HI, I Have Facial Flushing, Mild Ongoing Fever, Severe Upper

Posted on Wed, 1 May 2019

Question: HI, i have facial flushing, mild ongoing fever, severe upper and lower left side abdominal pain and fatigue. It's been going on for some time. Had abdominal scope and endoscopic ultrasound showing nothing. I have history of pancreatitis and colitis. also had lapband removed after severe pain for six months. My legs are also dented and swollen. I don't know what to do.

Follow up: Dr. Ramesh Kumar (5 minutes later)

also have some flank pain in bank. I have been tested and do not have UTI

Answered by Dr. Ramesh Kumar (6 minutes later)

Brief Answer:
Get an Ultrasound KUB done.

Detailed Answer:
Hello and thanks for choosing 'Ask A Doctor' service,
I've gone through all of your details...

Flank pain associated with these symptoms could be due to stones in the kidney or urinary tract.
Although the abdominal scope and endoscopic ultrasound didn't show anything, I'd suggest getting an Ultrasound abdomen specifically of the Kidneys, Ureter and urinary bladder to rule out the presence of the stone.
Drink plenty of water at least 2.5 liters a day.
Do follow up with the reports of USG KUB. Get the test done at the earliest. The radiologist should perform the USG KUB.

As legs are puffed up a kidney function test, a liver function test and a cardiac Echo should also be done. Puffiness and swelling could be because of the involvement of one of the above-mentioned organs.

Hope I was helpful,
Let me know if I can assist you further...
Thanks

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ramesh Kumar (21 hours later)

thank you for the information. I recently had ultrasound of kidneys. They showed no kidney stones even though I have history of them. I have also had swollen lymph nodes in my neck for some time. I had mono about a year ago. When I did the symptom checker it did mention Hodgkin's Lymphoma. Is that something i should mention to my doctor when I see him. I don't want to sound like a hypochondriac.

Answered by Dr. Ramesh Kumar (3 hours later)

Hello my dear,
Do you have severe fatigue.
Is fever off and on in nature?
Recent weight loss also?
Night sweats?
Any test ever done for heart?
Please reply.
Waiting.

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Above answer was peer-reviewed by : Dr. Nagamani Ng