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Please suggest me a suitable therapy for lower back pain.

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Please suggest me a suitable therapy for lower back pain.

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

Answered by

Dr. Ankur Jindal

Medically reviewed by

iCliniq medical review team

Published At December 10, 2016
Reviewed AtJuly 24, 2023

Patient's Query

Hello doctor,

I am a 38 year old male. Four months back, I was admitted in a hospital for stomach ache. After blood tests, ultrasound and a CT scan, I was diagnosed with liver parenchymal disease, mild umbilical hernia and grade III varices. I have never tasted any type of alcohol or tobacco in my life. The doctor suggested me to go for EVL. I was discharged from the hospital after a week. Again, after 15 days, I was admitted for EVL. I was discharged after two days. During the treatment, backache developed. After a month, when I went back for a checkup, I complained of a continuous backache, which was mild in the day and severe in nights. They hospitalized me again for a further checkup. All tests, including an x-ray, ultrasound and MRI were performed. The orthopedician told me that there is some problem with my L5-S1 on the right side though it is not that severe. He informed me that I just need exercise. I was discharged after four days. I am still suffering from backache. Whenever I am passing stool, I get backache. I cannot stand straight because of pain. The pain starts from the lower back and goes to both the sides. I also have pain around navel area and that is going down to the penis. I have a history of fatty liver. I am currently taking Pan 40, Udiliv 300 and Lasilactone.

Answered by Dr. Ankur Jindal

Hi,

Welcome to icliniq.com.

As you are young and already have cirrhosis with portal hypertension, I need to know the etiology. Get tested for hepatitis B and C, autoimmune liver markers and probably a liver biopsy. Avoid added salt. Monitor carefully for abdominal distension and bleeding.Pain in the lower back and its radiation to lower limb is suggestive of a prolapsed intervertebral disc.The best therapy is graded physiotherapy. Any spine surgery should be the last resort as you have cirrhosis.I suggest you take Pregabalin 75 mg at bedtime and Tramadol. Avoid other painkillers. I also suggest you to take two to three spoons of Lactulose syrup per day to avoid constipation.

Revert back with the reports to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

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

Dr. Ankur Jindal
Dr. Ankur Jindal

Medical Gastroenterology

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