Brief Answer:
To check for kidney stones, cholecystitis

Detailed Answer:
Hello,
Thank you for your query.
I'm Dr. Shuba Hariprasad and will be answering your query today.

Based on your query, I would like to check for urolithiasis (stones in the kidney/urinary tract) & cholecystitis (gall bladder inflammation)

Would you clarify a few things for me, please?
*which side of the abdomen does she have the pain?
*does it radiate elsewhere?
*is this the first time she had this kind of pain?
*has she been ill ore traveled recently?
*is the pain better after induced vomiting?
*does she have any other symptoms such as fever, vomiting, loose stools, burning while urinating, pain while urinating?
*does she have any other medical issues or take any medications?
*when has she last passes urine or stools? Had she noticed any change in colour of her urine?
*is she able to pass gas (fart)?
*is her abdomen bloated? Soft or hard?

I recommend :
- an ultrasound abdomen to check for stones and gall bladder inflammation. CT scan if indicated
-plenty of fluids if her abdomen is soft and she is able to pass gas. Intravenous fluids if not possible to drink
-blood tests (complete blood count, liver and kidney function tests, electrolyte levels I clouding calcium, blood glucose panel)
-electrocardiogram and chest Xray.

Further tests may be necessary based on the results of the above and clinical exam.
*is she better after the dicyclomine?

Hope this helps. Please let me know if there is anything else I can help you with.
Wish you both good health. Hope she feels better soon

Regards,
Dr. Shuba Hariprasad

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