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Experiencing low back pain and diarrhea can be a symptom of a viscerosomatic reflex, somatovisceral reflex, or a combination. A reflex is an involuntary response to nervous system stimulation. A doctor tapping below the knee causes the foot to kick forward is a basic example of a reflex. This is a somatovisceral or body organ reflex. Back pain could be from awkward posture, repetitive motions like bending or twisting, or injury that affects the spinal column. The effects could cause nerve compression and damage that can cause firing misinterpreted signals impacting/damaging internal organ function, causing pain and other symptoms.

However, the damage caused to the compressed/injured organ nerves can also cause back pain symptoms. This is a viscerosomatic or organ body reflex. One study found that a group of chiropractic patients dealing with low back pain also had increased bowel problems, even though there was no specific cause, link, or association between the two. Lower back pain and diarrhea may be completely unrelated, but if symptoms are recurring, there is an increased chance of an underlying medical issue.

Chiropractic Medicine

Chiropractic medicine is founded on the nervous system’s control of the body’s organ systems, whose impulse signals travel through the spinal cord. Body systems include the muscles, bones, and all organs. Any problems with the spine and/or nerve changes from normal wear and tear, injury, or infection can affect signal transmissions that can alter system functions. Altered nerve conduction can impact overall health and is referred to as reflex pathways in the nervous system. A somatovisceral reflex is where the musculoskeletal system causes altered nerve conduction creating organ system dysfunction and/or illness. Diarrhea brought on by back pain is an example.

Causes Of Back Pain and Diarrhea

Appendicitis

The appendix extends from the colon in the lower right abdomen. Appendicitis is inflammation of the appendix. The pain usually appears near the belly button and spreads to the right side of the stomach. Some individuals’ appendix extends behind the colon, which can also cause low back pain. Symptoms include:

• Loss of appetite
• Inability to relieve gas
• Constipation
• Abdominal pain – Moderate to severe
• Diarrhea
• Fever
• Nausea
• Vomiting

Appendicitis can be life-threatening and requires immediate treatment; if left untreated, the condition can worsen within hours, causing a rupture that can leak through the abdominal cavity.

Fecal impaction

Fecal impaction is stools that have become hard, dry, and stuck in the rectum and can cause abdominal and low back pressure and pain. It is commonly caused by chronic constipation, which can be associated with dehydration, lack of fiber, physical inactivity, medication side effects, or long-term use of laxatives. Taking laxatives for a long time can cause the intestines to shut off automatic evacuation of the bowels. Although the condition is common in older individuals, it can happen to individuals of any age who experience chronic constipation. Symptoms can include:

• Bloating
• Cramping
• Bladder pressure
• Bladder incontinence
• Leakage or sudden diarrhea after long-term constipation.
• Rectal bleeding

Enteropathic arthritis

Enteropathic arthritis is a chronic inflammatory arthritis associated with inflammatory bowel disease or IBD. Types include:

• Ulcerative colitis
• Crohn’s disease

Different arthritic diseases like ankylosing spondylitis and psoriatic arthritis can cause symptoms like diarrhea and abdominal pain or be associated with developing inflammatory bowel disease. Varying symptoms depend on the bowel disease and arthritis type and include:

• Fatigue
• Cramping
• Joint pain
• Joint stiffness
• Loss of appetite
• Bloody diarrhea

Pancreatic Cancer

The symptoms of pancreatic cancer vary depending on the type, location, and cancer stage. Pancreatic cancers in the early stages usually don’t cause signs or symptoms. Possible symptoms can include:

• Abdominal pain
• Back pain
• Poor appetite
• Weight loss
• Dark urine
• Diarrhea
• Nausea
• Vomiting
• Jaundice

Chiropractic is ideal for addressing reflex issues. A doctor of chiropractic adjusts the spine to improve alignment, joint motion, and nerve energy transmission, improving nerve circulation/signal flow, which can help with unrelated health conditions. A chiropractor will locate any areas of spinal misalignment; once identified, a personalized treatment plan will return the correct alignment to the spine, enabling the nervous system to return to optimal function.

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Decompression Spinal Non-Surgical

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References

www.arthritis.org/diseases/inflammatory-bowel-disease

www.mayoclinic.org/diseases-conditions/pancreatitis/symptoms-causes/syc-20360227

www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0032-1301760

Sengupta, Jyoti N. “Visceral pain: the neurophysiological mechanism.” Handbook of experimental pharmacology,194 (2009): 31-74. doi:10.1007/978-3-540-79090-7_2

Walden, Anna L et al. “Bladder and bowel symptoms among adults presenting with low back pain to an academic chiropractic clinic: results of a preliminary study.” Journal of chiropractic medicine vol. 13,3 (2014): 178-87. doi:10.1016/j.jcm.2014.07.006

Wood, Jackie D. “Neuropathophysiology of functional gastrointestinal disorders.” World journal of gastroenterology vol. 13,9 (2007): 1313-32. doi:10.3748/wjg.v13.i9.1313