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Ask Dr. P. Jyoti Your Own Question
Dr. P. Jyoti
Dr. P. Jyoti, Consultant MD
Category: Medical
Satisfied Customers: 9126
Experience:  17 yrs experience in treating OPD & Emergency patients.
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Problem is pain in the mid-lower back, - mostly right sided -

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Problem is pain in the mid-lower back,
- mostly right sided
- pain is sharp/cutting
- starts at 4-6am, every day.
- pain enough to rouse patient from sleep.
- pain becomes dull after 1 hour of standing and then goes completely during the day
- urine tested and clear of infection
- full range of motion with no restrictions
- no muscular spasming

Dr. P Jyoti :

I am Dr. P. Jyoti, MD. I promise to use my full experience and knowledge to provide answers specific to your question. Feel free to ask me anything.

Dr. P Jyoti :

hello would you like to chat on this?

Dr. P Jyoti :

any tests done like ultrasound or CT of abdomen?

Customer:

no tests done, other than urine analysis

Dr. P Jyoti :

well that is not enough

Dr. P Jyoti :

this could be a GIT problem

Dr. P Jyoti :

it could be diverticulitis, which can present with just these symptoms

Dr. P Jyoti :

an ultrasound or CT of the abdomen is needed for this

Dr. P Jyoti :

tubo-ovarian problems could also be a cause

Customer:

Patient has history of stomach ulceration, helicobacter pylori, has also lost 6kg over the last 4 weeks. This istress related as she is looking after a puppy litter of 13 pups, which give her NO rest.

Dr. P Jyoti :

other causes in the intestine like colitis, inflammatory bowel disease, etc also need to be ruled out

Dr. P Jyoti :

thats right

Dr. P Jyoti :

i would suggest you go back to your doctor

Dr. P Jyoti :

discuss about the possibility of GIT problems like diverticulitis

Customer:

the key symptoms (to me) are that this occurs at a specific time every day, ie. 4am and only after lying supine for 4-5 hours.

Dr. P Jyoti :

also ovarian or tubal or uterine problems

Dr. P Jyoti :

kidney and ureteric problems also need to be ruled out

Dr. P Jyoti :

thats right, conditions like diverticulitis cold cause problems at night

Dr. P Jyoti :

so she needs to have all these ruled out

Dr. P Jyoti :

tests to discuss with the doctor are:

Dr. P Jyoti :

Ultrasound of the abdomen

Dr. P Jyoti :

CT of the abdomen

Customer:

OK. Are there any other symptoms for diverticulitis that i may check for?

Dr. P Jyoti :

if necessary, colonoscopy of the intestine

Dr. P Jyoti :

discuss all this with your doctor

Dr. P Jyoti :

she needs further investigations for this

Customer:

thank you. I shall.

Dr. P Jyoti :

for diverticulitis, she may have symptoms like blood in the stool

Dr. P Jyoti :

though this is not common

Dr. P Jyoti :

usually just pain is the only symptom

Dr. P Jyoti :

can only be ruled out with tests

Dr. P Jyoti :

Are you satisfied with my answer? Please remember to rate my service once you have all the information you need.
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Dr. P Jyoti :

any further questions?

Customer:

OK. I shall take her to the doctors again today.

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