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What causes pain in back worsened by bowel movement?

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Posted on Mon, 30 May 2016
Question: Years ago I hurt the right side of my back. MRI and Ray showed only a flat bulge at L4L5> I tried Physio, Tens, Acupuncture, Electronic Acupuncture, Chiro, massage, more exercise. Nothing work, For years, Each time I left the Physio, I need help to the car. Finally the told me to stop going. They were hurting me. A pain specialist told me to get a cane and prescribe Oxcyneo, Oxycocet and Lyrica. I tried the XXXXXXX exercises but, each time I would end up in terrible pain. Beyond what the drugs would manage. I was having lucid dreams and would nod off throughout the day because I could sleep for more than minutes at a time including using sleeping pills. My white cell count is slightly up. AT the same time I became constipated. Which I was prescribe stool softeners and laxatives.
Finally after 5 years, the Hematologist investigating my white cell count witnessed me in ful pain spike. I was sweating on the right side ( I still do) and arrange for me to see a pain specialist. My file was mixed up and I went to an Oncologist who gave me a round of steroids ( my pain dropped) and an MRI. This MRI showed a large sequestered disc herniation at L$/L5. I was brought in as a trauma patient and operated on.
My pain went down for a few days but as soon as I sat ( sitting triggered the pain it seemed) I went back into pain.

WHile the back pain is down a bit I still get terrible pain spikes. The spikes last hours. I have bebn diagnosed as a CRPS Type 2 patient. But I seems that my pain spikes all occur the days that I have a bowel movement. The size of the bowl movement doesn't seem to matter.

My doctor told me she will try to get me to a gastro specialist, but she added that the nerves at L$/L5 are also near the intestinal nerves. Is this true, Why wouldn't someone tell me that before. This isn't little pain. It hurt my back, right side of my rectum, my right leg, front and outside of my right thigh, mid shin and my ffoot, to my first three, then little toe. The sensation is almost like hives burning and stinging. the back pain feels like a dull knife press into my pain. The pain is so intense that I have woken to hear myself screaming in pain. Icew can numb, but real works best. I do sleep on ice packs with my legs up on a chair seat t times. I use heat throughout the day. The constipation began immediately with the disc herniation. before I took the opiods. I have tried to stopped all pain killers, but after two days it was impossible for me to continue. Not the extreme before surgery worst pain, but just the pain spike not being relieved. So the meds still work. And when the pain is down, I can easily skipped dosages.
I think what srove the pain out of control is related to my bowel movements.
I use to exercise once or twice a day. I am a smoker, Smoking a pack a day, but the thing is I think a cigarette help the bowel feeling some times. Recently I reied on a pair of pants that I bought just before the herniation. I couldn't fasten it, but last week I could. I am bloating at least 5 inches aound my lower abs. There is some wrong there.
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Answered by Dr. Erion Spaho (57 minutes later)
Brief Answer:
Bowel movement may aggravate pain of herniated disc.

Detailed Answer:
Hello and thanks for using HCM.

I have read your query and understand your concerns.

Pain caused by herniated disc and worsened by bowel movement, or constipation is a known phenomenon and is caused by increased intraabdominal pressure that is transmitted to affected nerve(s) too.

It is necessary to adjust your diet in order to avoid constipation, and to ease bowel movements.

Opioid painkillers may cause or aggravate constipation, so, in my opinion, they should be avoided.

Probiotics use help in this case.

It is also necessary to be reevaluated clinically and by imaging studies such MRI about the possibility of recidivated disc herniation that may continue causing your pain.

I suggest you to discuss with your treating Doctor about above mentioned issues.

Hope you found the answer helpful.

Let me know if I can assist you further.

Greetings.



Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4327 Questions

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What causes pain in back worsened by bowel movement?

Brief Answer: Bowel movement may aggravate pain of herniated disc. Detailed Answer: Hello and thanks for using HCM. I have read your query and understand your concerns. Pain caused by herniated disc and worsened by bowel movement, or constipation is a known phenomenon and is caused by increased intraabdominal pressure that is transmitted to affected nerve(s) too. It is necessary to adjust your diet in order to avoid constipation, and to ease bowel movements. Opioid painkillers may cause or aggravate constipation, so, in my opinion, they should be avoided. Probiotics use help in this case. It is also necessary to be reevaluated clinically and by imaging studies such MRI about the possibility of recidivated disc herniation that may continue causing your pain. I suggest you to discuss with your treating Doctor about above mentioned issues. Hope you found the answer helpful. Let me know if I can assist you further. Greetings.