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What Causes Severe Back Pain, Lump Near Tailbone And Painful Stomach Ulcer?

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Posted on Mon, 5 Jan 2015
Question: Hello, my problem has a number of issues 1. Back pain so bad it is extremely painful n difficult to walk. 2. At the base of my back tail bone area I have a lump the size of a tennis ball it does reduce in size over time when back pain is no longer. I bleed several times a day fresh red blood from back massage and have protruding biles. I have a stomach ulcer which is very painful too. I am limited in the pain relief as I can not take any morphine base relief. I take paracetamol but I am restricted here to as I get a sever reaction in my eyes blood vessels seem to burst leaving me with large blood spots on the white of my eye and also v painful. Please advise as I really am struggling. XXXXXXX
doctor
Answered by Dr. Prasanna Heijebu (1 hour later)
Brief Answer:
Endoscopy can be helpful

Detailed Answer:
Hi Madam,

I understand your query and concern.

Majority of the Gut symptoms in your case are related to reactivation/exacerbation of crohn's disease.

All you currently need is total colonoscopy of the small bowel along with an Upper GI endoscopy to document the locations of the bleeding,

These sites can be treated through injection sclerotherapy.

Regarding the back pain ,you need a MRI total spine which can reveal any cord compressions and further management depends of the scan result.

Piles can be managed through Haemorrhoidectomy.

I advice you to have an indirect ophthalmoscopy to detect the eye changes.

Many of the symptoms can be controlled pretty well through corticosteroids and immunosuppressants.

Post your further queries if any,
Thankyou
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Prasanna Heijebu (1 hour later)
Thank you Dr XXXXXXX

This has been a great help. My mobility is very restricted I use a rotator for walking but even this Can be painful although helpful. Can I expect to be without pain following these instruction assuming all goes to plan.

Kindest regard XXXXXXX
doctor
Answered by Dr. Prasanna Heijebu (10 hours later)
Brief Answer:
They are rarely painful

Detailed Answer:
Hi Mm.

Good to have to you back.

You can have these endoscopies with relative ease.

These procedures are hardly painful.

For your added comfort, you can be given a local anesthetic with analgesic action.

Please do not worry of these things, you can have them safely.
Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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What Causes Severe Back Pain, Lump Near Tailbone And Painful Stomach Ulcer?

Brief Answer: Endoscopy can be helpful Detailed Answer: Hi Madam, I understand your query and concern. Majority of the Gut symptoms in your case are related to reactivation/exacerbation of crohn's disease. All you currently need is total colonoscopy of the small bowel along with an Upper GI endoscopy to document the locations of the bleeding, These sites can be treated through injection sclerotherapy. Regarding the back pain ,you need a MRI total spine which can reveal any cord compressions and further management depends of the scan result. Piles can be managed through Haemorrhoidectomy. I advice you to have an indirect ophthalmoscopy to detect the eye changes. Many of the symptoms can be controlled pretty well through corticosteroids and immunosuppressants. Post your further queries if any, Thankyou