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Dr. Rick, MD
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 11267
Experience:  20+ years as a doctor. Internal Medicine Internship in NYC
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Im a 35 year old active male that worries about his health

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I'm a 35 year old active male that worries about his health too much. I've had mild back pain on my lower right back that extends up. It's positional because it hurts when I stand up and twist my waist. The origin is either right at the small of my back or the back of my right ribs, almost at might right kidney. it's hard to tell. When I am laying down or sitting I feel no pain.

I also have had this pain reach around my right side to my abdomen, almost feeling like I have gas pain. When I stand up abruptly my stomach muscles slightly cramp until I can stretch them out. This has been going on for 2 days.

Although it's certainly minor pain (2-3 out of 10) I'm worried again. I've had no strange eating or digestion problems and I feel physically fine other than the anxiety that is starting to consume me.
Hi. Dr Rick here. I completed an Internal medicine internship in NYC and have two decades of clinical experience.

From what you have posted, I do not believe that your symptoms are a sign of any serious medical condition.

Most likely you have strained a muscle or, possibly, you are starting to some down with a virus, such as cold or flu.

At this point all you need to do it take some tylenol, drink plenty of fluids and try to take it a bit easy for a day or so.

It would also be helpful to get your anxiety under control even if this requires a visit to your doctor for medication to help you get over this episode.

Does this make sense to you?

I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you can please give me a “10” rating in all areas. It has been a pleasure to assist you today.

Thanks in advance,

Dr. Rick MD FACS
Customer: replied 3 years ago.

Thank you for your answers. So does it make sense for back pain to radiate to abdomen and cause what feels to be muscle cramping in abdominals? Are they connected? If you could just shed some light on that.


I don't like Tylenol due to the acetaminophen, would you suggest Advil?


Yes, this is actually a fairly common pathway for pain to radiate due to the distribution and interconnections of the nerves in this area.

No need to worry about this symptom at all...

Advil or even old fashioned aspirin would be a fine alternative to tylenol.

Don't forget to mash the positive feedback button for me...the one labeled "excellent" is the most fun to push by far ;)

It's safe for you to press the positive feedback button now if you so desire. And, never fear, even after you press that button I don't go up in a puff of smoke -- I'll still be right here to continue helping you, but, as I do work for tips, I want to make sure you are happy before rating me.

Dr. Rick MD FACS

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