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Suggest Treatment For Pain In Lower Left Pelvic Area

Posted on Thu, 16 Jun 2016

Question: I have a dull achy pain in my lower left pelvic area that comes and goes mainly. Sometimes this dull pain is accompany by left testicle pain same thing a dull achy pain and lower left hip pain. I also have acid reflux and I do smoke and I was drinking 6 beers a day usually 3 times a week. Could this be ibs? Do you think it's something serious? I also have in my stomach area pain that isn't dull more moderate pain that comes and goes. When I burp or have gas in my chest or stomach area I put my hand on my stomach and on my lower left side towards the bottom of my abdomen and I feel the gas goes right to those areas. Can you please leave me detailed feedback. Also, once in awhile I have a dull achy feeling in my lower left back and sometimes the pain is in my hip and testcile area at the same time. I'm worried since I do have mild acid reflux and I been drinking a lot and smoking do you think this can be cancer or a kidney problem? I did quick drinking recently and have noticed I don't have as much gas or bloating as much. I do get nasusea sometimes but that can be from me stopping drinking. THE MAIN PROBLEM I AM HAVING IS THAT DULL ACHE IN MY LOWER LEFT PELVIC AREA. THE BEST WAY TO EXPLAIN IT IS RIGHT ABOVE MY LEFT TESTICLE THE LEFT SIDE AREA WHICH I'M GUESSING IS YOUR PELVIC AREA. THIS PAIN USUALLY HAPPENS JUST ABOUT EVERYDAY AND IT COMES AND GOES. THE PAIN ISN'T TERRIBLE I WOULD SAY A 3-4 OUT OF A 10 BUT IT JUST ACHES.

Answered by Dr. Matthew J. Mangat (1 hour later)

Brief Answer:
Could be gastritis or mild colitis.kidney pathology is unlikely.

Detailed Answer:
Hello XXXX and welcome to HCM>
As an Urologist, i can fully understand your concern.

Your symptoms are certainly not like a kidney problem, or a cancer.
You've described your symptoms very well,with habits of drinking and smoking.
I'd advise you to stop smoking and decrease beer drinks,as that can increase the acid reflux and gas formation, with burping.
If at all,there's anything to suggest IBS, it'll be relieved by stopping these.
An abdominal CT scan will show if there's any cause for the pelvic pain,in bowels.
The scrotal scan will rule out a cause in the testis or epididymis.

The proper way to arrive at a diagnosis, would be to get examined by an Urologist and get screened for your symptoms.
1. CBC,creatinine,RBS,LFT,platelets,HIV,HbsAg,and VDRL.
2. CECT Abdomen (contrast CT scan).
3. OGD
4. Colonoscopy.
5. scrotal, doppler ultrasound scan.

From these reports,one should be able to make out the cause for your symptoms.
Accordingly, proper treatment will be advised.
You can send the reports here,for an expert opinion.

Wish you good health.

Dr.Matthew J. Mangat.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Matthew J. Mangat (1 hour later)

1. CBC,creatinine,RBS,LFT,platelets,HIV,HbsAg,and VDRL? What is this HIV? Thank you for your answer. I was told to get a ultrasound of my testicle. I already did a urine test and everything came back good.

Answered by Dr. Matthew J. Mangat (17 hours later)

Brief Answer:
complete the tests as advised. HIV is to detect AIDS.

Detailed Answer:
Hi XXXX,

Yes, doppler ultrasound scan of scrotum is one of the tests.
HIV test is done for screening to detect AIDS.

You may send the remaining test reports, as advised earlier.

Wish you good health.

Dr.Matthew J. Mangat.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Deepak