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Suggest Remedy For Sudden Onset Of Left Quadrant Pain And Nausea

Posted on Mon, 12 Oct 2015

Question: I have had 2 hours of sudden onset left lower quadrant pain (9/10) with slight nausea. No vomitting fever, no radiation. If I lie on my left side with knees to test it is better except some intermittent colicky sharp that is very bad. I was diagnosed with a kidney stone (2.8 in right kidney in July)
PSH Thyroidectomy, XXXXXXX bro, Bladder sling, Roux en Y Gastric bypass and cholecystectomy 1999. Ht 5'8 Wt 178
There is minimal dys urial and urine is clear yellow?

Meds is atorvastatin,
Voltaren Gel

Also it was a XXXXXXX with bilateral salpingectomy for endometriosis

Answered by Dr. Hari Charan Perigela (46 minutes later)

Brief Answer:
Intestinal obstruction should also be excluded.

Detailed Answer:
Hi
First possibility is Left sided Ureteric stone.
Intestinal obstruction due to Adhesions are more common after Gynaecological surgery. As XXXXXXX was done,pain could be due to adhesions.
If Plain x ray abdomen /Ultrasound abdomen /CT SCAN Abdomen doesn't give a clue,Diagnostic Laparoscopy is the best option to visualise the abdomen and do any therapeutic intervention.
Nothing to worry.
Please consult your doctor, get examined and proceed accordingly.
Wish you good health.
Regards

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Above answer was peer-reviewed by : Dr. Sonia Raina