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Pain in the mid-back

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I have pain in my midback that is kinda dull and achey its get worse when i twist my torso. its more towards the sides and hurts more on the rightside. It almost feels like muscle but yet more internal and is really noticable at night, right now its mild but dont want it to get worse

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 25 Doctors Online

Hello,

Thank you for asking your query at DoctorSpring.

I would to know some additional information from you so that I can provide a solid and learned opinion.

1. For how many are you having this pain ?
2. Do you have any of these symptoms - pain while urination, nausea, vomiting, abdominal pain ?
3. You say the pain is in the mid back. Is it somewhere at the level where the shoulder blade ends ? If not higher up / lower ?
4. Is the pain radiating ? - Moving up or down ?


You can reply as a followup
Thank you


Patient replied :

My pain is like right where the ribs end sometimes i have had abdominal pain mostly in the back now i have alot of noise coming out of stomach . I dont really have any of the other symptoms i dont have a history of anything but i do consume alcohol but not daily mostly weekends at dinner dont smoke but have done smokeless tobbaco in the past. Radiating i guess it had been in abdomen and now just in back


Thank you

The pain seems to be musculoskeletal . There are no warning sings , so we can assume that this pain is nothing serious. You can just observe for couple of days and the it should resolve on its own.

You can use a OTC pain balm or cream. Since you have some amount of stomach upset it is better to avoid oral medications.

Hope this helps
Feel free to ask followups
Thank you


Patient replied :

I dont think that it is muscular I havent really done anything to strain it i have pain in both sides mostly on the right slightly on the left. Not better or worse today.i live in an area that has very poor air quality and my symptoms improve when i leave the area and come back when i return could it be something airbourne?


AS of now there is nothing specifically suggestive that the pain is airborne. I assume you have no respiratory symptoms either. A history of exertion or strain is not needed for musculoskeletal pain to occur. The fact that you have pain on moving/twisting also suggests this possibility.

That said I am not totally disregarding the other possibilities. The best approach at this stage would be judicious observation. With pain meds the symptom should resolve in 2-3 days. If not you will require further evaluation.

Hope this helps
Thank you


Patient replied :

What does kidney pain feel like and what are the symptoms of bad kidney or infection


The pain of a kidney (ureteric) stone would start in the side of the abdomen, (loins) and then it can radiate to the groin. Some times the pain can be higher up at the back, (somewhere near the area where you are having pain).

A kidney infection can also have pain at the same site, but will have other signs like tenderness, fever, pain while urination etc.

That's the reason why I have asked for some additional symptoms in my first reply. As of now since the pain is isolated, there is no definitive diagnosis possible. Since the pain is felt while twisting + absence of above symptoms suggests musculoskeletal pain. If the pain persists feel free to get back to me. I shall keep the consult open

Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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