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What Causes Excessive Gas, Pain In Back And Pelvic Region Along With Chills?

Posted on Mon, 28 Mar 2016

Question: I have a lot of gas, and pain in my back and pelvic area when i get up from sitting. I have been taking more naps during the day to try to rest. My pain seems less if i don't eat solid food. I have been having intermittent chills. This situation has been getting worse over the last 3 weeks. I have been scheduled for an ultrasound of pelvis and abdomen but i think i should be getting an endoscopy and cat or mri scan. My doctor doesn't seem to think i am sick enough to merit a scan or endoscopy. I was referred to a GI specialist but the first one refused the referral and i am still waiting on the second referral. My bowel movements a sort of normal but part one side is normal and the other side is hard and lumpy. I have a lot of gas every 20 min or so I even with taking beano

Answered by Dr. Dr. R.A. SINGH (1 hour later)

Brief Answer:
antacid and probiotics will help.

Detailed Answer:
Hi,
Thanks for writing your query.
After reading your post, I would suggest that you can take an antacid like Omeprazole 40mg once a day before meals along with Domperidone 30mg for relief from your symptoms. A probiotic along with digestive enzyme preparation containing pepsin and fungal diastase after meals will have added benefits.
Eat light meals prepared under hygienic conditions. Avoid spicy and oily foods. Drink lots of water daily.
Further medical management can be planned according to the clinical evaluation done by your Gastroentologist.
I hope this is helpful to you. If you have any further query, I will be happy to help.
Regards. Thanks.

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

Follow up: Dr. Dr. R.A. SINGH (51 minutes later)

The gas is the least of my problems. i started probiotics today. I will, check to see if the other drugs are available here or on line. My major problem is the pain in my back which seems to be associated with my gas/abdominal pain. Do you think my back pain might be related to my GI problems or do you think i should get some physio or massage therapy. The pain seem like it is deep in my internal muscles/organs.

Answered by Dr. Dr. R.A. SINGH (1 hour later)

Brief Answer:
some investigations are needed.

Detailed Answer:
Hi,
Thanks for providing more information.
Abdominal/pelvic pain with intermittent chills can be associated with infection of the urinary tract ( UTI ).
I would advise that you should get following investigations done :-
1. Urine examination ( Routine / Microscopic and Culture / Sensitivity ).
2. Kidney Function Test ( KFT ).
3. Complete Blood Count ( CBC ).
4. Ultrasound of abdomen.
You can go for physiotherapy to relieve muscle spasm, if any. Drink lots of water daily. Further medical management can be planned according to the reports of the above mentioned investigations.
I hope this answers your query. If you have any further doubts, please mention.
Regards. Thanks.

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

Follow up: Dr. Dr. R.A. SINGH (27 minutes later)

I had a urine test this week and it was negative for uti. Had cbc this week and all was normal except Ferretin = 208
Ultrasound booked for Feb 13
Thanks XXXXXXX

Answered by Dr. Dr. R.A. SINGH (1 hour later)

Brief Answer:
continue with the medicines advised.

Detailed Answer:
Hi,
I would advise that you should continue with the medicines prescribed earlier till you get clinically evaluated by a Gastroentologist.
I wish you good health.
Regards. Thanks.

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

Follow up: Dr. Dr. R.A. SINGH (20 hours later)

I have an appt with a gasroenterologist for Aug 2016. I think that is shocking that there is such a delay in XXXXXXX B.C. I am feeling better since i switched to fluids and started the probiotics and tylenol. I got some of the medicine for regurgitation, although i don't have any problems with regurtitation so i am reluctant to take medicine for symptoms i don't have. XXXXXXX

Answered by Dr. Dr. R.A. SINGH (1 hour later)

Brief Answer:
continue with antacid and probiotics.

Detailed Answer:
Hi,
Thanks for providing more information.
It seems that your symptoms can be due to gastritis.
I would advise that you should take an antacid like Omeprazole 40mg once a day before meals along with Domperidone 30mg. Probiotics and digestive enzyme preparation will have added benefits.
Following precautions will be helpful :-
1.Avoid spicy and oily foods.
2.Avoid being empty stomach for long periods.
3.Avoid mental and emotional stress.
4.Avoid smoking and alcohol, if any.
5.Avoid self medications, especially pain killers and steroids.
6.Drink lots of water daily.
7.Eat light meals prepared under hygienic conditions.
8.Avoid gas producing foods like peas, cabbage, legumes, etc.
I hope this is helpful to you. If you have any further doubts, please mention.
Regards. Thanks.

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Above answer was peer-reviewed by : Dr. Sonia Raina