Can chronic lower back pain be a sign of colon cancer?

Question

Hello doctor,

For the past few years, I have experienced lower back pain that extends into my pelvic region. I usually have a flare-up about once every month or two. Initially, I thought it was related to an ovarian cyst, but ultrasounds have not shown any issues. Therefore, I am concerned it might be a gastrointestinal problem.

During my episodes, I can press on one side of my lower abdomen, where I expect to feel pain, and it becomes sore, leading me to believe it could be related to the ovary. I do not have significant gastrointestinal symptoms, but I have noticed small amounts of blood when wiping.

Naturally, my mind jumps to the worst possible scenario, and I worry it might be colon cancer or something similar.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

To start with, you do not need to be overly concerned about colon cancer or ovarian cysts. If an ovarian cyst is present, it will be detected by an ultrasound, as ovarian cysts cannot be palpated or seen with the naked eye.

Additionally, back pain can result from muscle issues or spinal problems, so I recommend getting an X-ray of your lower spine and sending me the results. Please take Diclofenac 75 mg daily after meals for five days. Let me know if you experience any swelling.

Also, have you gained weight recently?

I hope it helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes, bloating and abdominal pain can be related to gastrointestinal (GI) issues, or, if you are stressed, stress-induced acidity could be causing these symptoms.

I recommend making some lifestyle modifications. First, increase your intake of green vegetables and fruits. Manage stress by practicing daily meditation and engaging in regular physical activity, which helps release hormones that reduce stress. Make sure to drink plenty of water.

Please take Pantoprazole 40 mg daily before breakfast for five days, along with Diclofenac 75 mg.

I hope it helps.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes, cancer pain is typically very severe and persistent, often to the point where it becomes intolerable. If it were cancer, an ultrasound would likely have detected it. Cancer and abnormal tissue growth are usually associated with family history and risk factors such as smoking, excessive alcohol consumption, and poor lifestyle choices.

Do you have a family history of colon cancer?

It is important not to jump to conclusions about cancer at this stage, so please try not to worry. Your symptoms are likely related to bloating and discomfort. The issue should improve once you start the medication. Take the medication for five days and follow up with me.

I hope this helps you.

Thank you.