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What Causes Pain In Lower Back And On Right Side Of Hip?

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Posted on Tue, 23 Dec 2014
Question: I have a feeling of swelling in my stomach when I sit down or bend over. I have aches in my lower back and a gnawing pain on my right side by my hip and sometimes a sharp pain on the right side. I have had bloods which are ok and an ultrasound also ok. I've also had a pelvic ultrasound which also didn't show anything. I'm booked for an mri.

XXXXXXX
doctor
Answered by Dr. T Chandrakant (32 minutes later)
Brief Answer:
Obesity - Hypothyroidism

Detailed Answer:
Hi.
Thanks for your query.

After reading the history of your symptoms and the investigations which have been normal, I can think of the few problems which might have caused these symptoms you have.
-Obesity can cause exactly the same symptoms you have mentioned. May I please know your weight and height and the extent of the accumulation of fat.
-In some medical conditions like hypothyroidism,
accumulation of excessive fluids in the body due to hormonal changes that may occur at your age of 48, or some kidney or liver disorders ( rare although).
-Intra-abdominal problems- which have already been ruled out by ultrasonography of abdomen and pelvis ( as mentioned).

I would advise you the following:
Wait for the MRI reports and tell the Radiologist what exactly your problems are as then only it is possible to evaluate the abdomen, hip joints.
Blood reports - Thyroid function tests , kidney function tests ( if not yet done).
Reduce your salt intake.
Take activated charcoal and probiotics.
Increase fluid intake.
Increase salads in diet.
Walking, exercises.

Consult an Orthopedic Surgeon for evaluation of the pain in the hip joint and around, backache; and General Surgeon to have a physical/ clinical examination of the abdomen.

I hope this answer helps you to get a proper diagnosis and help reducing your problems.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. T Chandrakant (2 hours later)
I am 5 foot 6. I weigh about 10 stone im not obese although i used to be very slim. I become bloated as the day goes in. I do a lot of walking and drink a lot of water generally active. I do like a glass of wine most days and smoke 4 cigarettes in the evening. I eat lots of veg as i dont eat meat occaisionally a little tuna. Thyroid and kidney function done with bloods. Kidneys seemed ok on ultrasound. Thanks





.
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
Try to find the causes of bloating and treat them

Detailed Answer:
Thanks for your feedback.
It is good yo know hat your Kidney and Thyroid functions are normal.

So, this looks to be bloating / gases problem.
The commonest causes are:
-Aerophagia, meaning swallowing of air - anxiety may be a major cause.
-GI disturbance, imbalance of Gastrointestinal bacterial flora- helped nicely by Probiotic and activated charcoal tablets. Sometimes a course of an antibiotic and metronidazole helps.
-Certain foods and / beverages can cause bloating
-Other causes of bloating should be ruled out and treated if present.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

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

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Pain In Lower Back And On Right Side Of Hip?

Brief Answer: Obesity - Hypothyroidism Detailed Answer: Hi. Thanks for your query. After reading the history of your symptoms and the investigations which have been normal, I can think of the few problems which might have caused these symptoms you have. -Obesity can cause exactly the same symptoms you have mentioned. May I please know your weight and height and the extent of the accumulation of fat. -In some medical conditions like hypothyroidism, accumulation of excessive fluids in the body due to hormonal changes that may occur at your age of 48, or some kidney or liver disorders ( rare although). -Intra-abdominal problems- which have already been ruled out by ultrasonography of abdomen and pelvis ( as mentioned). I would advise you the following: Wait for the MRI reports and tell the Radiologist what exactly your problems are as then only it is possible to evaluate the abdomen, hip joints. Blood reports - Thyroid function tests , kidney function tests ( if not yet done). Reduce your salt intake. Take activated charcoal and probiotics. Increase fluid intake. Increase salads in diet. Walking, exercises. Consult an Orthopedic Surgeon for evaluation of the pain in the hip joint and around, backache; and General Surgeon to have a physical/ clinical examination of the abdomen. I hope this answer helps you to get a proper diagnosis and help reducing your problems.