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Abdominal distention for a prostrate cancer patient - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Cancer
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I have a rock hard distended abdomen with Pain beneath my right rib cage. I have been going to hospital now for 3 years and all liver and gall bladder problems have been eliminated. Do you think it could be Lipomatosis of the pancreas
Doctor :   Let me read your query
User :   Hello
Doctor :   May I know your age, gender, height and weight?
User :   66 5' 7'' 14.5 stone
User :   male
Doctor :   Ok
User :   4 years ago I was diagnosed with Lipomatosis of the pancreas in Spain as a result of an ultrasound scan. The doctors in the UK refuse to acknowledge this.
Doctor :   Ok
Doctor :   Now, that condition is a benign one
Doctor :   and does not produce any symptoms
Doctor :   now let me explain the causes of distension
User :   Would it not cause the hard distended abdomen and pain
Doctor :   one is flatulence, fluid, obesity, a swelling in the abdomen
Doctor :   swelling in the sense extragrowth I meant
Doctor :   like tumors
Doctor :   Do you have any other symptoms?
Doctor :   other than distension
User :   The pain beneath my right ribcage
Doctor :   Ok
Doctor :   Did the doctors agree with the distension?
Doctor :   after examining it
User :   They just choose to ignore it
Doctor :   Ok
Doctor :   How about a repeat of abdominal ultrasound or CT, was it done recently?
User :   It has been done twice in the past 2 years, also a CT scan
Doctor :   Ok
Doctor :   was any tumor or growth detected?
User :   No
Doctor :   ok
Doctor :   Is the distension limited only to the right side?
User :   No the complete abdomen
Doctor :   Ok
User :   When I lie down the abdomen is reasonably soft
Doctor :   Ok
User :   When I raise my orthapedic bed with my lower body raised I have trouble breathing
Doctor :   Ok
User :   When I stand up it is absolutely rock hard
Doctor :   Ok
Doctor :   how about the abdominal muscles going to hard contractions(spasm like)
Doctor :   when you get up
User :   No but when I flex my abdominal muscles you can feel them being flexed
Doctor :   Ok
Doctor :   How about anxiety and stress levels in your case?
User :   The abdomen do not get harder but you can feel the movement
Doctor :   How is your sleep pattern and appetite?
User :   Apetite is not good and I suffer from constipation
Doctor :   Ok
Doctor :   Do you have other conditions like Diabetes, Increased BP?
User :   Sleep pattern is not great
Doctor :   ok
User :   blood pressure is always good but since this I have been diagnosed with Type 2 diabetes
Doctor :   Ok
Doctor :   What are the medications you are on right now?
User :   metformin,lanzoprasol, Tamsulosin, Simvastatin
Doctor :   Ok
User :   I forgot to tell you I also have prostate cancer
Doctor :   Ok
Doctor :   Are you on regular follow ups for the same?
User :   Yes I am having radiotherapy
User :   The distended abdomen started 4 years ago
Doctor :   Ok
Doctor :   When was simvastatin started?
User :   The prostate cancer has only been detected because of my persistency with knowing that I am ill
Doctor :   Ok
User :   The simvastatin was started when i was diagnosed with Diabetes
Doctor :   Ok
Doctor :   When was it?
User :   30 months ago
Doctor :   Ok
Doctor :   Simvastatin does cause such side effects
Doctor :   like bloating
Doctor :   and constipation
User :   But the distended abdomen and pain was over 4 years ago
Doctor :   Ok
Doctor :   How about constipation?
User :   The only thing that releives the pain is apple juice or Magnesium Hydroxide
Doctor :   Ok
Doctor :   Since when are you having constipation?
User :   The constipation started at the same time4
User :   4 years or so
Doctor :   Ok
Doctor :   constipation by itself is a predisposing factor
Doctor :   for distension symptoms
Doctor :   Have you observed the relation?
User :   I personally believe that I may have a blockage
Doctor :   could you explain what you mean by blockage?
User :   The distension is always there
Doctor :   like where
Doctor :   the blockage you meant
User :   Really you would have to see and feel to believe it
Doctor :   Ok
Doctor :   but there is no organic problem
Doctor :   it is a functional issue
Doctor :   as if it were due to an organic disease
User :   Opening my bowels do not alter the distension
Doctor :   it would have been picked up in the tests
User :   My prostate was not picked up in tests
Doctor :   so it is a functional issue
Doctor :   prostate is a different case scenario
Doctor :   which requires specific tests
Doctor :   but not the distension

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