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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure On Lower Back, Urge To Urinate, Pain In Groin With BP?

I have alot of pressure on my right front, lower back (pressure like when you are pregnant) I always have the sensation I need to urinate, it makes my right leg go numb and causes shooting pains in my groin area. I have pain between my shoulder blades,and tightness that migrates from side to side in my chest. The pain/pressure sometimes shoots up my neck to my jaw and my blood pressure is ranging between 154-180 over 105-132.
Mon, 16 Nov 2015
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Cardiologist,  's  Response
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that a careful physical diagnosis of different disorders that may lead to this clinical scenario is necessary to be done:

- an autoimmune disorder like rheumatoid arthritis, lupus, etc
- a back bone disorder, like possible degenerations, slipped intervertebral disk, etc.
- a chronic inflammatory disorder
- Fibromyalgia
- psychological disorder, like possible somatoform disorder.

I recommend consulting with your GP for a careful physical examination and some tests :
-resting ECG
-chest X ray study
-urine analysis
-cervico-thoracic-lumbar column chest X ray study
-electromyography and electroneurography to examine the nerves and muscles
-blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes including calcium and phosphorus, kidney and liver function tests)

Further immunological tests (rheumatoid factor, ANA, ANCA, ENA, etc.) should be done if suspicions are raised.

Hope to have been helpful!

Feel free to ask any other questions whenever you need!

Greetings!

Dr. Iliri
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What Causes Pressure On Lower Back, Urge To Urinate, Pain In Groin With BP?

Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that a careful physical diagnosis of different disorders that may lead to this clinical scenario is necessary to be done: - an autoimmune disorder like rheumatoid arthritis, lupus, etc - a back bone disorder, like possible degenerations, slipped intervertebral disk, etc. - a chronic inflammatory disorder - Fibromyalgia - psychological disorder, like possible somatoform disorder. I recommend consulting with your GP for a careful physical examination and some tests : -resting ECG -chest X ray study -urine analysis -cervico-thoracic-lumbar column chest X ray study -electromyography and electroneurography to examine the nerves and muscles -blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes including calcium and phosphorus, kidney and liver function tests) Further immunological tests (rheumatoid factor, ANA, ANCA, ENA, etc.) should be done if suspicions are raised. Hope to have been helpful! Feel free to ask any other questions whenever you need! Greetings! Dr. Iliri