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Lower back pain in the morning - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   please proceed with your health query
User :   Hello Dr.XXXX
Doctor :   are you there?
User :   I have got a serious low back pain problem, when i sleep at night, i cannnot move sideways as it pains a lot..i hv two children, my daughter is 3 yrs and son is 1 year and after office, i need to be contnuosly wid them..can u give me some medicine to stop low back pain...
Doctor :   let me read what you have typed
Doctor :   are you on any medications at present?
User :   no not at all..
Doctor :   could you describe the pain in detail?
User :   Its a low back pain, its pains a lot during night time and when i get up in the morn it pains so much that even my lower addomen pains a lot..
Doctor :   please rate your pain on a scale of 1-10 with 10 being the highest pain intensity.
Doctor :   is the pain a dull pain or a sharp shooting pain?
Doctor :   does the pain radiate down the buttocks and leg?
Doctor :   are you there?
User :   yes, busy on call one pin pl
User :   one min pl
Doctor :   ok. take your time. I will wait for your response.
User :   i will rate at 7
User :   no the pain doesnt radiant dwn...
Doctor :   ok
User :   only my lower abdomen pains with low back pain in morning..
Doctor :   ok. do you have any other symptoms associated like burning/discmfort in urination?
Doctor :   is the lower abdomen pain is present only while having the low back pain?
User :   ya sometimes while urinating it pains..
Doctor :   what is the urine colour?
User :   my lower abdomen pains only in thr morning with low back pain..
Doctor :   ok. is there any pain/itching/discomfort/burning in the vagina?
User :   no notat all
User :   yello
User :   yellow
Doctor :   is the low back pain present in the evenings also?
Doctor :   how does the pain vary in the entire day?
User :   c, i will tell u low back pain start in night wen i sleep and lower abdomen with back pain is in the morning when i get up...other than this time i dont have pain...
Doctor :   ok.
User :   but when i get up in the morn, the pain is so much tht i cannot dfferntiate whether it is lower abdomen paining or it is low back pain
Doctor :   i would suggest these following steps to be done.
User :   ya tell me please
Doctor :   1) When going to sleep at night, do hot water fomentation with use of hot water bag.
User :   i think as i have not taken calcium tablet after delivery so the pain started
Doctor :   2) apply topical ointments like Relaxyl cream twice a day and before the hot fomentation
Doctor :   3) start on calcium tablets T. Shelcal 500 mg two times a day.
User :   twice
Doctor :   4) get a low back or a L.S spine x-ray done to look for other problems
Doctor :   yes two times a day, for a month, and then get back to once a day
Doctor :   5) visit an orthopedician for a thorough examination and investigations to rule out any other spine related problems
User :   ok
Doctor :   if the above measures fail to give relief
Doctor :   then you might need to get an MRI done for low back
User :   oh my
Doctor :   have you followed what I have said?
Doctor :   6) Take Tab Dolo 650mg twice a day after food for additional pain relief.
User :   yes... i have...actually the life has become so busy in offce as well as at home...dont get time to think abt self
Doctor :   you need to take out time for yourself as you have lot of other responsibilities
User :   ok doc i hv tkn ur advice will surely try to follow..thanks
Doctor :   as your children need you
User :   ya
User :   thanku so much..
Doctor :   so do not delay your visit to the orthopedician
Doctor :   and with the investigations.
User :   bye fr now...need to go for meeting... ya sure will visit soon..
User :   bye
Doctor :   thanks for consulting me. bye for now.
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