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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain In Lower Back While Coughing, Sneezing And Passing Stools. History Of Bronchitis. Help

I recently had bronchitis and think I may have injured my lower back. I have been to see my chiropractor (who usually takes care of my neck more than anything) to check it out. He tries to pop it but it is very difficult to get the smallest reponse. However, it just seems to be getting worse. The pain and aching are almost unbearable at times. If I cough or sneeze it hurts. When I have a bowel movement and push the littlest bit, it is horrible pain. Not sure what to do. Please help
Sat, 25 May 2013
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Orthopaedic Surgeon,  's  Response
Hello,
Welcome at HCM.

I have read details of your question.

Presence of back pain with coughing may be due to presence of prolapsed disc in your back.There is increase in pressure in spine fluid with coughing.So if there is already prolapsed disc then coughing increases pressure in canal & prolapse increases more .This in turn leads to pressure on nerve .Compression over the nerve is the cause of present pain.I shall advice you to have a MRI of spine to rule out the the pathology.Till then you should avoid bearing excessive weight .You should do rest.For present pain you should take a good analgesic like tramadol on prescription of your doctor.
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Severe Pain In Lower Back While Coughing, Sneezing And Passing Stools. History Of Bronchitis. Help

Hello, Welcome at HCM. I have read details of your question. Presence of back pain with coughing may be due to presence of prolapsed disc in your back.There is increase in pressure in spine fluid with coughing.So if there is already prolapsed disc then coughing increases pressure in canal & prolapse increases more .This in turn leads to pressure on nerve .Compression over the nerve is the cause of present pain.I shall advice you to have a MRI of spine to rule out the the pathology.Till then you should avoid bearing excessive weight .You should do rest.For present pain you should take a good analgesic like tramadol on prescription of your doctor.