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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Explain Abdominal Pain And Pressure Sensation Radiating To Back?

Hey doc,

21 y/o male with lower right abdominal pain/pressure approximately 4-5 months. It is not aggravated by diet. The only other symptom is it is worse sitting. There are no abnormal bowel movements. No nausea or anything. Sometimes in radiates to the back. Pain has been consistent for 4 months no improvement or worsening. Any ideas would be GREATLY appreciated?

Thank you
Mon, 15 Dec 2014
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General Surgeon,  's  Response
Hi.
Thanks for your history and query.
The possible cause of such a pain in the right lower abdomen, which worsens on sitting down and refers to back and is present for 5 months can be due to::
Iliopsoas abscess
Tuberculosis of the abdomen.

I would advise you the following:
First of all we have to investigate you thoroughly.

Investigations:
*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.
*Urine -routine and microscopy
*Stool: routine, microscopy, occult blood, culture and sensitivity.
*Ultrasonography of abdomen,
*Colonoscopy
All these investigations should be within normal limits for one to say you have IBS.

Once a proper diagnosis is made it is easy to chart out the treatment .
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What Could Explain Abdominal Pain And Pressure Sensation Radiating To Back?

Hi. Thanks for your history and query. The possible cause of such a pain in the right lower abdomen, which worsens on sitting down and refers to back and is present for 5 months can be due to:: Iliopsoas abscess Tuberculosis of the abdomen. I would advise you the following: First of all we have to investigate you thoroughly. Investigations: *Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. *Urine -routine and microscopy *Stool: routine, microscopy, occult blood, culture and sensitivity. *Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Once a proper diagnosis is made it is easy to chart out the treatment .