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Lower back pain in right side. Had bronchial cold, blood in urine and stools, sever diarrhea, anal itching. What to do?

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Orthopaedic Surgeon
Practicing since : 2011
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I am 38. Weight 180. Non smoker.
- past 5-6 months have had lower back pain, right side only, location lower than kidney. Went to doc and they gave me anti-inflamitories. No real change. Notice pain in front pelvic area opposite of back pain. And general joint aches. General fatigue/low energy.
- In late January, came down with bad bronchial cold.
- In Feb and March, suffered from Sinus issues on multiple occassions, drainage and cough
- This week had severe diarreah. Doc did blood work and stool sample. Put me on Cipro for a "gut infection"
- Diarreah passed. Back pain still there. Right groin lymph nodes swollen and very painful. Pain transfers to my right hip and skin feels sensitive to touch. Anal itching (doc gave meds for yeast infection)
- Right foot/ankle hurts
- Labs came back: blood in urine, blood in stools, WBC 11.4; Granulocyte 87; Absolute Gran 9.9; Lymph 6 L; Glucose 111
- Doc referred me to GI specialsist. Appointment tomorrow.
- I lost my mom to lung cancer. It went misdiagnosed for months because she kept going to specialist and no one connected the dots.
- I want to be my own advocate without making myself crazy. I want to ask for the right test so as not to drag out the process.
- I do have a family history of pancreatic and colon cancers on both sides of family (grandparents)
Posted Tue, 22 May 2012 in X-ray, Lab tests and Scans
Answered by Dr. Aashish Raghu 1 hour later
Hi there.

Thanks for the query.

Do you have any bowel disturbance like constipation, diarrhea since a while or was it just recently?

Have you experienced significant weight loss recently?

Have you experienced fever?

Are you on any medication?

It appears that you may be suffering from a pathology which attacks the blood like an infection. Infections can cause the constellation of symptoms as mentioned. Other possibility could be inflammatory bowel disease which can cause blood in stool and rarely in urine as well.

The pain you feel could be also due to do pathology of lymph nodes in that area. It could result from an infection in the bowel, connective tissue disorders as well.

Your blood test results show a borderline WBC count, high Granulocytes, Absolute Granulocytes, the Lymphocytes if mentioned as 6L could be 6 low which means a very low level. This indicates possible infection or disease of the blood. In infections of any region of the body, particularly bacterial infections will show rise in WBC count and Granulocyte count. Low lymphocytes can be due to certain infections like AIDS, Viral infections, Tuberculosis, Autoimmune disorders like SLE and certain cancers like Hodgkin disease.

This requires further investigation since you have enlarged lymph nodes which can be an important diagnostic sign for above mentioned diseases.

If your ankle hurts due to trauma sustained, you may try applying pain killing gel like Diclofenac gel on the region for pain relief under medical supervision. Try this for 3 times a day for a week. You may apply an elastic ankle bandage for relief of ankle sprain. If no improvement you need to consult your Orthopedician.

Do discuss with the GI specialist and your Internist about these possibilities. You may need blood tests to rule out the above conditions as well as other invasive investigations.

Eat a healthy diet XXXXXXX in protein, XXXXXXX leafy vegetables and low in carbohydrate and fat. Avoid junk food. Drink plenty of water to keep well hydrated. Exercise regularly. Get 6-8 hours of sleep daily.

Kindly do respond to my queries.

I hope I have answered your query. I will be available to answer your follow up queries.

Wishing good health.


Above answer was peer-reviewed by
Follow-up: Lower back pain in right side. Had bronchial cold, blood in urine and stools, sever diarrhea, anal itching. What to do? 1 hour later
Thank you for your reply. To answer your questions, the diarrhea stopped as of thurs. of last week. BM's aren't really regular yet. No weight loss. No fever. No meds other than those mentioned for the infection.

You are correct. the 6L was the report saying it was low.
My ankle was not due to a trauma. I wondered if it could be related to the groin lymph nodes as I read they filter and flow to the feet.

I will share all with the GI tomorrow. My appointment is at 8am. So I will fast and ask the blood work to be ran again now that i am no longer suffering from the diarrhea. My chronic back pain combined with these other symptoms concerns me, especially for the certain cancers you mentioned.

Are there tests that I can request from my GI to help rule out the more serious diseases? I have good insurance. I know that getting tests done are a process with insurance companies. I am a single mom of a 3 year old. I simply can't afford the worry or prolonging treatment if I am suffering from something more serious than a viral infection.

I also have an appointment with my OBGYN on the 16th for my annual. I was going to ask for an ultrasound to see if the back pain were ovary related.

It is just so hard because there are specialist for everything. Which is both good and bad. I don't have a real good XXXXXXX med doctor. My PCP is a family med, urgent care doctor and the one that said I need to go to the GI specialist.

I just feel like these symptoms must be related and not separate. I learned from my mom's cancer battle that we must be a advocate for our own health. I want to ask the right questions and push for the right tests.

I appreciate your direction for specific tests I can ask for in order to expedite the diagnosis. Thank you.

Answered by Dr. Aashish Raghu 29 minutes later

Thanks for the reply. I appreciate your approach in being well informed about health and being a strong advocate in taking the making the right approach.

The lower back pain on the right side could be related to a bowel disorder or could be part of pelvic pathology as well. It requires an ultrasound to aid in making a good diagnosis and treatment regime.

The pain in your ankle could be arthritis. If there is redness, pain and increased warmth and difficulty in moving the ankle it could be due to infection. Foot infections can cause enlargement of the groin lymph nodes which can be an explanation but not conclusive yet.

You may request an ultrasound abdomen and pelvis, if needed a Colonoscopy as directed by your GI Specialist, blood panel for Connective tissue and Autoimmune disorders will do. If needed a lymph node biopsy can be asked for to find the cause of the lymph node enlargement if conventional investigation cannot ascertain the diagnosis.

I hope I have answered your query.

Above answer was peer-reviewed by
Follow-up: Lower back pain in right side. Had bronchial cold, blood in urine and stools, sever diarrhea, anal itching. What to do? 21 hours later
Thank you for your insight. It was very helpful. The doctor does suspect Crohn's Disease. We did a bunch of bloodwork today and scheduled a Colonoscopy for next week. He said he will order a CT scan if we don't find our answer in the first round.

Have a great day. Thank you again.
Answered by Dr. Aashish Raghu 2 minutes later

I hope the diagnosis is formulated soon and appropriate treatment instituted to you. I wish you GOOD LUCK !!!! and good health.


Above answer was peer-reviewed by
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