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I Am Having Right Lower Lower Abdominal Pain In Waves.

Posted on Sat, 10 Nov 2018

Question: I am having right lower lower abdominal pain in waves. Apendix is already removed 20 yrs back. I already tried Pantoprazole which did not work. It has been now 2 days. The pain is bearable but uncomfortable.

Answered by Dr. Dr. P. T. Patil (8 hours later)

Brief Answer:
Could be mostly due to stone either in Kidney or Ureter

Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted the pain in lower abdomen on Rt side that you have is mostly due to stone either in Kidney or Ureter and needs to be investigated .

Consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis

In the mean time take Tomsulosin and Drotin along with antibiotic like Ciprofloxacin and anti spasmodic like Cyclopam twice daily.

Further treatment will depend upon result of these tests and final diagnosis.

Ensure to drink more water .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (2 days later)

Sir, I have attached abdomen scan report. Please see the attachment or I have listed major points below. I have been drinking water . No medicines. Now pain almost nil .

Scan main points:
Right Kidney : There is a calculus measuring 3mm in the mid calyx . XXXXXXX dilatation of pelvicalceal system seen.
A calculus measuring 5mm seen in lower ureter about 1 cms above vesico-ureteric junction

Left Kidney : The are three calculi measuring 3mm to 4 mm seen . No hydronephrosis.

Impression: Bilateral renal calculi.
Right lower ureteric calculus with hydronephrosis.

Please let me know the course of action n diet allowed in the future. Thanks.

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Take medicines suggested below

Detailed Answer:
Hello
Thanks for uploading Scan report .You have bilateral multiple renal calculi with obstructive changes in Kidney on Right side due to stone impacated at Vesico Ureteral junction on Right side which is the cause for pain .

Take following treatment
1) Tomsulosin once daily
2) Drotin and Niftas twice daily
3) Ensure to drink more water .

All the stones are small and can be expected to pass out through urine spontaneously .

Thanks and Regards.
Dr Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar