantime.
I hope this information has been both informative and helpful for you.
Regards,
Dr. Praveen Tayal
drtayal72@gmail.com
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Chronic Lower Back Pain Radiating To Abdomen, Spine, Have Low Appetite, Vomiting, On Tramadol, Paracetamol. Advice?

Hi, Thanks for the query. Your main issue seems to be the lower back pain. If we are looking at the causes for low back pain, it can be from bones, muscles, nerves or organs. You said that you have undergone the ultrasound scans and x-rays. Though I could not see your results, I presume that they were normal. I would also like to know if you have done X-ray and MRI of your spine and the results. You can get pain if there is any cause in the bone part of spine, the nerves or the muscles. That can be identified by proper investigation as mentioned above. Once the problem is identified, it would be easier to treat. Loss of appetite and vomiting can be due to long term use of pain killers, if you were using them. You also need to take regular exercise to strengthen your back muscles and avoid lifting heavy weights by yourself. If you are in a work where you have to sit for long, make sure you take a walk and stretch at least once in an hour. Sitting posture needs to be straight without any stress on your back. Hope this answer helps to reduce your pain and suffering. If any further queries, I would be happy to be at your service. Thank you. Regards