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What causes lower back pain on left side and swelling in lower abdomin with slight pain on left side of belly button?

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If it hurts more with bending and twisting, it is most likely muscle-related. It it hurts when someone pushes on your abdomen, but not when you bend or twist, then it is more apt to be internal. There are hernias that can cause a bulging in the area you indicate, but I doubt that a hernia in the front-side of your abdomen would be a cause of back pain, unless you have more than one thing going on... If this continues, or begins to get worse, then I strongly suggest you be seen by your family doctor for possible Xrays, etc and surgical referral...
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