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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Difficulty During Urination In An Elderly Person

My mother- in - law is 83 and is having a lot of difficulty urinating. She is now in a nursing home due to a bad fall in which she broke her leg and her shoulder. I am not sure what led her receiving an Ultra Sound but there was a small mass detected via Ultra Sound. What tests should I ask for as follow up to get a better understanding of the mass?
Tue, 13 Dec 2016
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General & Family Physician 's  Response
Hi. Sorry to hear about the complaints of your mother in law. So far as your question is concerned, keeping in view her age , any mass anywhere in the body should taken seriously and investigated thoroughly to rule out any serious illnes or to manage at an earlier stage of illness. You have not given the description of the mass and location of the mass, so its almost impossible with the info provided to reach to a conclusive diagnosis.
After history and physical examination, tests that may help in making a diagnosis may include xrays, ultrasonography, ct scan , MRI , transvaginal ultrasonography, contrast studies and laproscopic procedures and tissue biopsy. The choice of test depends upon the organ/system involved.
For example for urinary system investigations needed may include urine examination, blood examination, ultrasonography, xray KUB, CT Scan, MRI, Cystocopy, micturating cystourethrogram and tissue biopsy.
For genital tract, tests may include ultrasonography, CT scan, MRI, hysterosalpingography, transvaginal sonography, harmonal studies, laproscopy and tissue biopsy.
Similarly for GIT , investigations may include XRAYs, Ultrasonography, Ct scan , MRI, stool examination, laproscopy and tissue biopsy etc.
Hope these line may help you make a better understanding of the requirements of your mother-in-law.
Wishing you and your loved ones the best of health.
Regards.
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Suggest Treatment For Difficulty During Urination In An Elderly Person

Hi. Sorry to hear about the complaints of your mother in law. So far as your question is concerned, keeping in view her age , any mass anywhere in the body should taken seriously and investigated thoroughly to rule out any serious illnes or to manage at an earlier stage of illness. You have not given the description of the mass and location of the mass, so its almost impossible with the info provided to reach to a conclusive diagnosis. After history and physical examination, tests that may help in making a diagnosis may include xrays, ultrasonography, ct scan , MRI , transvaginal ultrasonography, contrast studies and laproscopic procedures and tissue biopsy. The choice of test depends upon the organ/system involved. For example for urinary system investigations needed may include urine examination, blood examination, ultrasonography, xray KUB, CT Scan, MRI, Cystocopy, micturating cystourethrogram and tissue biopsy. For genital tract, tests may include ultrasonography, CT scan, MRI, hysterosalpingography, transvaginal sonography, harmonal studies, laproscopy and tissue biopsy. Similarly for GIT , investigations may include XRAYs, Ultrasonography, Ct scan , MRI, stool examination, laproscopy and tissue biopsy etc. Hope these line may help you make a better understanding of the requirements of your mother-in-law. Wishing you and your loved ones the best of health. Regards.