Brief Answer:
left Flank deep Throbbing Pain / Under Evaluation

Detailed Answer:
Brief Ans-left Flank deep Throbbing Pain / Under Evaluation

Hi,Dear,Thanks for your query to HCM.
Read your query and understood your health concerns.
I feel concerned about your health problems and the anxiety with it.
Dear,It would be nice if You update more information as follows-to make this reply more pleasurable to YOU-
How long this pain in the left flank is there?
Any redness with tender on pressure swelling in the left flank?
Do you feel any lump in the left flank after deep palpation?
Any fever with chills before starting Tylenol and Morphine?
Who suggested these medicines to YOU/or you took from Medical stores?
Any burning pain while passing urine / or blood in urine lately or in the past?
Do you suffer from Diabetes any time in past or currently?
Any history of trauma to the left flank / or Catch in the left lower back area?
Any constipation / IBS lately or in the past? Any history of Diverticulosis / Diverticulitis in the past or lately?
Are you on any blood thinners as Tab Coumadin and else?
Any heart problem or DVT in leg or any clots in the arteries/veins in the past ?
What is your diet now ? Are you taking your normal food?

Await more information from you,which would be replied in next session.
Welcome with any further query in this regard.
I would reply your worries about the origin of the organ which has caused this health problem with your left flank.
In the mean while if can get the CT Abdomen,your time will be used to the best for resolving your health issues.

Good Day!!
Dr.Savaskar M.N.

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Brief Answer:
left Flank deep Throbbing Pain / Under Evaluation

Detailed Answer:
Dear,

I am sorry, I did not receive any information / updates besides that is seen above my reply. If possible please update about the information that I requested.

In absence of positive information about the size / mobility / pain on pressure/ redness on the lump, I would try to suggest the possibilities which may cause this type of complaints in a person who is travelling and goofing off lately.

Following possibilities need to be worked up while investigation and treatment-

a- ?Diverticulitis with Left Flank Abscess, as your history otherwise does not explain either of illnesses of Colon or Kidney.

b-Possibility of Renal Abscess is very rare as you don't have any of the urinary complaints as well,as updated in your query information.

c-Possibility of any hidden traumatic hematoma with Abscess formation ? needs to be kept in mind,as you keep travelling and goofing off.

d-Or this could be mostly-a PID with nerve compression on the left side of the flank

e-Or this could be -a Muscle catch with nerve twisting, the accompanied vessels giving it a throbbing texture to your left flank Lump.

Prima facie your case of left flank lump could be muscle inflammation with traumatic hematoma /
- or PID(Prolapse Intervertebral Disc- with nerve compression with throbbing vessels around causing throbbing pain) with Muscle Injury Hematoma in the left flank.

Both the above possibilities are more - as you are travelling frequently and goofing around.
Its very difficult to predict exactly without all this information as asked above in my last reply.

Possibility of Colon Cancer with hidden PeriColitis and Abscess needs to be kept in mind as silent built of this lump. However this possibility of cancer and pericolits is remote.

I would suggest that you consult a doctor preferably a surgeon who will examine and order necessary investigation to narrow down possibilities. If you were my patient, I would order an ultrasound scan of left flank and CT Abdomen.

Hope these suggestions would help you to plan further treatment with your impending doctors visit.

Welcome for any further query in this regard.
If satisfied with this reply,please feel free to write excellent review feedback comments to rate this reply,just to help the needy patient Visitors at My Virtual Clinic at HCM.

Keep Me updated by a direct question to ME, if need be,which I would love to reply 24x7.

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

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