HomeAnswersGeneral Practitionerabdomen painWhy do I have a lower back and whole abdominal pain?

I have a lower back and whole abdominal pain, even though my urine test is normal. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Preetha. J

Published At October 24, 2020
Reviewed AtJuly 7, 2023

Patient's Query

Hi doctor,

I have symptoms of lower back pain and whole abdominal pain. I did my urine test, but it is all fine.

Hi,

Welcome to icliniq.com.

I am sorry to learn about your health issue. It is good that you have an exact urine result, even without bacteria. So my first question would why you are on antibiotics? Antibiotics kill bacteria, not any virus, and no fungus. What is the reason for taking the antibiotics? The urine cannot be it after this result. Is there any other test that would support the need for an antibiotic? As to your pain, it is difficult to tell from here what exactly the cause is. But your description gives me an important hint: you have the pain in your lower back and the abdomen. It could be that you have an issue primarily at the lower third of your spine, like an irritated nerve. Pain from this region can radiate around the belly. Try to lay on your back on a firm and warm surface and to pull both of your legs angled carefully at the knees towards your body. If the spine is in the place of the problem, the pain should decrease then, without affecting the abdomen. However, if the cause is in the abdomen, pain in the body's front region would become worse. Try it; if it is in the back, you can treat the pain with Diclofenac cream or tablets and see a physiotherapist. If it is the abdomen, you should get a sonography of your abdomen as soon as possible. Thank you.

The Probable causes

The probable cause is pain due to unknown reasons.

Investigations to be done

Investigations required are Self-test, as stated above, abdomen sonography, and MRI (magnetic resonance imaging) of the spine.

Differential diagnosis

Differential diagnosis is an abdominal disorder for unknown reasons.

Probable diagnosis

The probable diagnosis is an irritated nerve in the lower third of the spine.

Treatment plan

The treatment plan depends on the cause of the pain. Diclofenac tablets for a maximum of three days and Gaviscon (Aluminium hydroxide and Magnesium Carbonate) liquid can be taken. The Gaviscon to be taken one hour apart from any other medication). Patient is already on antibiotics.

Regarding follow up

Follow-up to be in three days.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Alexander Davis
Dr. Alexander Davis

General Practitioner

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