Q. What causes back pain and loss of appetite?

Answered by
Dr. Muhammad Shoyab
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 22, 2023 and last reviewed on: Feb 24, 2023

Hello doctor,

I underwent a CT scan of the abdomen and pelvic area, and the doctor noticed a hernia in my left lower quadrant. As I was experiencing back pain and loss of appetite, the doctor recommended doing this CT scan, and I have uploaded the images. But the doctor can not still pinpoint what is causing my problems. So I want to get a second opinion on my CT scan images. I have also undergone an ultrasound and some blood tests. Thanks.



Welcome to

I thoroughly read your query and understand your concern.

I am indeed sorry to hear about your problems, and also because you did not find a clear explanation yet. I have examined the entire CT (computed tomography) image set (attachments removed to protect the patient's identity), and I find that you do have a small herniation in the left lower quadrant, abdominal fat protruding through a gap in the abdominal wall muscle. The location of the hernia is a bit strange since herniations through the abdominal muscle are only possible if the muscle is injured, either by surgery or perhaps a stab injury. Other than that, I also see that your pancreas is smaller than normal, which can normally occur with aging, but you are only 44. But it would not cause pain. So, overall, you can now get back to your concerned doctor with the note that there are actually not very significant findings in the CT abdomen. Perhaps they would need to evaluate you further in terms of clinical history or other functional tests to help you overcome your problems.

Hope this has answered your query.

Kind regards.

Hi doctor,

Thank you for the fast response.

I was scared that I had cancer tumors or something else. The doctor I am seeing recommended me a colonoscopy next and to see a urologist because of the enlarged prostate. In the ultrasound, they told me I had a small enlargement in the spleen, and on the CT scan, the urinary bladder was enlarged. So do you think my back pain can be due to stress and anxiety, like my loss of appetite? I did a water fast. I really like the fast response and will keep using it for second opinions. Please help.



Welcome back to

I understand your concern.

Please be assured and relieved that there is no cancer or other critical finding on the CT. I consider the colonoscopy to be quite a reasonable step for you since the bowels were not fully evaluated on the CT (due to not applying oral or per-rectal contrast). And yes, I personally still think that your back pain and loss of appetite are likely due to lifestyle or stress-related issues.

Hope this helps.

Kind regards.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Managing Lower Back Pain

.. very prevalent problem that many of us experience at some point in our lives. This article explains the causes, risk factors, and ways to manage lower back pain .. ...   Read full

Umbilical Hernia - Causes, Symptoms, Diagnosis, and Treatment

.. common in which a part of the intestine protrudes near the umbilicus (navel button). Read the article to know more .. ...   Read full

Is back pain a common sign of lung cancer?

.. is not a common symptom of cancer lung. It can happen in a case of lung cancer with metastasis that is late stage. Your symptom is not related to cancer at all. It is due to strain.Physiotherapy will cure your problem. At this age and your habits ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask a Radiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.