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