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What Causes Right-sided Pain In The Lower Back?

Posted on Mon, 18 Sep 2017

Question: My wife of 70 years old has suddenly developed a pain on the right side of her back near the waist. It comes on in bed and when getting up. It more or less disappers during the day with normal movement. She has done a urine analysis and the results were OK. She took an X-ray and the results were OK too. Otherwise she has been and is in good health. Your opinion will be very much appreciated. XXXX

Answered by Dr. Lekshmi Rita Venugopal (2 hours later)

Brief Answer:
Advice to undergo CT-scan of abdomen

Detailed Answer:
Hello,
Thank you for trusting HealthcareMagic for your health concern

The possible causes for the pain your wife is describing could be due to kidney problems, aortic aneurysm, muscular pain or spinal problems.

A detailed physical examination is required.
I understand that your wife had already undergone Xray and urine analysis. However, not all Kidney/ureteric stones can be picked up by a Xray.

Kidney/ureteric stones not picked by a Xray can be seen in a CT scan.
Moreover, CT scan can look for other causes of loin lain like kidney tumor, aortic aneurysm etc.

Please be advised to follow up with your primary care provider to undergo a physical examination and the CT scan done.

Hope this answers your questions
Please address further questions here

Regards
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Lekshmi Rita Venugopal (1 hour later)

Thank you very much. My wife will see our primary doctor tomorrow morning and will show him your response. This is an excellent supportive service of which we never knew.

Answered by Dr. Lekshmi Rita Venugopal (3 hours later)

Brief Answer:
You're welcome

Detailed Answer:
And thank you for trusting us
Please address any more questions or concerns here
Wishing you good health
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Lekshmi Rita Venugopal (13 days later)

Pictures sent

Answered by Dr. Lekshmi Rita Venugopal (2 hours later)

Brief Answer:
Hello again

Detailed Answer:
Thank you for following up.
I have gone through the attached reports.
The Ultrasound report indicates the presence of a mass in the liver.
It is indicated in the ultrasound report that CT abdomen has also be done.
It would be helpful if you could attach the CT scan report here, so that I can better know the characteristics of the mass and give you a detailed response.
Kindly follow up with the CT abdomen report.
Regards
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Lekshmi Rita Venugopal (12 hours later)

I beg your pardon Dr. I missed enclosing the third report, the real CT scan of the abdomen. I have the electronic scan now but don't seem to be able to add it here. I will attach it to an email soon. Thanks again. XXXX

Answered by Dr. Lekshmi Rita Venugopal (1 hour later)

Brief Answer:
I'll await the reports then

Detailed Answer:
Hello,

I have not received the CT scan report via email yet. Can you please resend the email to the customer service or upload the documents in the reports section of this web page.

Regards
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Lekshmi Rita Venugopal (22 hours later)

Answered by Dr. Lekshmi Rita Venugopal (2 minutes later)

Brief Answer:
I have seen the CT report.

Detailed Answer:
The Contrast enhanced CT scan shows features likely to be a hemangioma of the liver. Hemangioma are benign growths. However, some areas show central pattern enhancement.So a follow up MRI scan is recommended to rule out other causes like focal nodular hyperplasia or carcinoma.
The CT scan also shows mild diverticulitis. Treatment with antibiotics like Ciprofloxacin+Metronidazole is recommended for diverticulitis. Also, avoid constipation by eating fiber rich food like oatmeal, XXXXXXX fruits, vegetables, and drinking plenty of fluids will help prevent future diverticulitis episodes.

Hope I was able to help you
Let me know if you need further clarifications
Regards
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Lekshmi Rita Venugopal (4 hours later)

Thank you very much doctor. You have indeed been veryh elpful. My wife will undergo an MRI asap. And she will submit your analysisto her primary care doctor. Kind regards.

XXXX

Answered by Dr. Lekshmi Rita Venugopal (3 minutes later)

Brief Answer:
You are welcome

Detailed Answer:
You are welcome
Always happy to help

Please be advised to follow up with the primary provider with the MRI results
Let me know if you need further clarifications or follow up with the MRI report

Regards
Dr.Lekshmi

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Arnab Banerjee