instruction: hello doctor I am 25 years old I have a year old and a year old kid after my son birth I have gained quite a bit of weight just a little over the obese range I say this because I do not know if it has anything to do with my problem I am writing because I am having trouble finding online information about my lower back pain behind the backbone it does not hurt all the time mainly there is constant pain while walking laying flat or when leaning forward without support also there is a real sharp pinch when my kids or spouse push on it either side I am not sure if this matters but once in a while when I stand from the couch there is a pinching pain in my lower front abdomen that goes away after a minute or two is there any idea you may have as to what is going on I have been dealing with my back for a year now and my spouse is starting to tell me to get it checked out I used to take only ibubrufen when I get headaches
output: hi I am sorry to hear about your pain but I will try my best to help you from history the lower back pain may be related to mechanical or disc protrusion pied or some rare conditions like a kidney stone or pelvic inflammatory disease mechanical and pied prolapsed herniated or extruded intervertebral disc can be differentiated by a dragging pain to one of your legs in pied dragging pain is common you may need an ray of your lower back this pain is not related to an epidural but as there is a pinching pain in front of the abdomen other causes should be ruled which is addressed with an ultrasound as per your age pied is a common symptom that is addressed initially with conservative management the diagnosis is confirmed with an mri if it is pied need not take bed rest you can do your daily activities if pain reduces completely then start physiotherapy back strengthening exercises