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Ongoing Stomach and Lower Back Pain with Bowel Issues
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Digestive Health
Question #24045
45 days ago
113

Ongoing Stomach and Lower Back Pain with Bowel Issues - #24045

Client_8bfcdb

Hi, I’m 17 years old. I’ve been having ongoing stomach pain and lower back pain. When I poop it sometimes comes out in small hard chunks and hurts across my lower stomach. Other times my poop is more normal, so it kind of switches back and forth. I go to the bathroom every day. Sometimes I feel better after pooping but sometimes I still feel pain. Certain foods like cheesy noodles with broccoli and corn make my stomach hurt really bad and crampy, but softer foods like chocolate Uncrustables don’t seem to bother me. When I push while pooping, the sides of my lower back can hurt too. Sometimes my legs feel weak or like jelly when my back is hurting. This has been going on for about 2 years now I don’t have fever, blood in stool,vomiting but I do gag sometimes and that mostly happens in morning. What could be causing this, and do I need to see a doctor in person or get tests done?

How long have you been experiencing these symptoms?:

- More than 1 year

Have you noticed any specific foods that trigger your symptoms?:

- Yes, a variety of foods

How would you describe the severity of your pain?:

- Variable, changes often
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear See as per clinical history it seems either ibs or gerd Differential diagnosis includes malabsorption syndrome. Probably back pain and weakness is also due to excessive blood loss and radiating pain from stomach I am suggesting some tests for confirmation of exact diagnosis and best treatment Please share the result with gastroenterologist or general physician medicine for better clarity and for safety please donot take any medication without consulting the concerned physician Serum ferritin Serum RBS Stomach USG Urine analysis Rft Lft Culture Endoscopy Anascopy if recommended by gastroenterologist Rectal physical examination Esr Cbc Hopefully you recover soon Regards

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

your symptoms are most consistent with chronic constipation combined with irritable bowel syndrome (IBS-C type). The alternating hard stools and normal stools, crampy lower abdominal pain that sometimes improves after passing stool, food-triggered discomfort (especially dairy and gas-producing vegetables like broccoli and corn), and symptoms lasting for years without warning signs like blood in stool or fever strongly suggest a functional digestive problem rather than a serious disease. Straining during bowel movements can also strain the lower back and pelvic muscles, which explains your back pain and the “jelly-like” leg weakness feeling.

Although IBS and constipation are common and usually not dangerous, because this has been going on for over 2 years with moderate to severe pain, you should see a doctor in person for evaluation. may recommend simple tests (blood work, stool tests, or possibly imaging) to rule out other causes and guide treatment

1667 answered questions
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Your symptoms suggest a few possibilities that are worth exploring. The intermittent nature of your bowel movements and associated pain could indicate something like irritable bowel syndrome (IBS), which can cause fluctuating bowel habits and abdominal discomfort. The association of certain foods exacerbating your symptoms might also suggest some level of food intolerance or sensitivity, possibly to lactose or gluten, though these would require further evaluation. The fact that you’re experiencing lower back pain extending into your legs when straining could relate to your posture during bowel movements or possibly even an underlying musculoskeletal issue, but it could also reflect issues with digestive strain.

Given that this has been ongoing for about 2 years, it would be prudent to see a doctor for an in-person evaluation. A healthcare provider could perform a physical exam, review your medical history in depth, and potentially order tests such as blood tests, stool sample analysis, or even imaging studies to exclude any more serious underlying conditions like inflammatory bowel disease. You may even benefit from a referral to a gastroenterologist if initial evaluations don’t provide clear answers.

In the meantime, observe and perhaps record your food intake and symptoms in a diary, this may help identify specific triggers. Increasing fiber slowly and ensuring adequate hydration might help with the constipation and could offer some relief, though be sure these adjustments don’t worsen your symptoms. Although you can try over-the-counter remedies, discussing these first with a healthcare professional is advisable. It’s important not to delay seeing a doctor particularly as your quality of life is being affected and there can be underlying factors that need to be addressed to prevent complications.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
45 days ago
5

Hello

This sounds most like functional bowel issues—commonly constipation-predominant IBS (IBS-C) or chronic constipation with gut sensitivity.

The switching stool types, crampy lower-abdominal pain, relief sometimes after pooping, food triggers (cheese/broccoli/corn = high FODMAP/gassy foods), and long duration all fit.

Straining can also cause lower back pain and leg “jelly” weakness due to muscle and nerve strain.

Why it’s probably not something dangerous: You’ve had it 2 years No blood, fever, vomiting, or weight loss You poop daily These are reassuring signs.

Morning gagging can happen with acid reflux, anxiety, or gut–brain sensitivity.

🛑What to do next:

Yes, see a doctor in person (primary care or gastroenterologist) because your pain is severe (7–9/10) and long-lasting.

🛑Tests : stool test, blood work (anemia, inflammation), sometimes celiac screening. Imaging is not always needed.

🛑Things that often help: More water + fiber (slowly) Limit trigger foods (cheese, broccoli, corn; try low-FODMAP) Don’t strain; use a footstool when pooping Gentle core/back stretches Stress management (IBS is very stress-sensitive)

Go urgently if you develop blood in stool, unexplained weight loss, night pain, fever, numbness/weakness in legs that doesn’t go away, or trouble controlling bowel

I trust this helps Thank you Take care

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