Brief Answer:
Periumbilical tenderness with Nausea?Under Investigation

Detailed Answer:
Provisional Impression-Periumbilical tenderness with Nausea?Under Investigation

Hi,Welcome with your query to HCM Virtual Clinic.
Upon review of your query facts,more information is needed to resolve your issues of 2 stools?normal or not?
Update following information as follows-
How long did you have this complaint?
Did you have any lump or swelling ,which pops with coughing or otherwise?
Any colick with the flushed / grumbling feeling?
Any other medical illness in the past?
Any Laparoscopic procedures done in the past?
Did you have any food outing lately?
Is this pain/tenderness related with your food intake?
Update any photograph of the umbilical area soon.

Suggestions till I get the above information-

-Keep your self on liquid bland diet with low on their volume/quantity.
Consult your ER if nausea or pain increases suddenly.
-Don't lift weight till next visit/session.
-Don't take any painkillers without doctors advise.

Welcome for any further query in this regard.
Awaiting your information by next visit session.

Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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Brief Answer:
Periumbilical Tenderness?Enteritis with nausea/Under Investigation

Detailed Answer:
Impression-Periumbilical Tenderness?Enteritis with nausea/Under Investigation

Impression after the updates-Impending Mesenteric Ischemia with subacute presentation due to diabetic neuropathy?which has suppressed the acute presentation.


Hi,thanks for the updates.
I reviewed your updates in context of the query.

My Impression-after updates
Based on the hypertension,hyperlipidemia with ? prediabetic /lab reports,
you seems to have -
Impending Mesenteric Ischemia with subacute presentation due to diabetic neuropathy?which has suppressed the acute presentation.
In addition you have nausea with flushed feeling,which points at the infective Enteritis with ileus and reflex spasm with it.
Recurrence of periumbilical tenderness needs Surgical opinion to rule out inflammatory adhesions with blind loop,which should be kept in mind.
This is just an alert to you and would suggest you to Consult Physician.

Ans-What should you do?
Suggested remedy-
Bland liquid diet with low volumes/quantity.
If no relief,don't take any painkillers
and consult ER Physician ,who may hospitalize if need be and would treat you accordingly as follows-
Start anti-hypertensive and anticholesterol medicines soon.
If Enteritis with infective origin is confirmed,needful antibiotics could be taken.

Don't get worried by the possibilities discussed,as they are to educate you, to be on ALERT,and to take needful steps in right care of your problem with your doctors.

Hope this would help you in planning further treatment in your case of periumbilical pain.

IF you feel satisfied,Will appreciate your writing excellent review comments to help needy visiting patients like you, at HCM.

Welcome for any further query in this regard,before I close this query from MY side.

Wishing you fast recovery.Keep updated if need be.

Good Day!!

Regards,

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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