A member asked:

Can diverticulitis cause your lower back and abdomen to hurt and be diagnosed just with a rectal exam?

6 doctors weighed in across 3 answers

Yes and no: Yes it can cause lower back and stomach to hurt no it can not be diagnosed by rectal exam.You need cat scan and/or colonoscopy exam to diagnose but one can suspect on clinical exam and confirm by testing.

Answered 12/22/2013

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Dr. Donald Alves answered

Specializes in Emergency Medicine

Possible: The diverticulitis will cause inflammation and discomfort with whatever it contacts, so flank/back or abdominal wall are possible. Potential to diagnose by rectal if painful exam, but poor specificity / sensitivity--usually ct scan done, unless other factors considered.

Answered 12/22/2013

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Yes and no.: Diverticulitis can cause symptoms like this, but it cannot be diagnosed with just a rectal exam. One would need a complete history, exam and consideration of other studies to exclude other potential causes of such pain.

Answered 2/15/2014

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