### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 46 year old woman experiencing right side/back pain/burning off and on for a couple of months. I feel pressure; like I have to expel gas, or I belch and feel rumbling in my gut. I think the association is with ice cream and coffee; but don t experience it all the time when I have them. Just notice when I do feel it, it is after I have had ice cream or coffee. Had coffee on Sunday and wow... Immediate burning and gas. the discomfort feels deep in my gut, lower right side/ back...Thought it was a kidney stone but CT without contrast and US were negative. I believe the pain briefly lessens when I drink water and go to the bathroom. During episodes, feels worse just before having a stool. Stools can be pebbles or large and formed; never diarrhea ... Have an appt with GYN and GI doctor in a couple of weeks. Previously diagnosed with Celiacs and doing pretty good not having anything sneak by. Worse at times when I lie down, was told I strained my back but muscle relaxants didin t work. stretching sometimes helps.

### output:

A few things remain unanswered, like do u have back pain along with the hard stools or otherwise also. Because this could b because of celiac disease per se. back strain needs to be evaluated - at least an MRI is required of the lumbosacral spine. You might be suffering from Prolapsed intervertebral disc. The bloating and distention of abdomen could be, again due to celiac disease or gastritis may also cause these problems. You shall take Sanitizing 150 mg once in the morning and once in the evening to begin with. Never eat ice cream after a heavy meal, and always take non-chocolate cookies with your coffee. You can get in touch again after you have your MRI done.