OpenHealth Q&A

Strange Abdominal and Back Cramping

I’d like to begin with some background information about my health. I am a 36-year-old male, standing 5 feet 10 inches tall and weighing 290 pounds. My medical history includes hypertension and high cholesterol. Additionally, I suffered a traumatic brain injury (TBI) in 2008, which has led to a challenging seizure disorder, frequent migraines, insomnia, depression, anxiety, PTSD, sleep apnea, and asthma. My current medications include: - Lunesta for insomnia - Rosuvastatin to manage cholesterol levels - Lisinopril HCTZ for blood pressure control - Fexofenadine to treat seasonal allergies - Ondansetron to alleviate nausea resulting from seizures - Diazepam for emergencies during seizures - Keppra for seizure management - Trintelix for anxiety, depression, and PTSD - Albuterol inhaler for asthma management - Rizatriptan for migraine relief - CPAP/AutoPAP for daily use to manage sleep apnea. The primary concern I wish to address is a peculiar cramping sensation I have been experiencing in my back and abdomen over the past six months. This discomfort appears to predominantly affect my external obliques, abdominal muscles, and lats. Before this timeframe, I seldom encountered cramping in these areas, but now it occurs every few days, often without any obvious triggers. Unlike typical muscle cramps or spasms, I find that multiple muscle groups tend to tense up simultaneously. This intense tightness can severely hinder my ability to breathe or speak, feeling as though my entire core is rigid and contracted. Unfortunately, stretching provides little relief, and I must rely on heat and patience for the tension to subside. During this past year, my diet, exercise routine, and hydration have remained stable. I have not sustained any new injuries. The only modification in my medication regimen has been the recent addition of Keppra and Diazepam, which only started in the last month, well after this cramping began. There may be a connection to note regarding my TBI. Following my injury, I endured Jacksonian March seizures that occurred consistently every few weeks, marked by specific auras prior to the onset. About eight years ago, my neurologist switched my medication to Keppra, and my seizures eventually became more stable. Remarkably, for roughly six years, my seizures completely ceased, allowing me to discontinue my anti-seizure medications. However, approximately eight weeks ago, I experienced a sudden and intense seizure, resulting in a loss of time and a loss of bowel control. After being transported to the hospital and undergoing a CT scan—which revealed no significant abnormalities—doctors attributed the episode to my prior TBI and high stress levels, advising follow-ups with my neurologist. In the past six weeks, I have had two additional seizures, which bore similarities to the initial one, lasting anywhere from 30 to 60 seconds. What stands out to me is that these seizures were markedly different from my previous experiences, occurring without any prior warning and resulting in a full-body convulsion. I have not injured my head or experienced any new trauma, nor have I recognized any patterns or triggers associated with these three recent seizures. I find it perplexing that these episodes have recurred and how distinctly they differ from those I experienced in the past. I am unsure whether they may be linked to the muscle cramping, but having two puzzling health concerns arise simultaneously seems significant. Earlier this week, I underwent an extended EEG, during which the nurse mentioned that "something had occurred in the test that seemed to indicate an issue with the signals my brain was sending to my heart," though she did not provide detailed information. She assured me that comprehensive notes would be submitted for my doctor's review. Aside from controlled hypertension and cholesterol levels, I do not have any known heart-related conditions. Additionally, I have an MRI of my head scheduled, but that appointment is several weeks away. I realize it's unlikely that anyone can provide definitive answers to this complicated situation. Nonetheless, I am reaching out in hopes of gaining insights or suggestions about what might be happening. I am more than willing to respond to any follow-up queries and genuinely appreciate everyone’s assistance and input. Thank you!

Answers (1)

3/28/2025, 5:40:55 AM

OpenHealth AI

You’re currently facing some complex health issues, with abdominal and back cramping occurring alongside recent changes in your seizure activity. Let's clarify the main points and address your concerns about the cramping sensations.

Main Points:

1. You are experiencing unusual cramping in your abdomen and back, affecting multiple muscle groups.
2. Recent reports indicate potential abnormalities in the signals your brain sends to your heart.
3. You have a complex medical history involving a traumatic brain injury, seizure disorder, and other conditions.

Explanations: The unusual cramping you describe, especially the simultaneous contraction of multiple muscle groups, can stem from various underlying issues. Given your history of seizures, it’s possible that stress, changes in brain chemistry, or even medication effects could contribute to muscle tension or cramping. Other potential factors include dehydration, electrolyte imbalances, or even the body’s reaction to the recent seizure episodes.

The EEG and upcoming MRI will provide more insight into your brain activity and help determine if there's a neurological component to the cramping. The nurse's comment about signals sent to your heart could imply an arrhythmia or another cardiac issue, needing further evaluation.

Next Steps:

1. Monitor Symptoms Closely: Keep a detailed diary of your cramps, including frequency, duration, specific muscle groups affected, and any prior activities. Include notes on your seizures (timing, triggers, and symptoms). This will be valuable for your healthcare provider.

2. Stay Hydrated and Consider Electrolytes: Aim to drink plenty of water daily. Consider incorporating electrolyte-rich drinks, especially if you suspect dehydration might be a trigger.

3. Evaluate Stress Management: Since you mentioned high stress levels and PTSD, incorporating stress management techniques (e.g., mindfulness, gentle yoga, or meditation) may help alleviate muscle tension.

4. Prepare for Upcoming Appointments: Discuss both the cramping and your recent seizure activity during your neurology follow-up. Sharing your symptom diary will help your doctor understand your situation better.

5. Follow Up on Cardiac Concerns: Ensure your doctor reviews the signal abnormalities mentioned in your EEG. If you're experiencing symptoms like palpitations, dizziness, or increased shortness of breath, make sure to address these promptly.

6. Medication Review: When you next see your doctor, discuss the recent addition of Keppra and Diazepam, as well as any potential side effects or interactions they may have with your existing medications.

Your concerns are valid, and it's important to approach this holistically while ensuring that all aspects of your health are being monitored. Reach out if you need further clarification or support, and remember you’re taking the right steps by seeking guidance.