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Diagnosed With Spastic Colon. Having Low Back Pain. Had Hysterectomy. Should I See A Doctor?
I'm 47 year old female, diagnosed w/ IBS "spastic colon" at 16yrs old, but really haven't "suffered" that much since highschool. I am having lower back pain, more of a deep ache, and I swear it's what I eat. Rather rediculous of me to even ask because I'm sure it's probably IBS, but can it be something else causing the pain? I didn't know if pain (not gas type) after eating indicates issues like pockets etc in colon? Or some other intestinal issue. I had a historectomy years ago (I still have ovaries) but had tipped uterus and endrometriosis (spelling?) and very heavy periods, at that time my low back hurt similar to this. I'm wondering if I should be concerned that it is endrometriosis possibly growing on other organs as I've heard that can happen. Should I start problem solving with my OBGYN or a general practicioner?
Fri, 5 Jul 2013
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).
Before advsing I will like to tell:
Few things about IBS:
1. Is a chronic disease which has relapsing and remitting course
2. It will never harm you even if it will persist for whole life
3. Stress, life events, and anxiety leads to aggravation of symptoms
4. Intestine becomes hypersensitive so even discomfort is perceived as pain atnd this pain is relieved after defecation
5. Increase gas production leading to abdominal fullness and bloating
6. No alarming features like weight loss, gastrointestinal bleeding, or fever
So if you dont have any alaraming features and this pain is relieved after defecation then you are having IBS
Since you have already undergone hysterectomy and as the most common site for endometriosis is uterus, it appears to be less likely. If still in doubt you can get an Ultrasound abdomen.
Lowback pain may also be due to osteoporosis which ocurrs after menopause and this may be a part of IBS also. For this will suggest you should take high calcium diet along with calcium and Vitamin D supplement
For IBS I will like to advise to to take tab mebevarine, psyllium fibres and a proton pump inhibitor along with prokinetic agent.
I hope I have answered your query and this will help you. Remain in touch and get-well soon
Before advsing I will like to tell:
Few things about IBS:
1. Is a chronic disease which has relapsing and remitting course
2. It will never harm you even if it will persist for whole life
3. Stress, life events, and anxiety leads to aggravation of symptoms
4. Intestine becomes hypersensitive so even discomfort is perceived as pain atnd this pain is relieved after defecation
5. Increase gas production leading to abdominal fullness and bloating
6. No alarming features like weight loss, gastrointestinal bleeding, or fever
So if you dont have any alaraming features and this pain is relieved after defecation then you are having IBS
Since you have already undergone hysterectomy and as the most common site for endometriosis is uterus, it appears to be less likely. If still in doubt you can get an Ultrasound abdomen.
Lowback pain may also be due to osteoporosis which ocurrs after menopause and this may be a part of IBS also. For this will suggest you should take high calcium diet along with calcium and Vitamin D supplement
For IBS I will like to advise to to take tab mebevarine, psyllium fibres and a proton pump inhibitor along with prokinetic agent.
I hope I have answered your query and this will help you. Remain in touch and get-well soon
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