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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Mid Back With Frequent Need To Defecate?

My father age 91 is complaining of intense mid back pain accompanied by urgent need to defecate. His stools are usually very loose, but not typically watery. Their color range from green to dark brown to blackish sludge. His output is certainly more than his intake, most days having 3-4 bowel moments. He also suffers from Alzheimer s and is unable to describe his pain in much detail other than my back is killing me. He has also had 3 episodes of pancreatitis over a 2 year period. Gallbladder surgery is not recommended because of his high risk. He has had 2 mild to moderate heart attacks and is on Warfarin and Plavix. The bowel problem is of recent onset. Thank you for your assistance.
Fri, 31 Jan 2020
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General & Family Physician 's  Response
Hi,

As he is on blood thinners he is at high risk of bleeding internally and his bowel color signifies that he might be having bleeding in the intestines. and coming to his mid back pain it’s highly suspicious of some abdominal aortic aneurysm that could be bleeding slowly and causing this pain or could be backbone problems. He need complete evaluation by physician immediately.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Rama Kumari, General & Family Physician
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What Causes Severe Pain In Mid Back With Frequent Need To Defecate?

Hi, As he is on blood thinners he is at high risk of bleeding internally and his bowel color signifies that he might be having bleeding in the intestines. and coming to his mid back pain it’s highly suspicious of some abdominal aortic aneurysm that could be bleeding slowly and causing this pain or could be backbone problems. He need complete evaluation by physician immediately. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rama Kumari, General & Family Physician