A 38-year-old female asked:
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having lower back pain and lower stomach pain and tender breast?

1 doctor answer
Dr. Laurence Badgley
52 years experience General Practice
Fibromyalgia ? : 39y female has chronic back pain, anterior chest wall pain & lower abdominal discomfort. Various soft tissues & organ systems involved. Therefore, a systemic disorder is suggested. Assuming that symptoms are chronic & that basic medical work-up & laboratory studies have been negative, Fibromyalgia, with myalgia & IBS, becomes a consideration. Rheumatologic evaluation recommended. See comments:
Answered on Oct 24, 2015
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5 comments
Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
As result of my study of IBS-d in young male extreme sports enthusiasts, my theory is that low back/ pelvis presacral neural plexus impingement, within region of the ventral sacroiliac joint sulcus, causes lower intestinal dysautonomia & symptoms of IBS-d; as colonic peristalsis becomes hyperdynamic.
Oct 24, 2015
Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
British MD's discovered Hypermobility Syndrome & Fibromyalgia concurrence; clue that joint instability partially etiologic. Unstable/injured joints beget compensatory muscle spasms. Muscles weak from inactivity, self-chosen &/or due to chronic pain or prolonged illness/convalescence, evolve ischemic/anoxic loci that generate global soft tissue pain, disturbed sleep, fatigue & depression.
Oct 24, 2015
Dr. Laurence Badgley
52 years experience General Practice
Provided original answer
IBS symptoms in young females often associated with Hypermobility Syndrome, HS, which is common & usually inherited along the female family line. Sacroiliac joint laxity of HS increases at time of menses; impinging presacral plexus; causing intestinal dysautonomia/dysfunction labeled IBS.
Oct 24, 2015

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