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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Throbbing Sensation In Lower Abdomen

45 year old male, h/o ulcerative colitis which is under good control. Med: lisinopril/HCTZ and Crestor and Asacol prn. Symptoms of constant low abd. throbbing/pulsating sensation. Has had ultrasound, abd. xray,MRI, barium swallow, scopes: no AAA. Tried no ETOH for 30 days w/o change in symptoms.Tried one dose of hyoscyamine w/o relief. Feels throbbing sensation is slowly getting worse, difficult to sleep sometimes.
Tue, 21 Jun 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history of being 45 years male with controlled ulcerative colitis, on
lisinopril/HCTZ and Crestor and Asacol prn. Have symptoms of constant low abominal throbbing / pulsatile sensation, all reports normal. Difficult to sleep sometimes.
If there is a sensation, there is a possibility of something.
This may be classically found only on a proper clinical evaluation and examination during the throbbing sensation. Examination and tests when not in symptoms may not be found.
Hence I would advise you to have ultrasonography with color doppler examination when you have sensation and then only it may be possible o get the proper diagnosis.
The possible causes can be:
Inflammation of the organ in the abdomen.
There can be a aneurysm which gets activated only on increased blood pressure and hence you need repeated examination.
Contrast enhanced CT scan of the abdomen on a multi-slice machine may get you the diagnosis.
Diagnostic laparoscopy can help sometimes for diagnosis and treatment.
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Suggest Treatment For Throbbing Sensation In Lower Abdomen

Hi. Thanks for your query. Noted your history of being 45 years male with controlled ulcerative colitis, on lisinopril/HCTZ and Crestor and Asacol prn. Have symptoms of constant low abominal throbbing / pulsatile sensation, all reports normal. Difficult to sleep sometimes. If there is a sensation, there is a possibility of something. This may be classically found only on a proper clinical evaluation and examination during the throbbing sensation. Examination and tests when not in symptoms may not be found. Hence I would advise you to have ultrasonography with color doppler examination when you have sensation and then only it may be possible o get the proper diagnosis. The possible causes can be: Inflammation of the organ in the abdomen. There can be a aneurysm which gets activated only on increased blood pressure and hence you need repeated examination. Contrast enhanced CT scan of the abdomen on a multi-slice machine may get you the diagnosis. Diagnostic laparoscopy can help sometimes for diagnosis and treatment.