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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain. Ultrasound Shows Fatty Liver Infiltration. Done Urine Test. Diagnosis?

I am 31 yr old male.I have been experiencing acute pain in the left side of abdomen below the rib cage.it pains when I touch the area.it used to be occasional but since two days the pain is not going away.it increases if I lie down. I have done an ultrasound ,everything else was normal except it showed fatty liver infiltration.then I did a complete urine test,it has the following result reaction acidic, pus cells-2-4/hpf, erythrocytes-occasional,epithelial cells-6-8/hpf,no crystals and casts. Doc gave me antibiotics ,have been taking them flow about ten days now,but has not experienced any relief.please help diagnose my pain. Thanks raza.
Wed, 23 Jan 2013
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General Surgeon,  's  Response
Hi.
As per your letter,Pain is in the left side of your abdomen.But,Ultrasound revealed fatty liver.Liver will be on the right side below rib cage.So,pain due to fatty liver is excluded.
One possibility is Left Renal/Ureteric stone which might have been missed in Ultrasound.
Please consult your doctor and ask for an IVP(Intra Venous Pyelogram) which detects any obstruction in the Urinary tract.
If it is normal too,then it may be musculo skeletal pain.If it is not relieved by Muscle relaxants,you have to get further investigated with CT scan abdomen.
Wish you good health
Regards
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Abdominal Pain. Ultrasound Shows Fatty Liver Infiltration. Done Urine Test. Diagnosis?

Hi. As per your letter,Pain is in the left side of your abdomen.But,Ultrasound revealed fatty liver.Liver will be on the right side below rib cage.So,pain due to fatty liver is excluded. One possibility is Left Renal/Ureteric stone which might have been missed in Ultrasound. Please consult your doctor and ask for an IVP(Intra Venous Pyelogram) which detects any obstruction in the Urinary tract. If it is normal too,then it may be musculo skeletal pain.If it is not relieved by Muscle relaxants,you have to get further investigated with CT scan abdomen. Wish you good health Regards