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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Severe Stabbing And Tearing Pain In Back And Stomach Suggest?

Hi Doctor,

My wife is suffering from immense back pain and stomach pain. The pain radiates from the lower back (12th rib / erector spinae - area) and also the shoulder (supraspinatus - area). The muscle pain ranges from stabbing to burning to tearing. Her stomach is frequently in cramps, some days you can feel/see the intestine as it makes what appears to be a spasm. The only semi acceptable solution we have found so far for her is water aerobics twice a week and physiotherapy every fortnight. Over the December period these services where not available and the pain just came back, worse than ever. Now this has been going on for 3 years, numerous doctors and bills later. Diagnosis has ranged from costochondritis, inflammation in the stomach (not a ulcer), fibromalgia, stress, 6 months anti depressants, gilberts syndrome. This ranging from doctors, specialists even homeopathic. This is just ridiculous. It has come to the stage now where she would rather just live with the pain than being given false hope and costly bills. I need to know what would be the best way to find a method where I can locate/determine a competent medical practitioner.
Tue, 17 Feb 2015
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General Surgeon 's  Response
Hi.
Thanks for your query.
Read and understood the whole history, complaints , your visits to many Doctors, many diagnosis and treatments.

I can understand the plight you both must be going through.
Take rest. Change the routine ans have minimal stress and anxiety are the key to the success in such cases.

You can talk to the friends and family members to search a Senior Physician who can examine you thoroughly, investigate you as per the history and the previous reports and findings.
The mainstay of the treatment is the diagnosis; once made treatment will be easy and specific.

you have already been diagnosed and treated for : costochondritis, inflammation in the stomach (not a ulcer), fibromalgia, stress, 6 months anti depressants, Gilberts syndrome.

The muscle pains which you have described must be from the repetitive stress syndrome as per the locations; you can consult an Orthopedic Surgeon and get local steroid injections in the painful spots and your problem may be solved,.

She also has intestinal obstruction and that is the reason for the visible peristalsis and most probably causing malabsorption syndrome causing rest of the problems.

I would advise you the following:
MRI of the painful area and the whole spine to see whether there is a primary spinal cord syndrome causing all other symptoms.
Standing X-ray of the abdomen and CT scan of the abdomen to to see for intestinal obstruction , possibility of the intestinal tuberculosis or any other problem; upper GI and Lower GI Endoscopy; if required diagnostic laparoscopy.

All the efforts will pay in a long run to et a proper diagnosis and a plan for treatment for your wife to be healthy again .
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What Does Severe Stabbing And Tearing Pain In Back And Stomach Suggest?

Hi. Thanks for your query. Read and understood the whole history, complaints , your visits to many Doctors, many diagnosis and treatments. I can understand the plight you both must be going through. Take rest. Change the routine ans have minimal stress and anxiety are the key to the success in such cases. You can talk to the friends and family members to search a Senior Physician who can examine you thoroughly, investigate you as per the history and the previous reports and findings. The mainstay of the treatment is the diagnosis; once made treatment will be easy and specific. you have already been diagnosed and treated for : costochondritis, inflammation in the stomach (not a ulcer), fibromalgia, stress, 6 months anti depressants, Gilberts syndrome. The muscle pains which you have described must be from the repetitive stress syndrome as per the locations; you can consult an Orthopedic Surgeon and get local steroid injections in the painful spots and your problem may be solved,. She also has intestinal obstruction and that is the reason for the visible peristalsis and most probably causing malabsorption syndrome causing rest of the problems. I would advise you the following: MRI of the painful area and the whole spine to see whether there is a primary spinal cord syndrome causing all other symptoms. Standing X-ray of the abdomen and CT scan of the abdomen to to see for intestinal obstruction , possibility of the intestinal tuberculosis or any other problem; upper GI and Lower GI Endoscopy; if required diagnostic laparoscopy. All the efforts will pay in a long run to et a proper diagnosis and a plan for treatment for your wife to be healthy again .