What Causes Persistent Pain In Lower Abdomen After Doing Rigorous Physical Activity?
As discussed in details below.
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Noted all the points you have mentioned.
My thoughts:
It is very difficult to understand the appearance of bilateral hydronephrosis on CT on first scan and cleared on follow-up CT.
Pain on internal ultrasound on the right side.
Pain is worse on moving around or sitting.
Can not sleep on that side.
Laying down in recliner helps to alleviate pain.
UTI tests negative but had urinary symptoms.
Pain in abdomen for 6 weeks after heavy work
Gyno cleared .
Urologist - cystoscopy normal- ordered Ultrasound today- please give feedback.
Since so much work up has been done and the exact cause still not found in a Female patient of 51, I can think of the following reasons.
- PID, pelvic inflammatory disease but in a mild form that could not be picked up by the tests done (limitations of CT and Ultrasound)
- Hernia: inguinal or femoral should be searched for as it may be small but symptomatic.
- Typhlitis, inflammation of cecum, usually picked up by CT scan.
- Appendicitis in catarrhal or such form that appears normal and fits in the normalcy of investigations.
- Adhesion can not be picked by CT or ultrasound.
- Rare chance of endometriosis or such things.
Please discuss all these possible diagnosis with your concerned Doctor and you may come up with a possible diagnosis.
In some cases a diagnostic Laparoscopy can be helpful for getting a correct diagnosis and many a times therapeutic too.
I hope this answer helps you to get an early and proper diagnosis and proper treatment. Please feel free to ask for further relevant queries if you feel that there is a gap of communication.