Advice please. What is going on.

With the clinical symptoms that you have mentioned there can be long list of differentials ranging from- 1. Acute inflammatory conditions like cholecystitis, hepatitis , pancreatitis, gastritis 2. Gstroesophageal motility disorders like gastroesiphageal reflux disorder (GERD), Diffuse esophageal spasms etc. 2. Cryptic intra abdominal abscesses like subdiaphrgmatic or pelvic abscess. 3. Chronic illnesses like chronic liver disease 4. Irritable bowel syndrome 5. Vitamine deficiencies The back pain with numbness may be of neurogenic in origin from a 1. Slip disc or prolapsed intervertebral disc 2. Degenetatv disc disorders involving the lumbosacral spines 3. Extra medullary compression over the spinal cord due to some mass or tumor, may be intraabdiminal etc. However this list of differential may also include, particularly in context of a female of your age , the systemic connective tissue disorders like 1. Systemic lupus erythematous (SLE) 2. Rheumatoid arthritis 3. Seronegatv spondylparthropathies. Etc. Other reasons may include - 1. Hormonal imbalances like hypooestrogenemia or hyperandrogenism. Hypo or hyperthyroidism etc. 2. Psychosomatic disorders like fibromyalgia, chronic fatigue syndrome etc.

1. Now don't get paniced by the above mentioned list. 2. you need to visit a physician for a thorough clinical check up. The clinical signs are as much as important as the history to reach to a proper diagnosis before assuming anything. 3. Investigations reqd. Routine blood investigations including CBC , urea, creatinine, Lft, amylase , lipase, ca2+, mg2+, vitd, vitb12, uric acid, thyroid profile. 4. Usg whole abdomen and cect abdomen may be reqd later on. 5. X-ray spine lumbo sacral region is recommended 6. ct or mri lumbosacral spine may be reqd later on.

1. avoid drinking n smoking 2. avoid fast food or too much fat consumption . Consume boiled food wid balanced carb, protein , fat content . 3. Keep yourself hydrated 4. avoid forward bending 5. sleep on a hard bed preferably without a pillow 4. visit a nearby physician for thorough check up 5. Donot self medicate. 6. Can use supportv measures like hot sponging over the back for pain relief.