{"id":62285,"date":"2023-12-26T14:36:47","date_gmt":"2023-12-26T19:36:47","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=62285"},"modified":"2024-10-25T10:20:33","modified_gmt":"2024-10-25T14:20:33","slug":"lower-back-pain-black-stool-causes","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/lower-back-pain-black-stool-causes\/","title":{"rendered":"What causes lower back pain and black stool? Related conditions and treatments"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Lower back pain and black stool causes are not usually connected. <\/span><a href=\"https:\/\/www.ninds.nih.gov\/health-information\/disorders\/back-pain\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Lower back pain<\/span><\/a><span style=\"font-weight: 400;\"> is very common and can be caused by poor posture, heavy lifting, osteoarthritis, menstrual cramps, and more. Black stool can be caused by certain medications, foods, or supplements, but it can also be a sign that you&rsquo;re bleeding from inside your gastrointestinal (GI) tract.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most of the time, the causes of lower back pain and black stool are not the same, so experiencing both symptoms could be coincidental. However, there are a few conditions that can cause both symptoms: diverticulitis in the large intestine, gastrointestinal cancer, and frequent or heavy use of over-the-counter NSAIDs.<\/span><\/p>\n<h2 id=\"key-takeaways\"><span style=\"font-weight: 400;\">Key takeaways:<\/span><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/lower-back-pain-treatment-and-medications\"><span style=\"font-weight: 400;\">Lower back pain<\/span><\/a><span style=\"font-weight: 400;\"> and black stool are both common symptoms that are not usually connected. Dark stool may be caused by foods, supplements, medications, or bleeding in the upper digestive tract. Lower back pain may be caused by muscle strain, injury, digestive problems, infections, or inflammation.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Typically, lower back pain and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/black-stool-causes\"><span style=\"font-weight: 400;\">black stool<\/span><\/a><span style=\"font-weight: 400;\"> do not require treatment unless they do not stop on their own. They typically resolve without treatment within a few days, but black, tarry stool may require medical treatment.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Save on prescriptions for lower back pain with a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">SingleCare prescription discount card<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<h2 id=\"what-causes-lower-back-pain-and-black-stool\"><span style=\"font-weight: 400;\">What causes lower back pain and black stool?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">&ldquo;Because the causes of black tarry stools are indicative of upper gastrointestinal bleeding, they will not tend to cause low back pain,&rdquo; says <\/span><a href=\"https:\/\/www.binghammemorial.org\/david-j-bilstrom-md\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">David Bilstrom, MD<\/span><\/a><span style=\"font-weight: 400;\">, owner of <\/span><a href=\"http:\/\/www.drdavidbilstrom.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Autoimmune Functional Medicine<\/span><\/a><span style=\"font-weight: 400;\"> and director of the International Autoimmune Institute &amp; Bingham Memorial Center for Functional Medicine in Blackfoot, Idaho. He adds that lower GI problems can cause lower back pain, but the blood in stool from lower GI problems would be bright red rather than black.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are only a few situations in which black stool and lower back pain may be linked, according to <\/span><a href=\"https:\/\/www.austingastro.com\/our-providers\/our-physicians\/harish-k-gagneja-md\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Harish Gagneja, MD<\/span><\/a><span style=\"font-weight: 400;\">, gastroenterologist and chief medical officer at Austin Gastro in Texas:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diverticulitis in the large intestine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gastrointestinal cancer<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Frequent or heavy use of over-the-counter <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/nsaids\"><span style=\"font-weight: 400;\">NSAIDs<\/span><\/a><span style=\"font-weight: 400;\"> to treat lower back pain, which can lead to an <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/ulcer-treatment-and-medications\"><span style=\"font-weight: 400;\">ulcer<\/span><\/a><span style=\"font-weight: 400;\"> that causes black stool<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Sometimes, having black stool is harmless and short-lived. <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/symptoms\/25058-melena\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Causes of black stool<\/span><\/a><span style=\"font-weight: 400;\">, with or without unrelated back pain, include:&nbsp;<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eating dark-colored foods, such as blood sausage, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/beets-benefits\/\"><span style=\"font-weight: 400;\">beets<\/span><\/a><span style=\"font-weight: 400;\">, black licorice, or blueberries<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Taking <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/iron-supplement\"><span style=\"font-weight: 400;\">iron supplements<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using medications that contain <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/bismuth-subsalicylate\"><span style=\"font-weight: 400;\">bismuth subsalicylate<\/span><\/a><span style=\"font-weight: 400;\">, such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/pepto-bismol\"><span style=\"font-weight: 400;\">Pepto-Bismol<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/kaopectate\"><span style=\"font-weight: 400;\">Kaopectate<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In other cases, black stools are caused by bleeding in the <\/span><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/digestive-diseases\/digestive-system-how-it-works\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">upper GI tract<\/span><\/a><span style=\"font-weight: 400;\">: the esophagus, stomach, or upper small intestine. Red blood turns black and sticky when processed through the small intestine, large intestine, and rectum. The blackened, tarry stool is called melena.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">GI problems that may cause melena include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Peptic ulcer (bleeding ulcer in the stomach or small intestine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Internal bleeding from an injury, trauma, a tear in the gastrointestinal lining, or swallowing a foreign object<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe inflammation (esophagitis or <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/gastritis-treatment-and-medications\"><span style=\"font-weight: 400;\">gastritis<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Enlarged veins that bleed in the esophagus or stomach (often due to liver cirrhosis)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/ibd-vs-ibs\/\"><span style=\"font-weight: 400;\">Inflammatory bowel disease<\/span><\/a><span style=\"font-weight: 400;\"> (IBD): Ulcerative colitis or Crohn&rsquo;s disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe cases of irritable bowel syndrome (IBS)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cancer<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Ultimately, if you have lower back pain and black stool at the same time, there is a good chance that your symptoms are not related to the same underlying condition. If you see a doctor about either issue, you should still discuss both symptoms in case of a connection.<\/span><\/p>\n<h2 id=\"should-i-be-worried-about-lower-back-pain-and-black-stool\"><span style=\"font-weight: 400;\">Should I be worried about lower back pain and black stool?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The mere presence of lower back pain and black stool is not a medical emergency. Back pain has many causes and often goes away on its own. Black or dark-colored stool with a standard shape and texture (not sticky or &ldquo;tarry&rdquo;) might not be cause for concern. However, sticky, black stool with no apparent dietary reason can indicate internal bleeding. In that case, call your doctor right away.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&ldquo;Anyone having black stools, unless they are taking Pepto-Bismol or iron supplements, should seek medical attention regardless of the presence of back pain,&rdquo; Dr. Gagneja says. &ldquo;Gastrointestinal bleeding can be dangerous and life-threatening if not diagnosed and treated in a timely manner.&rdquo;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Upper <\/span><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/digestive-diseases\/gastrointestinal-bleeding\/symptoms-causes\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">digestive tract bleeding<\/span><\/a><span style=\"font-weight: 400;\"> does not typically cause lower back pain in addition to black stool, but there usually are other symptoms. Go to the emergency room if you have black poop along with the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal cramping<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trouble swallowing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shortness of breath<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood in vomit<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">&ldquo;This type of bleeding is a medical emergency requiring immediate attention,&rdquo; Dr. Bilstrom warns. This is especially true for people with a history of stomach ulcers, gastrointestinal conditions, or liver problems. These populations have an increased risk of GI bleeding and should take black stool seriously, even without other symptoms.<\/span><\/p>\n<h2 id=\"how-is-the-cause-of-lower-back-pain-and-black-stool-diagnosed\"><span style=\"font-weight: 400;\">How is the cause of lower back pain and black stool diagnosed?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A healthcare provider can diagnose any medical conditions causing lower back pain and black stool. The process starts with an overview of your medical history and a physical examination. Be prepared to answer a variety of questions, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">When did you begin experiencing lower back pain and black stool?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">How many times has your poop been black? Are your bowel movements black every time?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What are your eating habits? Have you <\/span><a href=\"https:\/\/www.mountsinai.org\/health-library\/symptoms\/bloody-or-tarry-stools\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">consumed blueberries, black licorice, lead, or Pepto Bismol?<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">What medications and supplements do you take?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do you have a history of bowel problems, such as IBS and IBD, or a serious medical condition, such as liver disease, pancreatic cancer, or colorectal cancer?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are you experiencing other symptoms, such as bloody stool, abdominal pain, diarrhea, constipation, nausea, or unintended weight loss?<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">&ldquo;Your medical provider will likely order a stool test for blood and blood tests to check for anemia,&rdquo; Dr. Gagneja says. Depending on the suspected cause of your symptoms, other tests might include a CT scan of your abdomen, an endoscopy, and, in some cases, biopsies of lesions or other abnormalities found in the GI tract. A CT scan is noninvasive imaging of the inside of your body. In an endoscopy, a specialist passes a flexible tube with a camera into your esophagus, stomach, and duodenum (upper small intestine) to check for tears, ulcers, lesions, or broken blood vessels. If these tests don&rsquo;t reveal a clear cause of your symptoms, you might also need to make an appointment for a colonoscopy or X-ray.<\/span><\/p>\n<h2 id=\"how-to-stop-lower-back-pain-and-black-stool\"><span style=\"font-weight: 400;\">How to stop lower back pain and black stool<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">How to get rid of lower back pain and black stool depends on the cause. Even some causes of bleeding, like peptic ulcers or gastritis, can go away on their own, but that&rsquo;s not always the case.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lower back pain and black stool treatments might include avoiding NSAIDs if you have a peptic ulcer linked to medication use or controlling stomach acid with <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/proton-pump-inhibitors\"><span style=\"font-weight: 400;\">proton pump inhibitors<\/span><\/a><span style=\"font-weight: 400;\"> (PPIs) or <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/h2-antagonists\"><span style=\"font-weight: 400;\">H2 blockers<\/span><\/a><span style=\"font-weight: 400;\"> if you have bleeding from esophagitis. If your doctor is concerned about advanced cancer or heavy internal bleeding that could lead to shock, you will likely need immediate treatment, such as surgery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Remember, it&rsquo;s important to see a healthcare provider to determine how to treat lower back pain and black stool. These symptoms may be linked, or they may have entirely different underlying causes. The best treatment plan is one that tackles the root of the problem.<\/span><\/p>\n<h2 id=\"the-role-of-spinal-health-in-digestive-function\"><span style=\"font-weight: 400;\">The role of spinal health in digestive function<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While the <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/body\/22460-thoracic-spine\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">thoracic spine<\/span><\/a><span style=\"font-weight: 400;\"> (vertebrae T1-T12) is connected to the chest and stomach, the <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/articles\/22396-lumbar-spine#:~:text=Your%20lumbar%20vertebrae%2C%20known%20as,your%20triangular%2Dshaped%20sacrum%20bone.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">lumbar spine<\/span><\/a><span style=\"font-weight: 400;\"> (L1-L5) is connected to most of the digestive system&mdash;the intestines and colon. While Dr. Gagneja says bowel and spinal problems are not commonly associated, he explains that spinal issues affecting the nerves controlling bowel function can lead to constipation or bowel incontinence. In other words, spine problems can cause bowel problems.<\/span><\/p>\n<p><a href=\"https:\/\/www.aans.org\/en\/Patients\/Neurosurgical-Conditions-and-Treatments\/Cauda-Equina-Syndrome\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Cauda equina syndrome<\/span><\/a><span style=\"font-weight: 400;\"> (CES) is a prime example of spinal problems affecting nearby organs. CES occurs when there is severe nerve compression at the end of the spinal cord, known as the cauda equina. Symptoms of CES can include lower back pain and inability to control urination or defecation, but CES is unlikely to cause black stool. There is a lack of evidence that <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3027333\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">chiropractic adjustments<\/span><\/a><span style=\"font-weight: 400;\"> can help treat gastrointestinal disease, but spinal adjustments may help with bowel problems that stem from compressed nerves.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ultimately, spinal health plays a significant role in overall health and pain-free living. The nerves rooted in the spine can cause pain in the abdomen, pelvis, and beyond. Regular spinal checks can help prevent more severe pain issues in the future.<\/span><\/p>\n<h2 id=\"living-with-lower-back-pain-and-black-stool\"><span style=\"font-weight: 400;\">Living with lower back pain and black stool<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Lower back pain is very common in the general population. People with stomach ulcers or IBD are more likely to experience upper GI bleeding, so black stools and back pain can happen regularly.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you are living with IBD or experiencing recurrent stomach ulcers, a few lifestyle changes can help with symptom relief while you continue following your prescribed treatment plan:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stretch and exercise regularly to destress and promote spinal health.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid foods that are difficult to digest, such as spicy foods, fried foods, and fatty foods.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avoid NSAIDs like aspirin and ibuprofen<\/span><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Take <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/glutamine\"><span style=\"font-weight: 400;\">glutamine supplements<\/span><\/a><span style=\"font-weight: 400;\">, which can <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2213453021000112\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">help heal the gut lining<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Quit smoking.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Focus on stress management.<\/span><\/li>\n<\/ul>\n<p><b>Related:<\/b> <a href=\"https:\/\/www.singlecare.com\/blog\/5-surprising-ways-stress-affects-your-body\/\"><span style=\"font-weight: 400;\">6 surprising ways stress can affect your body<\/span><\/a><\/p>\n<h2 id=\"most-importantly-tell-your-doctor-if-youre-experiencing-lower-back-pain-and-black-stool\"><span style=\"font-weight: 400;\">Most importantly, tell your doctor if you&#8217;re experiencing lower back pain and black stool<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Lower back pain and black stool causes may include lifestyle factors, such as taking NSAIDs or iron supplements. The causes of lower back pain and black stool may resolve on their own without treatment. However, if lower back pain and black stool continue, worsen, or are accompanied by vomiting, nausea, fever, or bloody stool, it could be a sign of internal bleeding and require immediate medical attention. A healthcare provider can rule out infections or other serious health conditions. Visit your doctor to determine the best treatment for lower back pain and black stool.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lower back pain and black stool causes are not usually connected. Lower back pain is very common and can be caused by poor posture, heavy lifting, osteoarthritis, menstrual cramps, and more. Black stool can be caused by certain medications, foods, or supplements, but it can also be a sign that you&rsquo;re bleeding from inside your [&hellip;]<\/p>\n","protected":false},"author":149,"featured_media":62286,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[16414,3550],"coauthors":[20942],"class_list":["post-62285","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-digestive-health","tag-gut-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What causes lower back pain and black stool? 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