Why do I have pain in the lower spine post-accident?

Question

Hi doctor,

I met with a car accident three months back and have noticed my abdomen, pelvis, and lower back have been significantly worse since then. My doctor put it down to my GI issues and advised Paracetamol and Lansoprazole. I have had pain in my upper right abdomen that radiates around my side and back. The pain has worsened over the past few months, alongside my lower spine, and I have tenderness in my right pelvis area.

I experience frequent numbness in my lower limbs also. My eyes have suddenly started going dark in what I can only describe as a flashing sensation. It is as if have blinked, but I have not. This has come on this evening.

I do not typically have any vision problems. I do not have dots, floaters, or flashes across my eyes; it seems to be just as if they close for a moment then open. I have been having a lot of pain in my abdomen for a while, into my lower spine. Currently, I am having Omeprazole. I am not sure if it is related.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

Thank you for writing to me, and I am concerned about you. After the accident, did you do any x-ray or ultrasound?

Most probably, this may be happening due to disc dislocation. As you mentioned, your symptoms occurred just after the accident. So there are possibilities of internal injury or vertebral fracture. If you have not done it, I suggest you take an x-ray of that area and ultrasound of the whole abdomen.

And we can replace Paracetamol with a combination of Dicycloverine 10 mg, and Mefenamic acid 250 mg once a day when you have pain. If you do not find a combination, you can take them separately.

Another thing about eyes, as you have mentioned. This can be due to vitamin A deficiency or vision impairment, so I would suggest you do an eye examination by direct or indirect ophthalmoscope so they can find the reason.

After doing tests, you can show me the reports. If needed, I can suggest medicine accordingly. You can continue Omeprazole, along with the medication I prescribed above. Would you like to ask anything else?

Revert with the answer to assist further.

Thank you and take care.

Regards.