Lumbar pain, stomach discomfort, orange stools, headache, itchy anus, taking fish oil
Thanks for the query.
If you have to connect lower spinal pain and bowel disturbance one can think of -
1) Post infectious spondyloarthritis - usually follows bacterial colitis or enteritis.
2) Inflammatory bowel disease and spondyloarthritis ( ankylosing spondylitis) - usually associated with stiffness and limited ability to bend forward. The bowel component of it usually presents with diarrhoea, loss of weight with or without bloody stools or abdominal pain.
3) Unrelated illness - backpain secondary to osteoporosis or degenerative spine disease & GI disease secondary to infections, vitamin deficiencies, dysmotility, food intolerences like milk. A good physical exeminations and few tests like stool examinations, CRP (Quantitative) and an Xray or MRI lumbosacral are will help. You may get these done under guidance of a physician or gastroenterologist.
Hope I have answered your query adequately. Should you have more concerns, I will be available for follow ups.
Thanks for your response. As I mentioned, I had a complete colonoscopy in Mar 2006 and an endoscopy in Sept 2008. Both came back clean with the exception of the colonoscopy which was fine, but they found a fissure at the anal opening. What is the percentage chance (in your professional opinion) that I could have developed colon cancer that would have spread to my lumbar spine within this time period? I am seeing a gastrointestinal specialist on Wed, but wondered how worried I should be.
Thanks for the follow up.
The doubling time for colonic cancer is around 670 days and a colonic cancer usually develops for a polyp larger than 2cms in an otherwise normal colon.
Hence with a normal colonoscopy the chance of finding a significant Malignant lesion in the colon over the next 5 years is negligible.
This is the rationale of offering colonoscopic surveillence once in 5 years in many of the countries.
Hence I think you shouldn't be unnecessarily worried and go and XXXXXXX your GI for further guidence
Wishing you good health.