Onset of lower back and lower abdominal pain and pressure, loose stools x 21/2 days, painful urgency with need to urinate. No persistent frequency, nor painful voiding. OTC urine test for nitrates and leukocytes negative, no hematuria,no fever. History of IBS, moderately severe bleeding hemmorhoids, post partial hysterectomy, last gyn visit 1year ago. Also history of RA, fibromyalgia, hypermobile joint syndrome, rheumatic fever long ago. Also noting I have a 27 yr old daughter with Tuberous Sclerosis Complex. Her developmental age is approx 9 mo and therefore non weight bearing. I provide all her care, dad does major lifting but I do a lot of positioning, PT, etc. 5 7 , 150# steady weight.