What Causes Lower Abdominal Pain With Normal Leukocyte Count?
I started back work on Monday but I still didn't feel well and found it difficult to focus due to feeling weak and empty along with stomach discomfort. I went to a new doctor that examined me and I felt some pain in my lower right abdomen and he said it might be appendicitis but that it was unlikely as I would be in more pain and he took my blood pressure and sent me to do an ultrasound and blood test for which he ticked CBC and ESR. The blood tests came back normal but the ultrasound revealed a fatty liver. He also took my blood pressure again and told me that both times it was 150/90. He said when I come back if it is still high then I will have to go on medication. He ordered another round of blood tests for liver and kidney function, which I will be doing tomorrow. I still have no appetite and feel lethargic. I'm 31, roughly 190 pounds and about 5'8. Any thoughts on what could be wrong?
Likely to be due to persistent symptoms
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Mr XXXXXXX
Lower abdominal pain with normal total leucocyte count and normal Ultrasound is unlikely to be due to Appendicitis.
Following Chikungunya, many individuals may have persistent or recurrent symptoms attributable to either joints or Gastrointestinal tract. The peristaltic activity of stomach is reduced causing bloating and vomiting. The peristalsis activity of intestine is increased causing loose motion. The blood pressure also could fluctuate.
I would advise you the following
1. Probiotic
2. Combination of acid suppressant like Pantoprozole along with gastric motility increasing drug like Domperidone will be helpful
3. Eat meals in small quantity more frequently.
4. Do have yoghurt or curd in diet.
5. Avoid alcohol /carbonated /caffeinated beverage
6. Reassess the blood pressure after 6 Weeks of having Chikungunya. If still high you will require antihypertensive medication
7. Do not be worried about fatty liver if liver function test are normal. Repeat ultrasound after 6 weeks
Do get back to me if you need any further assistance, will be glad to assist you.
Take care
Best regards
Dr Deepak Kaltari
Consultant Surgeon
If the blood pressure is still high on Monday should I go on meds or wait six weeks and do another test? Would it be safe to wait?
The medicine are over the counter
Detailed Answer:
Hi
Dear Mr XXXXXXX
Hepatitis C is usually considered in differential diagnosis in case of individual presenting with loss of appetite.
The medicine advised by me are available over the counter.
If your previous blood pressure was normal (before getting Chikungunya ),then you can wait for 6 weeks for reassessment of blood pressure. Yes it would be safe to wait for another 3 weeks. As the blood pressure is mildly elevated .
Few episodes of loose motion there is no cause for concern.
For loss of appetite follow the medicine as advised previously.
Take care
Best regards
Dr Deepak