Brief Answer:
need more info

Detailed Answer:
Hello and Welcome

I appreciate your concern

Kindly answer the following to advise accordingly.

Is the pain constant or colicky (comes and goes) in nature
Is there associated frequent, painful or burning urination.
Have you had a history of trauma or fall or surgery recently
Do you have a history of urinary tract stones such as findings on an ultrasound
Did the pain get better with the medication or has it persisted or worsened.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

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Brief Answer:
Explained

Detailed Answer:
Hello again.

Thanks for getting back to me with the answers.

Based on your description and history, it appears to be a muscle sprain. Continue the symptomatic relief meds for the time being i.e the motrin and muscle relaxant. However, musculoskeletal pain should respond excellently to ibuprofen and muscle relaxants such as cyclobenzaprine or tizanidine. Though you took the muscle relaxants just now, it usually takes 40 minutes up to an hour for oral medication to show there effect. PPIs like pantoprazole can be advised for 2 weeks for the bloating and GERD symptoms associated with the pain. Long standing constipation can also cause cramps and abdominal pain including lower back pain.

I would advise you to get the following investigations done after consulting your doctor in case the pain persists or worsens, to determine the possible cause.

Urine Routine exam plus culture and sensitivity testing
X ray lumbosacral spine AP and Lateral view
Ultrasound abdomen and pelvis
Plain X ray erect abdomen if there is abdominal tenderness, guarding or rigidity (acute abdomen)
Stool routine exam plus ova and parasites

You may discuss these options with your doctor and he/she can guide you further.

Wishing you best of health

Thanks

Dr. M.S. Khalil

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