Why does this hurt?

Discussion in 'Health & Fitness' started by DaveC426913, Jan 15, 2017.

  1. DaveC426913 Valued Senior Member

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    This pain has piqued my curiosity. I've been to a doctor, so I'm not looking for medical advice, I'm just trying to make what 'House' calls a differential diagnosis.

    I have a dull ache that I would have thought were my kidneys if the doctor hadn't said it's too low for that.
    It runs inside from my back to my belly, both sides.
    I have had lower back pain before, from straining my back. This is a similar ache (for comparison), but not in the same place. This is out in my 'wings'.
    On a scale of 1 to 10, it's a 1 or 2. So not debilitating.

    What's strange is that it does not hurt when I am vertical.
    It is only when I go to bed and lie down. Within about 15 minutes the ache starts, and tends to last until I get up. It's enough to cause me to toss and turn to relieve the ache.
    It hurts when I breathe in very deeply.
    If I sniff hard, (which works my diaphragm) I can induce the pain (whether that's by the change of pressure within my abdomen, or the flexion of my back muscles I'm not sure.)
    The reason it's weird is because there is NO ache during the day, no matter what I do. Usually, muscle ache would be there in the background, just not bothering me. I cannot induce any ache during the day.

    I have ruled out constipation.
    It's not a kidney infection. Tests ruled that out.
    I have not gained any weight. (A distended belly might cause this kind of ache.)

    Any ideas?
     
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  3. river

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    You lack flexibility and strength , in your back .
     
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  5. Syne Sine qua non Valued Senior Member

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    The deep breath inducing pain sounds like pleural effusion. But I don't know of any nerve bundles that alone could compress to cause something that sounds like sciatic pain. I say compressed because a pinched nerve would be much sharper pain, but pinched/compressed nerves do often present non-localized pain.
     
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  7. exchemist Valued Senior Member

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    Could still be some lower back issue, possibly (muscles, nerve pinch etc). One test might be to try a different mattress for a few nights (harder or softer) and see if that makes any difference. I don't know your age, but presume doc has ruled out nasties such as abdominal aneurysm etc.
     
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  8. DaveC426913 Valued Senior Member

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    One might think, but this only just occurred. Something has changed, I just haven't figured out what.
     
  9. DaveC426913 Valued Senior Member

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    Doc didn't do a thorough test. Just ruled out kidney infection.

    Yeah, it's gotta be muscular. It's symmetrical. Both sides of my back (though not centre).
     
  10. Baldeee Valued Senior Member

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    When you're lying down and the pain comes on, are you lying on your back or your front?
    If you lay down in that position during the day, would it induce the pain?

    My first reaction, if I had your symptoms, though, would indeed be that it's muscular, and I would just go for over-the-counter anti-inflammatories.

    For more left-field suggestions, I know someone whose first sign of their arthritis was worsening sleep due to back pain.
    The pain only really occurred during the night, seemingly due to lack of movement.
    They were in their 60s at the time, but it's not exactly restricted to those of such age.
    How long have you had the pains?
     
  11. DaveC426913 Valued Senior Member

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    Doesn't seem to matter.

    That would make a good differential.

    Yeah. Prolly.

    Just a week.
     
  12. Jeeves Valued Senior Member

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    Might consider hernia?
     
  13. DaveC426913 Valued Senior Member

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    Oh. That had not occurred to me...

    I've been describing it as feeling like my connective tissue is being pulled as my organs shift, knowing that that's not really a thing. But a hernia. That's a thing.
     
  14. Jeeves Valued Senior Member

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    Bilateral, it sounds like. The good news is, they're eminently fixable.
     
  15. DaveC426913 Valued Senior Member

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    Hrm. I have no pain in the groin. My pain is in the back. And high. Like up near my ribs.
     
  16. Jeeves Valued Senior Member

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    I'm only guessing. Muscle-pull is another possibility, but i think you would have noticed when it happened. Worth a look, anyway.
     
  17. timojin Valued Senior Member

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    Have you experienced anything with digestion discomfort after eating ?
     
  18. paddoboy Valued Senior Member

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    Crushed Sciatic nerve?
     
  19. paddoboy Valued Senior Member

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    Crushed Sciatic nerve Dave?
    Is the pain similar to "pins and needles" tingling type sensation?
    ps: I'm no doctor

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  20. DaveC426913 Valued Senior Member

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    That has always been a problem, but no, not in the last few weeks.
     
  21. DaveC426913 Valued Senior Member

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    No. Exact opposite.
    Dull internal ache.
     
  22. DaveC426913 Valued Senior Member

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    Confirmed. Lying down for 20 minutes watching TV and I'm starting to feel the same dull ache.
     
  23. timojin Valued Senior Member

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    What sort of bowel movement you have . loos or constipated
     

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