HomeAnswersMedical Gastroenterologyback painI have suffered from lower back pain that extends into my pelvic region. Is this a sign of colon cancer?

Can lower back pain that extends to the pelvic region be a sign of colon cancer?

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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

iCliniq medical review team

Published At September 9, 2022
Reviewed AtSeptember 16, 2022

Patient's Query

Hi doctor,

For the past years, I have suffered from lower back pain that extends into my pelvic region. I usually have a flare-up about once or every couple of months. I thought it was an ovarian cyst issue, but nothing is seen every time I get an ultrasound. So I am concerned if it is a GI problem. During my episodes, I can push on one side of my lower abdomen, where you would think it would be over it, and it will be sore, leading me to believe it is ovary related. I do not have significant GI issues, but I have seen tiny amounts of blood when wiping. Of course, my mind wanders to the worst possible place, and I suspect I have colon cancer or something!

Answered by Dr. Sugreev Singh

Hello,

Welcome to icliniq.com.

I understand your concern.

To begin with, you do not need to be concerned about colon cancer or ovarian cysts. However, if there is an ovarian cyst, an ultrasound will reveal it, and an ovarian cyst can never be palpated or seen with bare eyes. In addition, back pain can be caused by a muscle or any issues with the spine, so I recommend you get an x-ray of your lower spine and send me the results. Please take tablet Diclofenac (Voltaren) 75 mg daily after meals for five days. Please let me know if you have any swelling. Also, have you gained weight recently.

Patient's Query

Hi doctor,

Thank you for the reply.

Do you think the abdominal, pelvic pain, and bloating could be related to GI issues? No significant weight gain is seen. It may fluctuate from 1 to 3 lbs.

Answered by Dr. Sugreev Singh

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes, bloating and abdominal pain can be due to GI (gastrointestinal tract) issues, or if you are stressed, stress-induced acidity can be present, causing such pain and bloating. So I recommend that you bring modifications to your lifestyle. First, increase your consumption of green vegetables and fruits. Avoid stress by engaging in daily meditation and physical activity. It will release a hormone that aids in stress reduction. Consume plenty of water. Please take the tablet Pantoprazole (Protonix) 40 mg daily before breakfast for five days. Along with it, take the tablet Diclofenac (Voltaren) 75 mg.

Patient's Query

Hi doctor,

Thank you for the reply.

Do you not think I should be concerned about colon cancer? If that were the case, I am guessing my issue would not come and go every couple of months.

Answered by Dr. Sugreev Singh

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes, cancer pain is extremely severe and persistent, and it worsens to the point where the patient cannot tolerate it. And if it were cancer, ultrasound would have revealed it. Cancer and growing tissue are always related to family history and other risk factors such as chain-smoking, excessive alcohol consumption, and poor lifestyle choices. Do you have a family history of colon cancer? Thinking about cancer is completely inappropriate, so please do not be concerned. It is just bloating and discomfort. There is nothing else. It will be resolved once you begin taking the medication. Take the medication for five days and follow up.

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

Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

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