Stomach flu with lower back pain: Lower Back Pain and Diarrhea: Causes and Treatment

02.07.202324.06.2023 by alexxlab

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Lower Back Pain and Diarrhea: Causes and Treatment

Lower back pain and diarrhea can occur together for many reasons. IBS, constipation, enteropathic arthritis, and cancer are just some conditions that may cause both. You may need medical care if both persist.

Lower back pain and diarrhea are both very common symptoms. Approximately 80 percent of adults experience low back pain at some point, and diarrhea is one of those symptoms that can just creep up on anyone from time to time.

One study from 2014 of chiropractic patients found that the number of people with low back pain and bowel issues was high, even though there didn’t seem to be a specific cause or link between the two.

If you experience recurring lower back pain and diarrhea, it’s possible that you may have an underlying medical condition. We’ll explain some of those causes below.

Lower back pain and diarrhea that’s accompanied by fever, severe abdominal pain, or a loss of bladder or bowel control may indicate a serious medical condition, such as appendicitis or cauda equina syndrome. Call 911 or go to your nearest emergency department.

Your lower back pain and diarrhea may be completely unrelated, but if your symptoms are recurring, chances are that there’s an underlying medical cause.

Here are some possible causes for these symptoms:

Appendicitis

Appendicitis is the inflammation of the appendix, which is a small organ that extends from the first part of the colon in your lower right abdomen.

The pain from appendicitis usually begins near the navel and spreads to the lower right side of your abdomen. Some people have an appendix that extends behind the colon, which may cause lower back pain.

Other symptoms include:

diarrhea or constipation
fever
loss of appetite
abdominal pain that can become severe
nausea and vomiting
an inability to pass gas

Appendicitis needs immediate treatment. Left untreated, your condition can worsen dramatically in just a matter of hours, and your appendix can rupture.

A ruptured appendix can spread infection through your abdominal cavity and is life-threatening. See a doctor right away if you have symptoms of appendicitis.

Kidney infection

Also called infectious pyelonephritis, a kidney infection is a type of urinary tract infection (UTI) that often begins in the bladder or urethra and spreads upward to one or both kidneys.

A kidney infection can cause permanent damage to your kidneys or spread to your bloodstream when left untreated.

You should see a doctor right away if you experience sudden lower back pain and diarrhea, along with nausea and fever.

Pain in your side or pelvis is also possible, along with symptoms of a lower UTI with cystitis (urinary bladder inflammation). These other symptoms include:

a burning sensation when urinating
urgent or frequent urination
cloudy or smelly urine

A kidney infection requires immediate treatment with antibiotics to reduce the risk of serious complications. It may require hospitalization.

Fecal impaction

Fecal impaction is when a large, hard dry stool stays stuck in the rectum. It’s most often caused by chronic constipation, which can be associated with the long-term use of certain laxatives.

When you’re constipated, your stool becomes dry and hard, making it difficult to pass. The risk increases if you stop taking laxatives after using them for a long time because your intestines forget how to move stool on their own.

Fecal impaction is more common in older people but can happen to people of any age who experience chronic constipation.

Fecal impaction can cause abdominal and lower back pain and pressure. You may also experience leakage of liquid from your rectum or sudden watery diarrhea after long-term constipation.

Other symptoms can include:

cramping
bloating
rectal bleeding
bladder pressure
bladder incontinence

Irritable bowel syndrome (IBS)

IBS is a common chronic disorder that’s estimated to affect 10 to 15 percent of the world population.

It’s characterized by a collection of symptoms, such as:

bloating
abdominal pain
diarrhea
constipation

While IBS doesn’t lead to cancer or other serious diseases, and isn’t known to permanently damage the colon (the way inflammatory bowel diseases may), it can be very uncomfortable.

The symptoms of IBS can vary and can come and go. Along with abdominal pain, IBS can cause lower back pain and diarrhea, accompanied by nausea.

It can also cause constipation or a combination of diarrhea and constipation that may alternate with each other. Other common symptoms include:

cramping
excess gas
mucus in the stool

Enteropathic arthritis

Enteropathic arthritis is a chronic, inflammatory arthritis that’s associated with inflammatory bowel disease (IBD).

Types of IBD include ulcerative colitis and Crohn’s disease, and roughly 1 in 5 people with either type will develop enteropathic arthritis.

Different types of arthritic diseases can cause similar symptoms or be associated with developing IBD, such as ankylosing spondylitis and psoriatic arthritis.

IBD usually causes diarrhea and abdominal pain. IBD that’s associated with arthritis of the spine can cause lower back pain and diarrhea.

Other symptoms vary depending on the type of IBD and arthritis, and may include:

joint pain and stiffness
bloody diarrhea
cramping
loss of appetite
fatigue

Pancreatic cancer

Pancreatic cancer accounts for 3 percent of all cancers in the United States, according to the American Cancer Society.

The symptoms of pancreatic cancer vary depending on the type and location of the tumor, and the stage of the cancer. Early pancreatic cancers often don’t cause any signs or symptoms.

The following are possible signs and symptoms:

upper abdominal pain
back pain
nausea
dark urine
jaundice
weight loss
poor appetite
diarrhea
nausea and vomiting

It’s important to remember that many of these symptoms are more often caused by other less serious conditions. If you’re concerned about pancreatic cancer, see a doctor.

See a doctor if your symptoms don’t improve after a few days.

Seek emergency care if you experience:

severe abdominal or back pain
high fever
blood in your stools
sudden loss of bowel or bladder control
severe dizziness or confusion

Occasional lower back pain and diarrhea are fairly common symptoms that may be completely unrelated. Having them together may not indicate an underlying condition.

Any recurring or severe symptoms should be discussed with your doctor so they can rule out more serious causes.

Back Pain and Vomiting: Causes and Treatments

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Medically reviewed by Alana Biggers, M. D., MPH — By Rachel Nall, MSN, CRNA — Updated on August 3, 2017

Overview

Back pain can vary in severity and type, from sharp and stabbing to dull and aching. Back pain is common because the back acts as a support and stabilizing system for the body, making it vulnerable to injury and strain.

Vomiting occurs when the contents of your stomach are forcefully ejected from your mouth. Food poisoning and viral infections are common causes of vomiting.

When you experience back pain with vomiting, it’s important to consider when your back pain started. For example, forceful vomiting could lead to back pain and strain. Common causes of vomiting include:

food poisoning
indigestion
infections (usually related to bacterial and viral illnesses)
motion sickness

Back pain and vomiting are also commonly associated with a urinary tract infection (UTI) or kidney infection. These conditions result when bacteria build up in the urinary tract, leading to infection. A kidney infection is the more serious of the two. Other symptoms of a kidney infection include blood in the urine, pain in the side of the torso, chills, and fever.

Morning sickness associated with pregnancy can cause nausea and vomiting. Back pain is also common with pregnancy, as the weight of the growing baby puts strain on the back. Often these symptoms are not a cause for concern for pregnant women. However, when nausea occurs after the first trimester, it may be a symptom of preeclampsia. Preeclampsia is a condition where blood pressure becomes too high. If you are pregnant and experience nausea into your second trimester, seek medical advice from your doctor.

Less common causes of back pain and vomiting include:

bacterial meningitis
Crohn’s disease
endometriosis
pancreatitis
a spinal tumor
uterine fibroids, noncancerous tumors in the uterus

Other causes of back pain and vomiting include:

menstruation
premenstrual syndrome (PMS)
gallstones
kidney stones
ectopic pregnancy
pelvic inflammatory disease (PID)
typhus
pancreatic cancer
hyperparathyroidism
porphyrias
West Nile virus infection
yellow fever
polio
heart attack
abdominal aortic aneurysm

Most vomiting will subside within a day. If back pain is the result of vomiting, it should also subside after a few days of rest.

Seek immediate medical attention if you are pregnant and experiencing these symptoms unrelated to morning sickness. Call your doctor right away if you have the following symptoms in addition to back pain and vomiting:

blood in your vomit or stool
confusion
extreme physical weakness
a severe headache and stiff neck
loss of control over bladder or bowel movements
severe abdominal pain
worsening symptoms

Also, call your doctor if your back pain continues after your vomiting subsides or if vomiting continues for 24 hours.

Although you can’t always prevent back pain and vomiting, you can take steps to avoid triggers. Common triggers include:

drinking too much alcohol
eating too much food
eating foods that are undercooked
excess stress
poor hygiene when preparing food

Last medically reviewed on December 1, 2016

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Abdominal bloating: A mysterious symptom. (n.d.).
med.unc.edu/ibs/files/educational-gi-handouts/Abdominal%20Bloating.pdf
Gas in the digestive tract. (n.d.).
digestive.niddk.nih.gov/ddiseases/pubs/gas/
Mayo Clinic Staff. (2014). Kidney infection.
mayoclinic.org/diseases-conditions/kidney-infection/basics/definition/con-20032448
Mayo Clinic Staff. (2014). Morning sickness.
mayoclinic.org/diseases-conditions/morning-sickness/basics/definition/con-20033445
Mayo Clinic Staff. (2015). Urinary tract infection.
mayoclinic.org/diseases-conditions/urinary-tract-infection/basics/definition/con-20037892
Mayo Clinic Staff. (2014). Viral gastroenteritis.
mayoclinic.com/health/viral-gastroenteritis/DS00085

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Medically reviewed by Alana Biggers, M. D., MPH — By Rachel Nall, MSN, CRNA — Updated on August 3, 2017

Can a cold or flu cause back pain?

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According to the World Health Organization, about 40 million people suffer from infectious diseases every year and 90% of this number falls on SARS and influenza. Vaccination does not guarantee protection against all types of viruses. You can catch the infection anywhere: in public transport, in a store, in any public place. In addition to the usual symptoms – fever, cough, runny nose – colds and flu often cause pain in the back, muscles and joints. Many try not to pay attention to the ailment and endure the disease “on their feet”, and this is fraught with serious complications, especially with the flu. It must be distinguished from the common cold in order to contact a specialist in time and avoid serious consequences.

Influenza:

The onset of the disease is always acute, symptoms appear immediately
Immediately develops high temperature up to 39 degrees
Symptoms of body intoxication – chills, sweating, severe headache, nausea, photophobia, pain in muscles and joints
Redness of the eyes
Cough, runny nose and sneezing appear on the 2-3rd day of illness
With influenza and within two weeks after recovery, the person is very weak, there is shortness of breath, loss of appetite, dizziness, heart palpitations

SARS:

Symptoms develop and increase gradually over 1-2 days
The temperature rises slightly, not higher than 38 degrees
Runny nose, cough (first dry, then wet) are often the first manifestations of the disease
Recovery usually occurs in 7-9 days
Pain in muscles and joints is not severe, aching

Causes of back pain in influenza and SARS

In infectious diseases, back pain is quite common. It can be an obsessive aching, or a sharp shooting, localized in the neck, lower back, or between the shoulder blades. In any case, for adequate treatment, it is necessary to find out the cause of back pain:

Intoxication. In infectious diseases, especially influenza, the virus literally destroys the cells of the body. And our immune system throws all its strength into the fight against the uninvited guest and releases a large amount of active substances that cause inflammation and raise the body temperature. All this poisons the body, and it responds with pain and aches in the muscles, back and joints, nausea, chills and migraines.
Myositis. Inflammation of one or an entire muscle group may join the symptoms of the flu or a cold. The pain is clearly localized, aggravated by movement or pressure on the affected area, the skin over it is hot. Myositis of the neck is especially dangerous, because it can affect the muscles of the larynx and trachea, making breathing and swallowing difficult.
Osteochondrosis. If the back muscles are weakened from age or a sedentary lifestyle, the intervertebral discs become depleted and deformed. With a cold and flu, the vessels that feed the muscles and ligaments around the spine suffer, and osteochondrosis can worsen. Pain, stiffness, numbness appear in the back.
Sciatica. This is an inflammation of the roots of the spinal cord, more often the lumbar spine suffers. The pain starts in the lower back and spreads down the leg to the very foot. There may be numbness, coldness in the limbs, a feeling of “creeping goosebumps”. Movements are constrained and difficult. With radiculitis of the cervical spine, the back of the head, shoulder, shoulder blade, and sometimes the arm hurt. The pain increases sharply when turning the head, coughing, moving the hand.
Spondylitis. This is an inflammation of the vertebrae. With colds and flu, immunity weakens. If there are constant sources of infection in the body (teeth not cured in time or chronic diseases of the throat), then pathogenic microorganisms with the blood stream can enter the spine and cause spondylitis or more severe purulent complications. The pain is aching, aggravated by movement, the affected area may become numb. It is difficult to bend your back, turn your head.
Diseases of the kidneys. Weakening of immunity during colds and flu can cause inflammation of the kidneys or exacerbation of urolithiasis. If back pain is accompanied by swelling, high blood pressure and frequent urination, this is a reason to contact a nephrologist.

If you have already caught an infection, the best thing you can do for your body is to help it fight the virus and avoid complications. To do this, at the first sign of malaise, stay at home and observe bed rest.

For influenza and SARS, the general recommendations are similar:

Drink plenty of warm water frequently: berry fruit drinks, water with lemon, weak tea. So toxins will leave the body faster and the manifestations of general intoxication will decrease, which means that the back will not hurt so much. Normally, after 3-4 days, the aches in the muscles and joints should go away. If the pain does not let go, but only grows, then the back hurts not due to intoxication and you need to contact a specialist as soon as possible.
Do not self-medicate. Take any medications only after consulting a doctor.
Don’t try to beat chills and back pain with a hot bath. So you will only overload the already hard-working heart and exacerbate inflammation in the muscles and ligaments of the back. Dry heat saves from chills – a woolen sweater, scarf or plaid.
Pain in the back muscles is well relieved by ointments and gels with anti-inflammatory components. Apply Nise gel to the area of soreness and lie down under the covers – relief will come quickly.
Eat light, nutritious food in small portions – broth, boiled meat, eggs, cottage cheese.

* THERE ARE CONTRAINDICATIONS. READ THE INSTRUCTIONS FOR MEDICAL USE OR CONSULT A DOCTOR.

If after 5-7 days of bed rest the symptoms of a cold and flu do not go away, and pain and discomfort in the back increase, you should consult a doctor. The specialist will find out the cause of the pain and prescribe adequate treatment. This will help to avoid serious complications and recover as quickly as possible.

http://med135.ru/node/215
http://kb4-vlg.ru/poleznaya-informatsiya/orvi/
https://www.starcrb.ru/index.php/novosti/179-orvi-i-gripp-etiologiya-patogenez-klinika-profilaktika-aktualnost-grippa-i-orvi
https://medi.ru/info/12035/
https://www.bsmu.by/page/6/5208/
https://b-apteka.ru/articles/pnevmoniya-orvi-gripp
https://www.infomed39.ru/for-citizens/helpful-info/guide-to-influenza/

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Dangerous viruses continue to rage in Volgograd, including SARS and influenza. According to doctors, many patients come to them with a frightening symptom – lower back pain. What are these pains and what is their cause, said Mikhail Statsenko, head of the Department of Internal Medicine at Volgograd Medical University.

Residents of Volgograd, who had been ill more than once or twice over the past autumn, said that, in addition to fever, cough and runny nose, severe back pain joined the extremely unpleasant and painful symptoms of the disease.

— Throughout my illness, my lower back ached, it felt like my body had been passed through a meat grinder, — said those who had recovered from Volgograd. “I didn’t know what to think—either it was the kidneys, or the lungs were already so tired from coughing that they began to hurt.

According to Mikhail Statsenko, there can be several reasons for back pain.

“It’s intoxication,” the doctor said. – Pain in the muscles, joints, body aches – all this indicates intoxication of the body. You need to see if you’ve taken a lot of fever medication. The same “Ibuprofen”, it is nephrotoxic, it has a negative effect on the kidneys, “Paracetamol” negatively affects the liver, but it lowers the temperature. Each person has his own weak point, and you need to take drugs based on your own observations and feelings.

As Mikhail Statsenko said, it is very important to start treatment on time and competently, not missing the moment when complications appear. Moreover, weakened immunity becomes an easy target for other viruses and even bacteria.

— Drink more fluids. At a high temperature, you still need to take the same antipyretic drugs, the doctor said. – But it is better to alternate drugs. In this way, we distribute the load on the organs and reduce the toxic effect on them. You need to pay attention to your condition. Drama appears only when the fever persists for more than five days, when complications appear in the form of sinusitis, bronchitis and pneumonia.