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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stomach Bloating And Lower Back Pain?

I have extreme bloating and lower back pain for the last 3 days. I get nauseated throughout the day but have not thrown up yet. It comes and goes.Very restless at night and just cannot get comfortable or sleep much and a "pulling" feeling on both sides of my stomache.When I sit, it feels like something on my diaphram as i feel like I have been exercising.sore throat today as well.I ahve also had feelings like lower stomach like my period is coming but just ended last week(although not a "normal" one for me) The bloating is especially uncomfortable.
Tue, 18 Apr 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Bloating of abdomen with nausea but no vomiting comes and goes for the last 3 days, making sleeping uncomfortable can be due to the following reasons:
Intestinal obstruction.
Fecolith impaction.
Intestinal infection due to gas producing bacteria.
I would advise you the following in such a situation:
Get X-ray of the abdomen in standing position as it will show whether there is intestinal obstruction or fecoliths
Ultrasound of abdomen
Tests of blood, urine and stool.
Clinical evaluation, examination by a General Surgeon.
If the intestinal infection is present, you will be give a course of an antibiotic, probiotic and you will be fine; also take activated charcoal tablets, electrolyte solution.
If there is fecolith formation, enema will help to resolve the issue.
If obstruction is present, conservative management can be done and if this fails, get operated.
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What Causes Stomach Bloating And Lower Back Pain?

Hi. Thanks for your query. Noted the history and understood your concerns. Bloating of abdomen with nausea but no vomiting comes and goes for the last 3 days, making sleeping uncomfortable can be due to the following reasons: Intestinal obstruction. Fecolith impaction. Intestinal infection due to gas producing bacteria. I would advise you the following in such a situation: Get X-ray of the abdomen in standing position as it will show whether there is intestinal obstruction or fecoliths Ultrasound of abdomen Tests of blood, urine and stool. Clinical evaluation, examination by a General Surgeon. If the intestinal infection is present, you will be give a course of an antibiotic, probiotic and you will be fine; also take activated charcoal tablets, electrolyte solution. If there is fecolith formation, enema will help to resolve the issue. If obstruction is present, conservative management can be done and if this fails, get operated.