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Suggest Treatment For Pain On Right Side Of Abdomen
Question: hi i am XXXXXXX ,age 55yrs. for the last one month iam feeling pain in my right side abdomen. the pain arises from the back and goes through right side abdomen(kamar) towards scrotum . i did two sonograohy two ct scanes one mri and two x- rays but the reports of all the tests are normal. i admitted in the hospital for four days where the treatment was only drip and pain killer injections and antibiotic injections. but all in vein. still i am feeling the pain in right abdomen. mainly i feel this pain more in the morning after awkening. at present i am taking the following medicines as per a physician advice.
tab klap bod
cap cadbios od
tab pantocid bod
etoshine 90 mg od
tab gabapin 300mg od
tab tryptomer 10 mg hs
till date i have shown to physician ,gestroentrologist ,general surgeon,neurosergon
but still pain is there. pl help. thanks
tab klap bod
cap cadbios od
tab pantocid bod
etoshine 90 mg od
tab gabapin 300mg od
tab tryptomer 10 mg hs
till date i have shown to physician ,gestroentrologist ,general surgeon,neurosergon
but still pain is there. pl help. thanks
Brief Answer:
Please give additional information.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Read the complete history and understood your concerns.
Please give additional information for me to assist you better.
- Which MRI have been done - the spine?
- Have you got any urinary symptoms?
- Urine reports: routine, microscopy and culture sensitivity?
- Does the pain go to the inner thigh on the same side or to the back of thigh, or leg?
- Any other information please.
Awaiting
Please give additional information.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Read the complete history and understood your concerns.
Please give additional information for me to assist you better.
- Which MRI have been done - the spine?
- Have you got any urinary symptoms?
- Urine reports: routine, microscopy and culture sensitivity?
- Does the pain go to the inner thigh on the same side or to the back of thigh, or leg?
- Any other information please.
Awaiting
Above answer was peer-reviewed by :
Dr. Sonia Raina
multiplanar MRI of lumbosacral spine was paerformed using T1 and T2 weighted sequences
CONCLUSION' does not reveal any significant diagnostic abnormality.
no urinary symptoms. urine is passing without any pain or burning
urine analysis
qty. 10ml
colour yellow
transperency clear
reaction accidic
specific gravity 1.015
albumin absent
sugar absentacetone absent
urobilogen absent
nitrites absent
rbc absent
pus cells 1-2/hpf
epithelial cells occasional
crystals absent
casts absent
earlier the pain went to scrotum through right abdomen starting from back bone(may be from L3 or L4) but now the pain remains in the right abdomen(kamar) only and that too only in morning after awakening. no pain in thigh or leg.
pl see.
CONCLUSION' does not reveal any significant diagnostic abnormality.
no urinary symptoms. urine is passing without any pain or burning
urine analysis
qty. 10ml
colour yellow
transperency clear
reaction accidic
specific gravity 1.015
albumin absent
sugar absentacetone absent
urobilogen absent
nitrites absent
rbc absent
pus cells 1-2/hpf
epithelial cells occasional
crystals absent
casts absent
earlier the pain went to scrotum through right abdomen starting from back bone(may be from L3 or L4) but now the pain remains in the right abdomen(kamar) only and that too only in morning after awakening. no pain in thigh or leg.
pl see.
Brief Answer:
As detailed below.
Detailed Answer:
Thanks for your feedback and the urine report.
Noted your history related to pain in the right abdomen (kamar as you have explained).
This too is in the morning after waking up without any radiation.
Since all the investigations you have mentioned are normal, we can think about the localized problem of the muscles.
Due to the stress of the day these become sore and hence appear tight and hence sore only in the morning on waking up.
As the day passes by the muscles get routinized and hence no stiffness and no pain.
Another possibility is that you might have suffered direct or indirect inadvertent trauma to the muscles and hence got the initial referring pain to the back and to the scrotum which over time vanished and left with local soreness. This may be diagnosed by high resolution ultrasound of the abdominal wall. High clinical suspicion and clinical evaluation and examination by a General Surgeon.
Also watch for any hernia at the painful site.
I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
As detailed below.
Detailed Answer:
Thanks for your feedback and the urine report.
Noted your history related to pain in the right abdomen (kamar as you have explained).
This too is in the morning after waking up without any radiation.
Since all the investigations you have mentioned are normal, we can think about the localized problem of the muscles.
Due to the stress of the day these become sore and hence appear tight and hence sore only in the morning on waking up.
As the day passes by the muscles get routinized and hence no stiffness and no pain.
Another possibility is that you might have suffered direct or indirect inadvertent trauma to the muscles and hence got the initial referring pain to the back and to the scrotum which over time vanished and left with local soreness. This may be diagnosed by high resolution ultrasound of the abdominal wall. High clinical suspicion and clinical evaluation and examination by a General Surgeon.
Also watch for any hernia at the painful site.
I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir thanks for your reply.
possibility of hernia and appendicyt has already been ruled out by surgeon.
now should i go for high resolution ultra sound of the abdomenal part or contiue the medicines as advised by physician (as mentioned above). not only in the morning but a few times in the whole day also i feel some pain with low intensity.
i am mentioning the results of my earlier usg as below .
usg abdomen and pelvis dt. 3/5/16
impression does not reveal any significant diagnostic abnormality.
adv clinical corelation
usg abdomen dt 5/5/16
impression mild hepatomegaly with grade I fatty liver
ct scan abdomen and pelvis with ct urography.
impression no significant abnormality is seen
kindly see and advise further. regards
XXXXXXX sahrma
possibility of hernia and appendicyt has already been ruled out by surgeon.
now should i go for high resolution ultra sound of the abdomenal part or contiue the medicines as advised by physician (as mentioned above). not only in the morning but a few times in the whole day also i feel some pain with low intensity.
i am mentioning the results of my earlier usg as below .
usg abdomen and pelvis dt. 3/5/16
impression does not reveal any significant diagnostic abnormality.
adv clinical corelation
usg abdomen dt 5/5/16
impression mild hepatomegaly with grade I fatty liver
ct scan abdomen and pelvis with ct urography.
impression no significant abnormality is seen
kindly see and advise further. regards
XXXXXXX sahrma
Brief Answer:
High degree of suspicion and repeat tests as per the intuition helps.
Detailed Answer:
Thanks for your feedback.
Please continue all the medications as already advised.
My opinion is to get the high resolution of the abdominal wall - musculature, whether any muscle problems as compared to other side also. Comparison is very important to get the diagnosis.
It looks all possible investigations have already been done and are reported.
In a few cases repeated tests alone may get a diagnosis. High degree of suspicion alone helps as the routine tests and routinely seen things will be normal and you still have symptoms in spite of medications.
By the way which city you stay in and which Doctors have you consulted?
High degree of suspicion and repeat tests as per the intuition helps.
Detailed Answer:
Thanks for your feedback.
Please continue all the medications as already advised.
My opinion is to get the high resolution of the abdominal wall - musculature, whether any muscle problems as compared to other side also. Comparison is very important to get the diagnosis.
It looks all possible investigations have already been done and are reported.
In a few cases repeated tests alone may get a diagnosis. High degree of suspicion alone helps as the routine tests and routinely seen things will be normal and you still have symptoms in spite of medications.
By the way which city you stay in and which Doctors have you consulted?
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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