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Suggest Treatment For Lower Back Pain
Posted on
Wed, 23 Dec 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 23 Dec 2015
Answered on
Sat, 16 Jan 2016
Last reviewed on
Question : I have lower back pain, each side, love handle areas. 45 year old male.
Brief Answer:
may need to consider a urine analysis
Detailed Answer:
Hi, thanks for using healthcare magic
If the pain feels similar to the pain that you experienced with your urinary tract infection then you should at least consider a urine analysis at your doctor's office.
A urine analysis would be able to detect white blood cells, nitrites or blood which can show up when an infection is present.
The doctor may opt to send the urine to the lab for more in depth analysis if suspicious.
A repeat course of antibiotics would be needed if an infection is confirmed. If you did not have imaging of the urinary tract done a few months ago, this would likely be suggested to see if there are any structural reasons for the repeat infection.
The other cause of pain in these areas would be soft tissue injury to these areas. Soft tissue can include muscles and connecting tissues.
If this is the cause, the pain would typically be worse with certain movements and the areas may be tender to touch.
Anti inflammatory pain medication would be used eg naproxen, ibuprofen, voltaren, ketoprofen.
The low chloride would not be associated with your pain. The slight increase in bilirubin is not likely related either. Bilirubin is related to the gallbladder, pancreas, liver, certain types of anemia.
None of these would cause bilateral pain.
I hope this helps, feel free to ask any other questions
may need to consider a urine analysis
Detailed Answer:
Hi, thanks for using healthcare magic
If the pain feels similar to the pain that you experienced with your urinary tract infection then you should at least consider a urine analysis at your doctor's office.
A urine analysis would be able to detect white blood cells, nitrites or blood which can show up when an infection is present.
The doctor may opt to send the urine to the lab for more in depth analysis if suspicious.
A repeat course of antibiotics would be needed if an infection is confirmed. If you did not have imaging of the urinary tract done a few months ago, this would likely be suggested to see if there are any structural reasons for the repeat infection.
The other cause of pain in these areas would be soft tissue injury to these areas. Soft tissue can include muscles and connecting tissues.
If this is the cause, the pain would typically be worse with certain movements and the areas may be tender to touch.
Anti inflammatory pain medication would be used eg naproxen, ibuprofen, voltaren, ketoprofen.
The low chloride would not be associated with your pain. The slight increase in bilirubin is not likely related either. Bilirubin is related to the gallbladder, pancreas, liver, certain types of anemia.
None of these would cause bilateral pain.
I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr. James! I do believe it is pancreas, liver, or gallbladder related. Are there ways to test these functions through blood/ urine panels? Have a great Holiday!
Best,
Best,
Brief Answer:
ast, alt, alkaline phosphate, ggt, bilirubin, proteins, amylase
Detailed Answer:
HI
There are blood tests to check- - ast, alt, alkaline phosphate, GGt, bilirubin, protein levels (proteins made in liver), amylase
The liver and gallbladder are on the right side of the abdomen and would generally cause right sided abdominal pain.
The pancreas tends to cause pain in the center and towards the center of the back, it is located towards the back of the abdomen
Because these are on one side only, they tend not to cause pain on both sides of the abdomen but everyone is different and experiences illnesses differently so if you suspect issues with these organs then you can have the bloods mentioned.
Please feel free to ask anything else
ast, alt, alkaline phosphate, ggt, bilirubin, proteins, amylase
Detailed Answer:
HI
There are blood tests to check- - ast, alt, alkaline phosphate, GGt, bilirubin, protein levels (proteins made in liver), amylase
The liver and gallbladder are on the right side of the abdomen and would generally cause right sided abdominal pain.
The pancreas tends to cause pain in the center and towards the center of the back, it is located towards the back of the abdomen
Because these are on one side only, they tend not to cause pain on both sides of the abdomen but everyone is different and experiences illnesses differently so if you suspect issues with these organs then you can have the bloods mentioned.
Please feel free to ask anything else
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr. XXXXXXX Will do.
Happy Holidays
Best, XXXXXXX
Happy Holidays
Best, XXXXXXX
Brief Answer:
no prob
Detailed Answer:
Best to you and yours as well
no prob
Detailed Answer:
Best to you and yours as well
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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