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What Causes Pain In Groin Area And Left-sided Abdomen In A COPD Patient?
Question: Hi! I have PAD bad. 70% in y of artery to legs. I have COPD too and when I bend that attacks me. Upright better. Have a pain on left side of abdomen . Sex aggravates even just arousal. Bad after orgasm but sneaks up not immediately. About 15 minutes. Had a kidney stone cut through uretha on that side. 5 years ago I was having sex and when I had my orgasm the pain was so bad on my left side it dropped me and lasted for a minute then it released and it made a whistling noise on side of body. I over lifted stuff too. Rocks! Been resting and trying not to have any sex but it stays with me! I need to walk but this causes pain there also. Desperate I am suppose to be in internal medicine but don't want surgery because my surgeons tell me it's in a bad spot the blockage
Hope you got the follow up email
Had a abdominal aortic anjio in 2011
One thing I notice is when I need to do #2 it makes that area ache worse until I do it then feels better but not solving problem still the underlying pain there still.
I have a kidney stone problem in my tissue in kidney. Had a floating stones ..bad pain trying to pass. Blood. That's fixed but urologist doesn't want to blast it apart the embedded stone
Yeah I know I am a basket case! Lol
Hope you got the follow up email
Had a abdominal aortic anjio in 2011
One thing I notice is when I need to do #2 it makes that area ache worse until I do it then feels better but not solving problem still the underlying pain there still.
I have a kidney stone problem in my tissue in kidney. Had a floating stones ..bad pain trying to pass. Blood. That's fixed but urologist doesn't want to blast it apart the embedded stone
Yeah I know I am a basket case! Lol
Brief Answer:
PAD with Aortic Atherosclerosis / Under Evaluation
Detailed Answer:
Brief Ans-PAD with Aortic Atherosclerosis / Under Evaluation
Hi Dear !! Thanks for your query to HCM.
Read And reviewed multiple facts with multiple health issues.
The submitted facts does not lead any specific health problem and is a vague narration.
I really feel concerned with the sufferings from multiple health issues you have.
Dear, Before I reply, I would request to pinpoint the most problematic health issue and give more information about it.
Please update lipid profile report and other lab reports.
What is your weight-115 is it in KGs(overweight)/ in lbs(underweight)?
Please clarify, as its Very important data for replying Your Query.
Please Update more details of the query,which causing more trouble and about which You want to reply Me first.
Primary Impression-
Based on your health concerns submitted in marathon query of your's,
In My opinion- to have all these problems from PAD with Aorto-Iliac Atherosclerosis with Ischemic Disease and complaints.
Besides this Renal stone issue is accompanied mostly from the Calcium imbalance over a long time.
I would need more information on Aortic Angiography and blood test reports you have, so as to advice you on preventing surgery-if possible or on further non-surgical plan of treatment for your health issues.
I would be glad to help you out- as to what exactly are your major health issues,which you want Me to reply first.
Awaiting your further queries and information in this regard.
Welcome with more queries in this regard.
Good Day !!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
PAD with Aortic Atherosclerosis / Under Evaluation
Detailed Answer:
Brief Ans-PAD with Aortic Atherosclerosis / Under Evaluation
Hi Dear !! Thanks for your query to HCM.
Read And reviewed multiple facts with multiple health issues.
The submitted facts does not lead any specific health problem and is a vague narration.
I really feel concerned with the sufferings from multiple health issues you have.
Dear, Before I reply, I would request to pinpoint the most problematic health issue and give more information about it.
Please update lipid profile report and other lab reports.
What is your weight-115 is it in KGs(overweight)/ in lbs(underweight)?
Please clarify, as its Very important data for replying Your Query.
Please Update more details of the query,which causing more trouble and about which You want to reply Me first.
Primary Impression-
Based on your health concerns submitted in marathon query of your's,
In My opinion- to have all these problems from PAD with Aorto-Iliac Atherosclerosis with Ischemic Disease and complaints.
Besides this Renal stone issue is accompanied mostly from the Calcium imbalance over a long time.
I would need more information on Aortic Angiography and blood test reports you have, so as to advice you on preventing surgery-if possible or on further non-surgical plan of treatment for your health issues.
I would be glad to help you out- as to what exactly are your major health issues,which you want Me to reply first.
Awaiting your further queries and information in this regard.
Welcome with more queries in this regard.
Good Day !!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
115lbs. Weighed about 125lbs most of my life . Had heart attack 2013 stress induced (my health and brother and sister died). Was 90lbs. Rebounding! Right now it's the pain on left side I need help with. Understand my PAD and COPD and dealing with it but don't like the breathing attack when I bend. I would not be able to get records onLipid etc. that easy. Is it possible that this is a muscle pull or nerve problems. It stung like a bee. Can blockage create this kind of enflamation?
Brief Answer:
Left Sided pain is Mostly Renal and needs Urologist help in your case !!
Detailed Answer:
Brief Ans-Left Sided pain is Mostly Renal and needs Urologist help in your case !!
Hi,Dear !! Thanks for the updates to HCM.
I read and reviewed your updates in view of the facts submitted by you and in context to the complex story of your health issues submitted in your query .
In absence of any of the old or the current reports, and based on the query facts submitted about your health issues,Its really a difficult job to guide YOU, on the health problems you have.
My Impressions and Suggestions on Your health issues-
But still , with My expertise I would sum up your health issues and sum up My suggestions on it as follows-
Pain on left side of abdomen is your main health issue as submitted by you.Current facts suggest that this pain in left lower abdomen-which is stinging type is from Renal Colick as explained below.This is not from either muscular / or neural or from arterial blockage ,as explained below in details in E.
Summary of Your Health Issues and Suggestions on it-
You have following-A/B/C/D/E health issues as submitted in your marathon query and in updates as follows-
A)-i-PAD with 70 % blockage of leg arteries with COPD is your problem.The PAD attacks you when you bend and Pain is better in upright position.
ii-You need to walk as part of treatment for PAD,but this increases the pain.
iii-You was asked by surgeon to go for corrective surgery for the badly located block in the abdominal and Leg arteries.This was mostly detected on abdominal angiography study done in 2011.
iv-Pain in groin more on bending but is relieved with lying and reclining positions.Lying on right side reduces this left sided pain, but increases if while lying on left side.
v-You are lean and underweight for long with 115 lbs since 2013 after heart attack.
My Impression and Reasoning- above PAD and COPD-
Dear the pain on the left side of the abdomen you are concerned more about, seems mostly from –the Renal stone for which your Urologist has asked basket treatment.
I would suggest you to plan for it as soon as possible.
Since you understood and adjusted with PAD and COPD, attending to your left sided abdominal pain is your priority as submitted by YOU.
But since the COPD attack comes on bending- seems to be related with Pulmonary Embolism ? with Aortic Atherosclerosis and need life style corrections with addition of statins to your treatment , besides dietary changes.
B)-i-This pain seems to be aggravated with –Left Sided Renal problems .Kidney stone on left side was treated by cutting/blasting , 5 yrs back.
ii-The kidney stone in left kidney was to be treated by basket. The blasting of that stone was avoided by the Urologist,as it was embedded in the kidney tissue.
My Impressions-
Your current left sided abdominal pains with stinging type- are mostly from Renal stone –which is floating and needs basket treatment as suggested from your urologist.
With this background you need to plan specific treatment for Renal Stone- basketing- as soon as possible
C)-i-Aggravated Pain with whistling noise for a minute -on left side after the sexual arousal and sexual orgasm 5 yrs back.
ii-When You lifted too much and exercised , the pain is very high and so You take rest and avoid sex as well to keep you away from this left pain.
My Impression-and Suggestions-
These pains with sex arousal or sex orgasm are from Severe Aorto-Renal and Aorto-iliac-Atherosclerosis in your case.The ischemia caused by the atherosclerotic obstructions,cant supply enough blood and oxygen,which leads to this ischemic pain during sex arousal and orgasm.
The whistling experienced by you 5 yrs back was- from turbulent flow through narrowed blockage in the Aorto-Renal/ or Aorto-iliac Atherosclerosis- in your case.
D)-As submitted in your medical profile,For all these pains you just take Tylenol 750 mg and 325 mg of aspirin currently.
My Impression and Suggestions
You should add on –Statins along with Aspirin and anti-platelet -Clopidogrel to control the blood clot and complications of Sever Dyslipidemia with very high risk lipid profile in your case
Do's Suggested -
In absence of lipid profiles,
-you should change your life style- with avoidance of alcohol/ smoking / tobacco.
Low fat/ high protein diet with high carbs.
Regular jogging and walking
Strict Dietary controls
Vit D3 with Vit B12 and Folic Acid to revive the over all stressed body functions
Would be needed to come out of the stressed body with hypercholesteremia in your case.
E)- Right now it's the pain on left side I need help with . .I would not be able to get records onLipid etc. that easy.
Is it possible that this is a muscle pull or nerve problems. It stung like a bee. Can blockage create this kind of enflamation?
My Impression and Suggestions-
This pain which is stinging and sever type, is mostly from Renal Colic- caused from the floating kidney stone you have.
Thus this pain is not from either muscular or neural or inflammatory cause or from arterial blockage of Aorto-renal atherosclerosis.
Please treat it with Urologist by basketing as soon as possible.
Anti-spasmodic drugs with NSAID and plenty of fluids orally with Urinary antibiotics and with Urinary alkalization-would relieve it temporarily -in your case.
But surgical correction either by stenting to pass the floating renal stone / and or by basketing the renal stone- is the only remedy for it -in your case.
Hope the above comprehensive reply would resolve the current and all the queries on the health issues submitted and updated by you.
Hope this would guide you to plan further care with your doctors there.
You should consider more sessions at HCM,for such chronic complex case, for further suggestions.
Dear,I hope this reply during this session is helpful to you and would guide you to take right decisions for further treatment in your complex / high risk case.
Do Contact for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, If you have no further query,Do close this query with your praising /excellent feedback comments to rate this reply, to boost the morale of My visiting patients like You, at HCM Virtual forum.
Keep Me updated soon.
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Left Sided pain is Mostly Renal and needs Urologist help in your case !!
Detailed Answer:
Brief Ans-Left Sided pain is Mostly Renal and needs Urologist help in your case !!
Hi,Dear !! Thanks for the updates to HCM.
I read and reviewed your updates in view of the facts submitted by you and in context to the complex story of your health issues submitted in your query .
In absence of any of the old or the current reports, and based on the query facts submitted about your health issues,Its really a difficult job to guide YOU, on the health problems you have.
My Impressions and Suggestions on Your health issues-
But still , with My expertise I would sum up your health issues and sum up My suggestions on it as follows-
Pain on left side of abdomen is your main health issue as submitted by you.Current facts suggest that this pain in left lower abdomen-which is stinging type is from Renal Colick as explained below.This is not from either muscular / or neural or from arterial blockage ,as explained below in details in E.
Summary of Your Health Issues and Suggestions on it-
You have following-A/B/C/D/E health issues as submitted in your marathon query and in updates as follows-
A)-i-PAD with 70 % blockage of leg arteries with COPD is your problem.The PAD attacks you when you bend and Pain is better in upright position.
ii-You need to walk as part of treatment for PAD,but this increases the pain.
iii-You was asked by surgeon to go for corrective surgery for the badly located block in the abdominal and Leg arteries.This was mostly detected on abdominal angiography study done in 2011.
iv-Pain in groin more on bending but is relieved with lying and reclining positions.Lying on right side reduces this left sided pain, but increases if while lying on left side.
v-You are lean and underweight for long with 115 lbs since 2013 after heart attack.
My Impression and Reasoning- above PAD and COPD-
Dear the pain on the left side of the abdomen you are concerned more about, seems mostly from –the Renal stone for which your Urologist has asked basket treatment.
I would suggest you to plan for it as soon as possible.
Since you understood and adjusted with PAD and COPD, attending to your left sided abdominal pain is your priority as submitted by YOU.
But since the COPD attack comes on bending- seems to be related with Pulmonary Embolism ? with Aortic Atherosclerosis and need life style corrections with addition of statins to your treatment , besides dietary changes.
B)-i-This pain seems to be aggravated with –Left Sided Renal problems .Kidney stone on left side was treated by cutting/blasting , 5 yrs back.
ii-The kidney stone in left kidney was to be treated by basket. The blasting of that stone was avoided by the Urologist,as it was embedded in the kidney tissue.
My Impressions-
Your current left sided abdominal pains with stinging type- are mostly from Renal stone –which is floating and needs basket treatment as suggested from your urologist.
With this background you need to plan specific treatment for Renal Stone- basketing- as soon as possible
C)-i-Aggravated Pain with whistling noise for a minute -on left side after the sexual arousal and sexual orgasm 5 yrs back.
ii-When You lifted too much and exercised , the pain is very high and so You take rest and avoid sex as well to keep you away from this left pain.
My Impression-and Suggestions-
These pains with sex arousal or sex orgasm are from Severe Aorto-Renal and Aorto-iliac-Atherosclerosis in your case.The ischemia caused by the atherosclerotic obstructions,cant supply enough blood and oxygen,which leads to this ischemic pain during sex arousal and orgasm.
The whistling experienced by you 5 yrs back was- from turbulent flow through narrowed blockage in the Aorto-Renal/ or Aorto-iliac Atherosclerosis- in your case.
D)-As submitted in your medical profile,For all these pains you just take Tylenol 750 mg and 325 mg of aspirin currently.
My Impression and Suggestions
You should add on –Statins along with Aspirin and anti-platelet -Clopidogrel to control the blood clot and complications of Sever Dyslipidemia with very high risk lipid profile in your case
Do's Suggested -
In absence of lipid profiles,
-you should change your life style- with avoidance of alcohol/ smoking / tobacco.
Low fat/ high protein diet with high carbs.
Regular jogging and walking
Strict Dietary controls
Vit D3 with Vit B12 and Folic Acid to revive the over all stressed body functions
Would be needed to come out of the stressed body with hypercholesteremia in your case.
E)- Right now it's the pain on left side I need help with . .I would not be able to get records onLipid etc. that easy.
Is it possible that this is a muscle pull or nerve problems. It stung like a bee. Can blockage create this kind of enflamation?
My Impression and Suggestions-
This pain which is stinging and sever type, is mostly from Renal Colic- caused from the floating kidney stone you have.
Thus this pain is not from either muscular or neural or inflammatory cause or from arterial blockage of Aorto-renal atherosclerosis.
Please treat it with Urologist by basketing as soon as possible.
Anti-spasmodic drugs with NSAID and plenty of fluids orally with Urinary antibiotics and with Urinary alkalization-would relieve it temporarily -in your case.
But surgical correction either by stenting to pass the floating renal stone / and or by basketing the renal stone- is the only remedy for it -in your case.
Hope the above comprehensive reply would resolve the current and all the queries on the health issues submitted and updated by you.
Hope this would guide you to plan further care with your doctors there.
You should consider more sessions at HCM,for such chronic complex case, for further suggestions.
Dear,I hope this reply during this session is helpful to you and would guide you to take right decisions for further treatment in your complex / high risk case.
Do Contact for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, If you have no further query,Do close this query with your praising /excellent feedback comments to rate this reply, to boost the morale of My visiting patients like You, at HCM Virtual forum.
Keep Me updated soon.
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Naveen Kumar
Thank you I will call my doctor on renal issue. Will be in contact. I do take Atorvastatin 80g a day and flomax. Don't smoke. Clean life just made youth mistakes. John
Brief Answer:
Welcome 24x 7 , in time to come.. !!
Detailed Answer:
Brief Ans-Welcome 24x 7 , in time to come.. !!
Left Sided pain is Mostly Renal and needs Urologist help in your case !!
Hi,Dear !! Appreciate your thanking gestures.
Reviewed your updates.
Its good to hear that you are on the right line with Atorvastatin. Continue with Aspirin and atorvastatin.
But life style changes and dietary changes with Exercising is more important with these medications.
Dear,I hope this reply during this session is helpful to you and would guide you to take right decisions for further treatment in your complex / high risk case.
Do Contact for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, If you have no further query,Do close this query with your praising /excellent feedback comments to rate this reply, to boost the morale of My visiting patients like You, at HCM Virtual forum.
Keep Me updated soon.
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Welcome 24x 7 , in time to come.. !!
Detailed Answer:
Brief Ans-Welcome 24x 7 , in time to come.. !!
Left Sided pain is Mostly Renal and needs Urologist help in your case !!
Hi,Dear !! Appreciate your thanking gestures.
Reviewed your updates.
Its good to hear that you are on the right line with Atorvastatin. Continue with Aspirin and atorvastatin.
But life style changes and dietary changes with Exercising is more important with these medications.
Dear,I hope this reply during this session is helpful to you and would guide you to take right decisions for further treatment in your complex / high risk case.
Do Contact for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, If you have no further query,Do close this query with your praising /excellent feedback comments to rate this reply, to boost the morale of My visiting patients like You, at HCM Virtual forum.
Keep Me updated soon.
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Naveen Kumar
Answered by
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