What Causes Intermittent Flank Pain?

Posted on Thu, 31 Aug 2017

Question: Would be so happy if finally i can get bettr with the help here. I have been dealing with an abdominal (flank) pains on and off for five years. Did diff exams

Answered by Dr. Dr. Muhammad Sareer Khalil (0 minute later)

what did the ultrasound report reveal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (10 minutes later)

Have done different test but the pains has been on and off. In the test, the results says kidney cyst and also fatty liver. Belch often and itching through my anus.

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again

The number of kidney cysts and their size needs to be known before labelling a person with polycystic kidney disease.

Renal function tests should be obtained. Liver function tests including ALT should be done to look for possibility of Non alcoholic fatty liver disease or steatohepatitis. If in addition there are features of metabolic syndrome then the comorbid factors should be addressed.

GERD can be treated empirically , if clinically relevant, with PPIs and pro kinetics for a 2 week period. The anal itching should be worked up. Local exam and DRE (Digital Rectal Exam) should be done to look for possible hemorrhoids, fissures etc. Stool for ova and parasite can be advised and ultimately a proctosigmoidoscopic exam if no other cause is found.

Wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (8 hours later)

Please state all the examination i needed to do and the names of each and how would i get treatment here..i.e drug prescription and so on. Thanks.

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

We , the doctors here at HCM, are not allowed to give out online prescriptions. Its against our binding rules and regulations.

We are supposed to provide you with accurate information regarding your condition and possible choices that you have in working up or treating that very condition.

I stated the investigations in my previous reply. You may refer to that and apprise your treating physician regarding it.

Wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar