Persistent Lower Back Pain After Cold Medication - Orthopedics

Share to:

Lower back pain (present for two weeks)?


Hello Doctor: Two weeks ago, I had a cold and took cold medicine, but after taking four packets, I experienced symptoms of rapid heartbeat and hand tremors.
I reported this to my doctor, who advised me to stop taking one of the medications.
However, I then started experiencing lower back pain, which I thought might be a symptom related to the cold.
After that, I got busy with work and school and didn't pay much attention to it, continuing to take the medication (I finished three days' worth from the first pharmacy and then switched to a second one, taking cold medicine for another six days).
Eventually, my cold improved, and I stopped taking the medication, but the lower back pain persisted and became increasingly severe.
I often have trouble sleeping at night, and I feel soreness and weakness from my lower back down to my legs, mostly on the left side.
Today, I visited a traditional Chinese medicine practitioner, but they could not identify the cause.
A friend suggested that I should get an X-ray first.
I would like to ask the doctor: If I want to see a Western medicine doctor, which specialty should I consult? Is it possible that the medication caused kidney damage, or could there be other factors involved? During this period, I haven't twisted or fallen, nor have I lifted heavy objects; if I did fall, it was about a year ago.
Additionally, when I tap on my lower back, I also feel pain in my lower abdomen.
Is this situation serious? Should I seek medical attention immediately? Sometimes, I also experience soreness near my spine in my back! Please help me with these questions, thank you.
I am really worried and don't know what to do!

Zi Ruo, 20~29 year old female. Ask Date: 2006/04/24

Dr. Lin Xiaoyi reply Orthopedics


Hello: The pain you are experiencing seems to be more related to a musculoskeletal issue, with soreness and weakness extending from the lower back down to the legs, resembling symptoms of spinal nerve root compression.
There is a suspicion of a herniated disc, possibly caused by a fall a year ago.
Additionally, if you have recently had a cold with symptoms such as coughing or sneezing forcefully, it may have exacerbated the herniated disc and triggered your symptoms again.
As for whether this is related to kidney issues, taking cold medication for just a few days is unlikely to cause kidney problems.
A physician should be able to determine if the pain is renal in nature.
If there is no improvement, it would be advisable to request a urinalysis from your doctor, which can easily indicate if there are any kidney issues.
Without a direct assessment, a correct diagnosis cannot be made.
Please consult a rheumatologist, orthopedic specialist, or rehabilitation physician for an evaluation, and consider getting a lumbar spine X-ray to identify the underlying cause.
Sincerely, Lin Hsiao-Yi, Department of Allergy, Immunology, and Rheumatology, Taipei Veterans General Hospital.

Reply Date: 2006/04/24

More Info


It sounds like you're experiencing a complex situation with your persistent lower back pain following a recent cold and the use of cold medication. Let's break down your concerns and address them systematically.

First, it's important to understand that medications, particularly those used for treating colds, can sometimes have side effects that may not be immediately apparent. The symptoms you described—rapid heartbeat and tremors—are concerning and could indicate a reaction to the medication. Some cold medications contain stimulants, which can lead to these symptoms, especially if taken in higher doses or for an extended period. However, these symptoms alone are not typically associated with causing lower back pain.

Your persistent lower back pain, which has now extended to your legs and is primarily affecting the left side, could be due to several factors. It's possible that the pain is related to muscle strain or tension, especially if you've been under stress or have had changes in your activity level due to your illness. Stress and inactivity can lead to muscle tightness, which can manifest as pain in the lower back and legs.

Given that you mentioned no recent injuries, heavy lifting, or falls, we should consider other potential causes. For instance, prolonged sitting or poor posture, especially during times of increased workload or stress, can contribute to back pain. Additionally, if you have been less active while recovering from your cold, this could also lead to muscle stiffness and discomfort.

Regarding your concern about kidney damage from the medications, it is generally unlikely that over-the-counter cold medications would cause significant kidney injury unless taken in excessive amounts or if you have pre-existing kidney issues. However, certain medications, particularly non-steroidal anti-inflammatory drugs (NSAIDs), can affect kidney function if used excessively or in individuals with certain risk factors.

As for your symptoms of abdominal pain when tapping on your lower back, this could indicate referred pain, which is when pain is felt in one area of the body due to issues in another area. It’s also possible that there could be an underlying issue that needs to be evaluated, such as a herniated disc or other spinal conditions.

Given your symptoms and concerns, it would be advisable to see a healthcare professional. For your situation, a visit to a primary care physician or an orthopedic specialist would be appropriate. They can perform a thorough evaluation, which may include a physical examination and imaging studies like X-rays or an MRI if necessary, to rule out any serious underlying conditions.

In the meantime, consider some conservative measures to help alleviate your pain. Gentle stretching, applying heat to the affected area, and over-the-counter pain relievers (like acetaminophen or NSAIDs, if you can tolerate them) may provide some relief. However, be cautious with any medication and consult with a healthcare provider if you have concerns about interactions or side effects.

In summary, while your symptoms are concerning, they may not necessarily indicate a severe issue. However, given the persistence and worsening of your pain, it is essential to seek medical attention promptly to ensure a proper diagnosis and treatment plan. Don't hesitate to reach out to a healthcare professional to discuss your symptoms and get the care you need.

Similar Q&A

Persistent Cough and Back Pain: Is It Just a Cold?

I have been experiencing a cold and cough for two weeks. Initially, I visited an otolaryngologist who diagnosed me with acute pharyngitis and prescribed medication. However, after finishing the medication, my condition did not improve; instead, my cough worsened, and I found it d...


Dr. Huang Yiwen reply Pulmonology
Dear Student Wu: Since you have been coughing continuously for almost three weeks, it is advisable to visit the hospital for an examination. There are many causes for lower back pain, and considering your age, please pay attention to your body posture. Changhua Hospital cares abo...

[Read More] Persistent Cough and Back Pain: Is It Just a Cold?


Understanding Lower Back Pain: Causes and Concerns After Weight Loss Medication

Hello, doctor. I would like to ask about my situation. While I was taking weight loss medication, I noticed that my thigh muscles felt more fatigued than usual when going up and down stairs. Additionally, one day I woke up with lower back soreness, which progressed to pain in the...


Dr. Chen Yongxue reply Orthopedics
Hello, there are many possible causes of lower back pain, including issues related to internal organs, muscles, bones, ligaments, internal bleeding, or skin diseases. It is advisable to visit a clinic for further examination. Thank you.

[Read More] Understanding Lower Back Pain: Causes and Concerns After Weight Loss Medication


Chronic Lower Back Pain Without Diagnosis: What Are Your Options?

Hello, Doctor Wu! I am here to inquire about a family member who is a 47-year-old male, working as a night shift operator for 25 years (his job does not require physical labor and does not involve maintaining the same posture for long periods, as he is just a supervisor). Around ...


Dr. Wu Hongjie reply Internal Medicine
It is recommended to see a large hospital's Immunology and Rheumatology department or Orthopedics. Wishing you well.

[Read More] Chronic Lower Back Pain Without Diagnosis: What Are Your Options?


Chronic Lower Back Pain: Seeking Answers Beyond X-rays and Medications

I have been suffering from lower back pain for over a year. I have visited nearly ten hospitals (both large and small, traditional and Western medicine). After X-rays, doctors have said there are no significant issues. Blood tests also indicated no signs of inflammation. When doc...


Dr. Shi Guozheng reply Orthopedics
It is possible that no clear cause can be identified. Your symptoms resemble myofascial pain syndrome, which is an inflammation of the muscle fascia. Typically, X-rays do not reveal any issues, but the pain is related to muscle activity and can radiate from the neck down to the l...

[Read More] Chronic Lower Back Pain: Seeking Answers Beyond X-rays and Medications


Related FAQ

Low Back Pain

(Orthopedics)

Lower Back Pain

(Family Medicine)

Lower Back

(Internal Medicine)

Lower Back Pain

(Neurology)

Back

(Orthopedics)

Lumbar Fracture

(Orthopedics)

Ankylosing Spondylitis

(Orthopedics)

Heel Pain

(Orthopedics)

Post-Spinal Surgery

(Orthopedics)

Lower Back Pain

(Rehabilitation)