Could This Be IBS? Unexplained Chronic Pain at Age 25
**Age**: 25 **Gender**: Male **Duration**: Sudden onset from November 2024 to present **Weight**: Approximately 140-145 pounds in November, currently around 118 pounds **Height**: 5 feet 10 inches For the last nine months, following a viral infection, I have been grappling with intense pain localized in my ascending colon. This discomfort began abruptly after I caught a cold and subsequently experienced a sharp, sudden pain in my right groin that rendered me immobile for several days. I have been suffering from severe pain that feels as if my colon has stopped functioning, accompanied by a persistent sensation of fullness. The pain radiates from the area surrounding my ascending colon and ileocecal valve to my groin and extends along my right leg, affecting my buttocks, thigh, behind my right knee, and the back of my calf. Additionally, on occasion, I feel sharp pain in the lower back on the right side, which resembles symptoms of sciatica. Considering my age, I find it alarming as I have no prior history of injuries, surgeries, or falls that could explain this. This discomfort is highly specific, centering around my ascending colon and right groin, yet medical professionals have suggested two potential explanations — either Irritable Bowel Syndrome (IBS) or a possible spinal issue. I have undergone multiple CT scans and X-rays intended to assess my spine and hip; however, these tests yielded no conclusive findings. It was frustrating to hear, "I don’t believe there's a gastrointestinal problem, so it’s time to look past that," especially after a colonoscopy revealed no abnormalities. The suddenness and persistence of this condition feel bizarre, particularly given my family’s history of neither gastrointestinal disorders nor neurological pain. The repercussions are severe; I occasionally find myself unable to walk, leading me to resign from my job and return home. My sleep is often disrupted, as I struggle with pain that keeps me awake until the early hours. The impact on my weight has also been significant, resulting in a loss of around 20-25 pounds. Does this align with IBS symptoms? Should I really consider committing to a year of SSRIs, as I have been advised, despite not having a clear diagnosis?
Answers (1)
8/26/2025, 2:11:30 AM
OpenHealth AI
I understand that you are experiencing significant, chronic pain and discomfort that has severely impacted your life. Given the complexity of your symptoms, it's essential to approach this situation thoughtfully.
Key Points:
- Possible Causes: Your symptoms could indicate Irritable Bowel Syndrome (IBS), but the pain radiating to your leg and back also raises concerns about a potential spinal issue or something else entirely.
- Impact on Life: Your weight loss and inability to work show how profoundly this condition affects you, both physically and emotionally.
Explanation:
IBS is characterized by symptoms such as abdominal pain and changes in bowel habits. However, in your case, the severe pain radiating to areas like your leg and back could suggest that there is more going on, especially since no gastrointestinal abnormalities were found during your colonoscopy and imaging. The pain in your lower back may suggest nerve involvement, possibly contributing to the discomfort you're feeling in your leg.
While SSRIs may help some patients with IBS, a definitive diagnosis of IBS is important before starting any long-term medication. It's perfectly reasonable to feel uncertain about committing to SSRIs without a clear understanding of your condition.
Next Steps:
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Monitor Symptoms: Keep a detailed diary of your pain (intensity, duration, triggers) and any other symptoms (bowel habits, sleep patterns) to present to healthcare providers. This can help in identifying patterns or potential triggers.
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Consult a Specialist: If you haven’t already, see a gastroenterologist or a pain specialist who can focus specifically on chronic pain and its gastrointestinal connections. Discuss the possibility of nerve-related issues that could be affecting your pain.
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Physical Therapy: A physical therapist may be able to address pain that radiates through your back and legs, particularly if there are mobility or positioning issues contributing to your discomfort.
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Evaluate Diet: Food can significantly influence IBS symptoms. Consider trying an elimination diet to identify any specific triggers. Keeping a detailed food diary may help.
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Discuss SSRIs: If you are still inclined to try SSRIs, talk to your healthcare provider about your concerns. It is important to choose a treatment plan that you feel comfortable with.
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Support Networks: Look into support groups for chronic pain and IBS. Connecting with others who understand your struggle can provide you with both emotional support and practical tips.
Remember, advocating for your health is crucial. If you feel your concerns are not being addressed, it’s okay to seek a second opinion from another healthcare provider. You deserve clarity and support in managing your pain.
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