How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Doctor Chip Your Own Question

Doctor Chip
Doctor Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 22196
Experience:  20 yrs practice, surgery, general medicine, addiction medicine, pain
Type Your Medical Question Here...
Doctor Chip is online now
A new question is answered every 9 seconds

why does my lower back hurt so badly before I have a bowel

Customer Question

why does my lower back hurt so badly before I have a bowel movement? It progressively gets better with subsequent bowel movements during the day.
Submitted: 4 years ago via HealthBoards.
Category: Medical
Expert:  Doctor Chip replied 4 years ago.
How long has this been goin on? No problems on days you don't have a bowel movement? Are you constipated?
Customer: replied 4 years ago.
This has been going on since mid April, progressively getting worse and is to the point now that I can barely move in the mornings. It is much worse if I DON'T have a BM (I have daily bowel movements for the most part) and being constipated doesn't seem to intensify the pain since the pain is pretty consistent. I have been constipated from time to time throughout my whole life, but as I get older I have developed a much healthier diet.
Expert:  Doctor Chip replied 4 years ago.
You may have a herniated intervertebral disk in your lumbar spine or spinal stenosis or both. The strain of the bowel movement can put pressure on the disk and cause the pain. I'd suggest you get an MRI of the back to check this. Inflammatory bowel conditions like colitis can also cause back pain, but, usually, there's diarrhea involved with these.
Customer: replied 4 years ago.
After researching the definition of spinal stenosis and herniated disk, I do see the correlation to my symptoms, however, I am not understanding why the pain intensifies when I either have gas or need to have a bowel movement, and practically disappears completely after either have been eliminated. There are times during the day that I have absolutely no pain and no restriction in movement and that doesn't seem like it would be the case if I had either of these conditions.
I would like to mentionted that last month I went to the chiropractor, had x-rays done, was diagonsed with scoliosis and was being treated twice a week to try to eliviate the pain. He didn't see any herniation then, did mention some 'compression' on the left side of my lumbar spine, but stated that it was nothing to be too concerned about.
Regarding the actual bowel movement putting strain or pressure on the area, I have to say that as I am eliminating, there is little to no pain and in fact, it is quite a relief.
Colitis symptoms do not fit my symptoms either. Any other ideas or suggestions would be greatly appreciated. TIA
Expert:  Doctor Chip replied 4 years ago.
Well, as I said abdominal pressure as when having to have or having a BM or with gas, can put extra strain on the disk which would naturally be relieved later. It's a little like standing very erect or arching the back, which does the same thing. You can't see a herniated disk on plain X-Rays--only with an MRI.
Customer: replied 4 years ago.
Ah, I understand. So in your opinion, if either or both spinal conditions are present, what options do I have to eleviate the pain, if any? Also, with this service, are YOU able to fax a request to radiologist in my area for this MRI or do I need to have a local doctor do that? I do not currently have a primary care physician but do have Aetna insurance to cover the MRI.
Expert:  Doctor Chip replied 4 years ago.
Sorry, I can't order the MRI. With chiropractic help, along with antiinflammatories like ibuprofen, the problem may subside. Not all herniated disks need surgery If the MRI were normal, then I'd suggest a referral to a gastroenterologist for endoscopy, since this may then be a GI problem and not truly a back/spin issue.
Customer: replied 4 years ago.
Thank you for your time and answers. I do have one last question however, regarding this being a GI problem, which I feel may be an issue AS WELL AS possible back issues. In your opinion, would a colonic irrigation or colon cleanse be detrimental or beneficial? I ask this primarily because, as I mentioned, I do not have a PCP for the referral to a gastroenterologist, but can get a colonic or do a colon cleanse without needing a Dr.. Thanks again for your help.
Expert:  Doctor Chip replied 4 years ago.
No danger with the cleanse, but it won't help a disk problem. Somehow I doubt this is truly GI related, but I can't be sure.
Doctor Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 22196
Experience: 20 yrs practice, surgery, general medicine, addiction medicine, pain
Doctor Chip and 4 other Medical Specialists are ready to help you
Customer: replied 4 years ago.
Fair enough! I tend to agree with you about this probably NOT being GI related since I have many 'aches and pains' relating to my bones and joints the older I get, and since the scoliosis is already present, it makes sense that these symptoms are also spine/back related. I shall 'accept answer' now and see to obtaining that MRI. Have a good day.
Expert:  Doctor Chip replied 4 years ago.
OK.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.