In most cases, back pain is caused by a contracture of muscles or changes in the spine and occurs due to poor posture throughout the day, such as sitting at the computer with your back bent over, spending many hours on your feet or sleeping on a mattress that is too soft or on the floor, for example.
However, when back pain radiates to the belly, it can be indicative of kidney stones, gas, gallbladder inflammation or gastrointestinal disorders, for example.
So, if the pain in the belly and back is very intense, interfering with day-to-day activities, or is accompanied by other symptoms such as nausea, vomiting, abdominal swelling, pain and burning when urinating or soft stools, for example, it is important that the doctor be consulted to identify the cause and initiate the most appropriate treatment.
1. Kidney stone
In renal crisis, it is common for the person to feel intense pain in the back, at the end of the spine more to the right or left side, but in some cases it can also radiate to the abdominal region. In addition, the presence of a kidney stone causes inflammation of this organ, bladder and ureters, which can increase the risk of urinary tract infection, which can be a symptom of pain in the bottom of the belly.
What to do: It is recommended to go to the hospital so that the size of the stone is identified and treatment can be started to relieve the pain and to favor the elimination of the stone through the urine.
Check the symptoms you present and know if you may have a kidney stone:
1. Severe pain in the lower back, which can limit movement
2.Pain that radiates from the back to the groin
3.Pain when urinating
4.Pink, red or brown urine
5.Frequent urge to urinate
6. Nausea or vomiting
7. Fever above 38º C
2. Column problems
In the case of osteoarthritis in the spine, back pain is usually near the neck or at the end of the back, being more centralized, although it can also affect the belly.
What to do: go to the orthopedist to have an X-ray of the spine in order to identify the possible change and start the treatment that can be done with the use of analgesics, anti-inflammatory drugs or physiotherapy to improve posture, combat symptoms and prevent worsening with the appearance of a herniated disc or parrot's beak, for example.
In some cases, the accumulation of intestinal gas can also cause pain in the back and abdomen, leaving the belly swollen. The pain can be stabbing or stabbing and tends to start localized in one part of the back or belly and then move to another part of the belly.
What to do: drinking fennel tea and then walking for about 40 minutes can be useful to eliminate gas naturally, but if the pain does not stop, you can try drinking plum water, as it helps to eliminate feces which may be favoring the production of gases. Having light meals by eating fresh foods such as fruits and vegetables and drinking small amounts of water throughout the day, and drinking chamomile or lemon balm tea can help relieve pain.
4. Inflammation of the gallbladder
Inflammation of the gallbladder is most often caused by the presence of a stone in this organ, which can cause stomach pain, heaviness in the belly, belching, abdominal swelling, nausea and vomiting, especially after fatty meals. In some cases, it is possible to have both stomach and back pain, and it is important that the doctor is consulted.
What to do: It is recommended to consult the gastroenterologist and perform an ultrasound to confirm the presence of the stone and the need for surgery to remove the gallbladder.
5. Intestinal diseases
Intestinal diseases, as in the case of Irritable Bowel Syndrome, usually cause pain in the abdomen that can radiate to the back, being more diffuse. In addition to abdominal and back pain, other symptoms may appear, such as discomfort in the foot of the belly, soft or very hard stools and a swollen belly.
What to do: You should observe your bowel habits in order to identify if it could be constipation, gas or diarrhea. A consultation with a gastroenterologist can be helpful to identify other symptoms, run tests to reach a diagnosis and start treatment.
Pancreatitis is a serious condition that may require urgent medical attention, and emergency surgery may be performed. The pain of pancreatitis begins poorly located and affects the upper part of the belly, in the part closest to the ribs, called "bar pain", but it tends to get worse and can radiate to the back. As the inflammation worsens, the pain becomes more localized and becomes even stronger.
What to do: you should go to the emergency room to find out if it really is pancreatitis and start treatment with painkillers, anti-inflammatory drugs and specific enzymes for the proper functioning of the pancreas. Depending on what caused the inflammation, such as a stone blockage, tumor, or infections, you may need antibiotics or surgery, for example.
7. Low back pain
Low back pain is pain in the lower back, but it can also happen in the middle of the back, especially after exerting a lot of effort such as climbing stairs or carrying heavy bags. Sitting or standing for a long time tends to make the pain worse, which may start to radiate to the abdomen. If it radiates to the butt or legs, it may be indicative of inflammation of the sciatic nerve.
What to do: putting a hot compress on your back can relieve mild or moderate pain, but you have to go to the orthopedist to perform exams and start treatment, which can be done with physiotherapy sessions, for example.
Pyelonephritis is an upper urinary tract infection, that is, it affects the kidneys and ureters, which occurs due to the rise of bacteria to this region or as a complication of a lower urinary tract infection. In this case, it is common to experience intense back pain on the side of the affected kidney, pain in the lower abdominal region when urinating, high fever with chills and tremors, in addition to malaise, nausea and vomiting.
What to do: you should go to the emergency room, because you need to take pain relievers, in addition to antibiotics and antipyretics and blood and urine tests.
Belly and back pain in pregnancy
Back pain that radiates to the abdomen in early pregnancy can happen when there is intercostal neuralgia due to stretching of the nerve due to the growth of the belly. However, another common cause is uterine contractions. The pain that starts in the belly, in the stomach region, which radiates to the back, can be from gastric reflux, a very common cause in pregnancy, due to the increase in the volume of the uterus and compression of the stomach.
What you feel: The pain caused by intercostal neuralgia can be stabbing and is usually near the ribs, but back pain radiating to the bottom of the belly can be a sign of uterine contractions, as happens in labor.
What to do: putting a warm compress on the pain site and stretching, leaning the body to the opposite side of the pain can be a good help to relieve pain. The obstetrician may also recommend taking the vitamin B complex, as this vitamin helps in the recovery of peripheral nerves. As for reflux, you should have a light diet and avoid lying down after eating.
Watch the following video and learn more about how to relieve back pain in pregnancy:
when to go to the doctor
It is important to go to the doctor when back pain radiates to the abdominal region and has the following characteristics:
It is very intense and makes it impossible to carry out normal activities of daily living, such as eating, sleeping or walking;
Appears after a fall, injury or blow;
It gets worse after a week;
Persists for more than 1 month;
Other symptoms appear such as urinary or fecal incontinence, shortness of breath, fever, tingling in the legs or diarrhea.
In these cases, the cause of the pain can be caused by more serious situations such as inflammation of an organ or cancer and, therefore, one should go to the hospital for tests, such as X-rays or ultrasound, and start the most appropriate treatment as soon as possible.