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Husband has scleroderma and rheumatoid arthritis that has been well managed with usual meds. No history of heart, lung or kidney involvement. Mostly skin, joint and esophageal problems. 10 days ago developed sudden excruciating low back pain and severe nausea. In hospital on pain and anti-nausea meds, but nobody can figure out the cause. He is in a teaching hospital where his Rheumatologist practices but she hasn't seen him yet. He had endoscopy today which showed no changes that would cause this problem. MRI of back showed nothing. I'm thinking perhaps a bowel obstruction or pseudo obstruction but doctors say no because his stomach isn't distended. He hasn't had a bowel movement in 4-5 days but they blame that on opiods. Doctors are totally stumped but he has yet to see a doctor who knows much about scleroderma. I'm not sure if there is such a doctor at this hospital. In the past he has been seen at Boston scleroderma clinic but in no shape to travel there now. Does this sound like a scleroderma related illness? Any thoughts? Anybody out there experience similar symptoms? He was very active and doing great until this. Thanks for any suggestions you might have.