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What causes lower back pain?

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Posted on Thu, 18 Dec 2014
Question: FOR Dr Rovena Murati

Hy. dr i am sending again questions because i am feeling again problem. yesterday night i was feeling a little pain in back . lower back right side. but in morning it was very much . and it was increasing with moving. and now at eveing this pain is less but if i bend down or in any direction it will increased very much. its very sharp pain. i am in very much fear that it may b some kidney or any thing else? or it may b related to some other problem. is it related to my stomach issue? or it is only a muscle pull? yesterday i told you that i feel a little inner thigh pain near joint. is it related to that? kindly reply
doctor
Answered by Dr. Rovena Murati (1 hour later)
Brief Answer:
probably muscular pain.

Detailed Answer:
Hello XXXX

It seems to be muscular pain since it is affected by position and it increases with movement.
It is not related to your stomach problem.If the pain is felt in lower back and is spread in outer part of your leg , it might be due to a compressed nerve in your back.This require a physician examination for diagnosis.
You should rest some days ,don't make sudden movements ,put some hot compresses in that area ,you can take Ibuprofen or Paracetamol for the pain.Massaging the muscles in that area can help .
Drink plenty of fluids.

If all this doesn't seem to help with the pain ,or if it get worse consult a physician .

Let me know if you need further help.
Kind regards,

Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (4 minutes later)
no doctor its not moving towards outer part of leg. i am saying i feel a little pain in the upper thigh inner side slight pain that i am feeling from 2 days. its very slight that already i have told you. but this back pain start from yesterday night . and if i press my back with hand i can exactly tell which part i hurting. its right side of my back bone , look like muscle but when it hurt it feels up to uper part of hips.
doctor
Answered by Dr. Rovena Murati (18 minutes later)
Brief Answer:
muscular pain.

Detailed Answer:
Hello!

It looks like muscular pain.I would suggest hot compresses in that area ,take Ibuprofen for some days (400 mg every 6 hours for 2 days).If you can take Ibuprofen gel and apply it 3-4 times during the day massaging that area,would be better because this cases less side effects (stomach upset ) than Ibuprofen tablets.
Try to rest and drink plenty of fluids.
It will be better in some days.

Take care.
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (31 minutes later)
ok i will try to do hot compress and if not feel better then i will take ibuprofen gel. i have one tablet emifenac can i take that?
i am unable to understand that what could be the possible reason that is effecting my muscles. means i have different very slight pains. that comes and goes. but this pain suddenly comes and its intense .
doctor
Answered by Dr. Rovena Murati (1 hour later)
Brief Answer:
Emifenac is ok.

Detailed Answer:
Hello!

Emifenac is in the same class of drugs with Ibuprofen ,so yes you can take it.
Well this intense muscle pain seem to be a strained muscle ,if you have worked hard this days, lifting something heavy .
Not being physically active or having a job that requires long hours of staying in same position can cause such muscle problems.

Let me know if you need further help.
Take care.

Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (14 hours later)
Thanks dr. you were right this pain was due to some muscle prob. now i am not feeling that or it is very less . thanks for your reply and suggestions.
you can also understand that i have some health anxiety type thing. means one single problem can give me a lot of problem. your reply and suggestions are very much important for me.
Now i have some other problem . i found one mark, red line in my finger nail. and it is giving me very tension. its very slight and if you check the picture it is like a narrow line. i have not injury and this one is the new line. this was not before. kindly check the picture and tell me what could b the possible reason . is it normal?
doctor
Answered by Dr. Rovena Murati (4 hours later)
Brief Answer:
it is normal.

Detailed Answer:
Hello again XXXX

I am glad that you are feeling better.
I had gone through the picture you sent to me ,it was clear.
If you refer to the vertical dark line you don't need to worry.Such discoloration are very common and usually don't have a known cause.It might be due to rupture of tiny blood vessels under the nail,that might have happened due to minor trauma that has gone unnoticed .
It is a common finding in nails.You really don't have to worry about it.
It doesn't indicate a disease.

Try to relax (although I tell very often this sentence you don't seem to take it in consideration).
You should stop examining in details your body and worry too much even for minor findings that doesn't have any significance.You should stop this.
The only way to try to control your anxiety is not to think about your health,and convince yourself that you have a disease.
Start convincing yourself that you are perfectly healthy.

Take care.
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (1 hour later)
yes dr you are right . i should relax. main problem is whenever i plan to relax something happened that is not related to big disease but it is something enough to give me tension. .But i my anxiety level is less as compared to last month. and your suggestions helped me a lot .
doctor
Answered by Dr. Rovena Murati (18 minutes later)
Brief Answer:
You are welcome.

Detailed Answer:
Hello !

I am really glad that my suggestions have helped you.
Try to keep your mind occupied with other things.Avoid thinking about diseases.
You are too young to think that you are sick.
Go out, meet new people, do things you love to do .

If you need further help,please do not hesitate to ask me.I will be happy to help.

I wish you all the best.
Take care.
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (16 hours later)
One last question that i have now is about the mark on chest. if you remember i have sent a picture one week back . that mark is still in chest. when this will be finished?and i am here in winter season living in a hilly area. and when i came in my room after cold outside environment(its not very much cold but the cold wind is very fast) i feel my face and throat hot as compared to other body temperature. but i dont have fever.is it also normal?
doctor
Answered by Dr. Rovena Murati (5 hours later)
Brief Answer:
it is normal.

Detailed Answer:
Hello again!

Usually it take up to 2-4 weeks for a bruise to go away completely.The blood under the skin is absorbed slowly.You don't need to worry about it.
It doesn't have any significance.

Feeling your face and throat hot after being in cold is normal.This feeling goes away as soon as your body temperature is adapted in the temperature of room.
Since your body temperature is normal you don't need to worry.

Regards,
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (1 hour later)
ok i hope it will finish. please tell me that why i am having sweating in armpits. its winter but still i have . or may b its normal or i am observing more. kindly reply
doctor
Answered by Dr. Rovena Murati (30 minutes later)
Brief Answer:
it is normal.

Detailed Answer:
Hello again!

If you are sweating only in your armpits ,not in all your body ,it is normal.Nothing to worry about.
Sometimes generalized sweating ( in all the body) mostly at night might indicate some disease and need evaluation.

Hope it helps.
Take care.

Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (11 minutes later)
ok thanks. i am not observing full body sweating. only in armpits but tension is because of winter season. i hope it is normal. thanks
doctor
Answered by Dr. Rovena Murati (7 minutes later)
Brief Answer:
detailed below.

Detailed Answer:
Hello!

You may notice this now because you are tensed and anxious but is doesn't seem to be of concern.
Localized sweating only in armpits is not related to any kind of condition.
So try not to worry about it.

Take care.
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rovena Murati (7 minutes later)
yes you might be right. thanks for suggestion . i hope all of these symptoms does not indicate something serious. but before in winter i have not felt any think like this. sometimes i feel some of my body part more hot. i don t knw its normal or not. if i feel something different i will inform you. thanks
doctor
Answered by Dr. Rovena Murati (1 hour later)
Brief Answer:
your symptoms don't indicate any condition.

Detailed Answer:
Hi there,

Probably this winter you are more alert to your body and anxiety makes it worse.
Let me know if you have any other question or need further help.

All the best.
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Rovena Murati

General & Family Physician

Practicing since :2013

Answered : 1243 Questions

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What causes lower back pain?

Brief Answer: probably muscular pain. Detailed Answer: Hello XXXX It seems to be muscular pain since it is affected by position and it increases with movement. It is not related to your stomach problem.If the pain is felt in lower back and is spread in outer part of your leg , it might be due to a compressed nerve in your back.This require a physician examination for diagnosis. You should rest some days ,don't make sudden movements ,put some hot compresses in that area ,you can take Ibuprofen or Paracetamol for the pain.Massaging the muscles in that area can help . Drink plenty of fluids. If all this doesn't seem to help with the pain ,or if it get worse consult a physician . Let me know if you need further help. Kind regards, Dr.Rovena