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What Causes Pain Under The Right Rib Cage, Night Sweats And Poor Appetite?
Question: 55 year old male.......pain, sometimes unbearable to stand or sit- right side below ribs in kidney area.......no problem peeing, fever from 101.5-103 for last ten days ,treating with Bayer aspirin....Fever goes down but right back up after about 4 hours...Night sweats .......No appetite..........
Brief Answer:
Urgent Investigations, opinion and management
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/55 - pain - right side below ribs in kidney area - unbearable to stand or sit - 10 days - fever - taking Aspirin - fever goes down but comes after 4 hours - night sweats - no appetite - no burning urination - taking Cephalexin ...
All these symptoms going on for 10 days can turn out to be serious if not diagnosed and treated well.
These are suggested of a closed cavity infection either in liver, right kidney or gall bladder.
I would advise you the following:
Clinical evaluation and physical examination by a Doctor, preferably a General Surgeon.
Tests of blood: CBC, liver and kidney functions, blood culture and sensitivity.
Urine: Routine, microscopy, culture and sensitivity.
Ultrasonography of the whole abdomen.
These would be sufficient to get a primary diagnosis and helps to decide what further tests and treatment be given.
If Cephalexin has been take for more than 48 to 72 hours, you may have to be shifted to another antibiotic.
Further management as per clinical evaluation and tests reports.
Please get these things done an an urgent basis to get a the correct diagnosis and have a proper plan of management.
Urgent Investigations, opinion and management
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/55 - pain - right side below ribs in kidney area - unbearable to stand or sit - 10 days - fever - taking Aspirin - fever goes down but comes after 4 hours - night sweats - no appetite - no burning urination - taking Cephalexin ...
All these symptoms going on for 10 days can turn out to be serious if not diagnosed and treated well.
These are suggested of a closed cavity infection either in liver, right kidney or gall bladder.
I would advise you the following:
Clinical evaluation and physical examination by a Doctor, preferably a General Surgeon.
Tests of blood: CBC, liver and kidney functions, blood culture and sensitivity.
Urine: Routine, microscopy, culture and sensitivity.
Ultrasonography of the whole abdomen.
These would be sufficient to get a primary diagnosis and helps to decide what further tests and treatment be given.
If Cephalexin has been take for more than 48 to 72 hours, you may have to be shifted to another antibiotic.
Further management as per clinical evaluation and tests reports.
Please get these things done an an urgent basis to get a the correct diagnosis and have a proper plan of management.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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