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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Severe Right Abdominal Pain?

Hi ,My husbad have sever right abdominal pain from past 3 months, ct,endo, colo, entero eveything is normal. but in stool test fectal calprotectin is 600 which suggest an inflammation. but doctor cant find anything in colonoscopy enteroscopy too. but in coloscopy biopsy we had reactive lympth hyperlasmia result is found. which suggest again sum infection is there. can u tell me what will the probablities for this. doctor said no for chrons or ulcerative since in visual ther is no ulcer.
Thu, 17 Jul 2014
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General Surgeon,  's  Response
3 months of symptoms of pain in abdomen, normal investigations noted.
Reactive lymph hyperplasia can be due to Tuberculosis , typhoid and other specific or non-specific infections.
I would also recommend test of barium called Enteroclysis under a fluoroscopy control to see the real time movement of the bowel, any obstruction or motility disorder. This may give an additional clue.
If the routine medical treatment is failed to give a relief, you can request for an ''empirical course of '' an anti-tubercular treatment after blood tests of Quantiferon gold test for tuberculosis and see the results.
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What Could Cause Severe Right Abdominal Pain?

3 months of symptoms of pain in abdomen, normal investigations noted. Reactive lymph hyperplasia can be due to Tuberculosis , typhoid and other specific or non-specific infections. I would also recommend test of barium called Enteroclysis under a fluoroscopy control to see the real time movement of the bowel, any obstruction or motility disorder. This may give an additional clue. If the routine medical treatment is failed to give a relief, you can request for an empirical course of an anti-tubercular treatment after blood tests of Quantiferon gold test for tuberculosis and see the results.