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What Causes Right-sided Back Pain And Nausea?

Posted on Fri, 22 Apr 2016

Question: Hi i feel really off today this Am i had a weird pain in my right side back took advil it went away for a lil now its toward the left i have nausea and feel off

I had a cat scan of the abdominal in 4/2015 a mri if the head on 2 /2015 and a mri of the spine 2/2015
I have hypo thyroid and take levoxathrinr 150 mg a day

Answered by Dr. Shafi Ullah Khan (2 hours later)

Brief Answer:
Needs workup

Detailed Answer:
Thank you for asking
I read your question and i understand concern. Pain in back relieved by advil recurring on ledt side with nausea and normal CT MRI etc is likely musculoskeletal or gastric discomfort like gastritis. I would also want to rule out pancreas inflammation by getting amylase and lipase levels done.
hypothyroidism on its own can cause all the symptoms both musculoskeletal and gastric discomfort so i would like you to get thyroid levels checked too and see if you need dose readjustment.
Take some advil, rest for a while , drink plenty of fluids , maintain a posture , get a massage and see if it helps. Talk to your doctor and let them narrow the possible differentials of this pain.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (4 hours later)

Thanks for getting back to me can this all be from gas? I have major discomfort in my belly I can even hear it growling loud. I had an endoscopy last year took carafate but other than that all was fine. Just annoying feeling. How can i maje this better?

Answered by Dr. Shafi Ullah Khan (3 hours later)

Brief Answer:
Yes possible.

Detailed Answer:
Thank you for getting back to me

Gas or bloating of stomach is a sign and there is a problem underneath. Functional decline or decreased motility is common with thyroid hormone imbalance and gastritis as we said earlier. So supportive treatment and diet and lifestyle modification like an IBS patient will help the symptoms. With all your work up normal, IBS is the likely suspicion.

I hope it helps.
Regards
Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (8 hours later)

I can hear my stimach rumble it happens mor at night but the discomfort and burning is still there. I have had a cat scan but its gonna be 2 years in April of the chest and abdominal should i be worried its sonething other than gas or gastritis?

Answered by Dr. Shafi Ullah Khan (17 minutes later)

Brief Answer:
No worries

Detailed Answer:
Thank you for getitng back to me

I can feel how distressing these rumbling sounds and borborygmi can be but the good news is that these are mostly these gastritis and gastric discomforts and hardly sinister. So no worries and do as directed and hope for the best.

No worries
Khan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shafi Ullah Khan (28 minutes later)

Thank you so much for taking time to explain it takes really doctors like you to help others.

Answered by Dr. Shafi Ullah Khan (6 hours later)

Brief Answer:
:)

Detailed Answer:
Thank you for the feedback
Please don't hesitate to get back to me if you need some thign else.
Regards
Khan

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar