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Ongoing Stomach and Lower Back Pain with Bowel Issues
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Digestive Health
Question #24046
137 days ago
270

Ongoing Stomach and Lower Back Pain with Bowel Issues

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

How severe is your stomach pain on a scale of 1 to 10?:

- 7-9 (severe)

Have you noticed any other symptoms besides pain and changes in bowel habits?:

- Fatigue or weakness
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Doctors' responses

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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Your symptoms most likely point to chronic constipation with irritable bowel syndrome (IBS-C type) rather than a dangerous disease.

The pattern you describe — hard small stools, crampy lower abdominal pain, pain that sometimes improves after passing stool, food-triggered cramps, and symptoms for years without blood/fevers — is very typical of functional bowel problems (IBS + constipation).

When stool stays hard in the colon, it can:

Stretch the intestines → stomach cramps

Cause straining → lower back pain

Create pressure on pelvic/back muscles → leg weakness/jelly feeling

Cause alternating normal + hard stools

Foods like cheese/dairy and some vegetables (broccoli, corn) can increase gas and worsen cramps, which explains your triggers.

Because this has lasted 2 years and your pain is severe (7–9/10), you should see a doctor in person (family doctor or gastroenterologist) for evaluation. You may need simple tests like blood work, stool tests, and sometimes an ultrasound to rule out other causes and confirm IBS/constipation.

In the meantime, increasing water intake, daily fiber (fruits, oats, vegetables or psyllium), regular exercise, and avoiding trigger foods can help, and a doctor may suggest stool softeners or laxatives if needed.

Overall, this is unlikely to be serious, but it is chronic and treatable, so an in-person medical visit is recommended for proper management.

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It sounds like you’re dealing with a mix of symptoms, primarily connected to the gastrointestinal tract. The alternating nature of your stools, along with cramping and pain, might point towards a functional bowel disorder like irritable bowel syndrome (IBS). The pain after eating certain foods could be related to food sensitivities or intolerances, which are common triggers for IBS symptoms. In addition, the fact that certain foods seem to aggravate your symptoms while others don’t is something to note carefully. Stress, diet, and lifestyle factors can also play a significant role in exacerbating these symptoms. The pain in the lower back, leg weakness, and jelly-like sensation could be related to referred pain, where the discomfort originates in one area and is felt in another, but ruling out musculoskeletal causes is also worthwhile.

Given that these symptoms have persisted over two years and affect your quality of life, it would be wise to consult with a healthcare provider. They can conduct a thorough evaluation, possibly including a physical examination and dietary history, to better understand what might be contributing to these discomforts. Depending on what they find, they might suggest tests such as blood tests, stool analysis, or possibly imaging studies to check for any structural causes of your symptoms. Additionally, keeping a food and symptom diary can provide invaluable insight into any patterns and should be brought to your appointment. Getting professional input is important, especially if there’s any significant weight loss, nutritional deficiencies, or if symptoms get worse. Early diagnosis and intervention help tailor a management plan specific to your needs, which might include dietary modifications, stress management strategies, or medication if needed. Don’t delay making an appointment; a doctor’s insight will be crucial for appropriately addressing and managing your symptoms.

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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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