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Abdominal pain and breast pains - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
Doctor :   Hi
Doctor :   I am Dr.
User :   Hi, my name is AAAAAAA are you a male or female doctor?
Doctor :   I am a male
User :   ok, what kind of doctor?
Doctor :   I am a General Physician
User :   ok, thanks for the information
User :   i'm 26 years old female
User :   ok to start?
Doctor :   Yes
Doctor :   Please go ahead
User :   i have felt some pain in my abdomen, left side, from time to time, i have also had more tender and tense feeling in my breasts
Doctor :   Since how long is the problem and which symptom started first among the above?
User :   not so easy to exactly tell you because it is more now and then
User :   sorry for my bad english, hope you will ask if something is unclear
Doctor :   Are you married ?
Doctor :   Are you sexually active?
User :   boyfriend, yes
Doctor :   Do you have fever?
Doctor :   Do you have vaginal discharge?
User :   i think fever from time to time, but i have not taken my temperature
User :   i feel a little embarrassed discussing this, but i think you are used to this kind of questions/problems?
Doctor :   yes
Doctor :   These are relevant questions for us to come to a focused discussion here
User :   i fully understand
User :   and hope this is something between you and me?
Doctor :   Yes very confidential
User :   thank you
User :   i will try to answer your questions the best i can
Doctor :   Do you have a vaginal discharge?
User :   no, nothing unusual
Doctor :   Do you have pain during sexual intercourse?
User :   only if it is deep penetration, but this was also before if you understand what i mean?
Doctor :   Did you speak to you a doctor about this yet personally visting the clinic?
User :   no, i have thought about making an appointment, and that was why i tried this, to discuss and have some more information, and maybe also some discussion have this probably should have been handled
Doctor :   Are you trying to get pregnant?
User :   as i think you have noticed, i am a little nervous seeing a doctor
User :   no, we use condom
User :   do you think the abdominal pain and feeling in the breasts are related? or different things?
Doctor :   Yes I shall answer you but before that, I would like to know whether your periods regular?
User :   yes, may differ 1-2 days, but that is normal?
Doctor :   Ok that is good
Doctor :   is the abd pain related to periods?
User :   i have always felt some pain during ovulation and also some abdominal pain first day/s
Doctor :   Do you feel tired or generalized body pains?
User :   sometimes tired, but nothing remarkable i would say
User :   no general pain, sometimes headache
Doctor :   Do you think your partner has sexual disease?
User :   no, 100% sure
Doctor :   Ok
Doctor :   I could probably think of an infectious disease in the pelvic region and an examination shall be able to say that better. Abdominal pain and breast hurting may be related if it is infectious in origin
User :   ok, if i had an appointment with you for this, you had started asking me to describe and then ask questions like you have done here?
Doctor :   Can you tell me what increase the abdominal pain
Doctor :   Yes absolutely
Doctor :   Your doctor and me will ask the same questions and the questions can change based on the examination findings
User :   how long is a normal appointment for something like this?
Doctor :   Ok that differs from region to region and I am not sure in your region, the total consultation with the doctor for the first time can take between 10 to 20 minutes
User :   if i push on the area it may cause more pain, and less pain normally if i move my legs towards the body
Doctor :   Do you have problems with urine and stools?
Doctor :   Do you see pain during urination or stool?
User :   no, nothing
User :   and the abdominal pain is more to the left
Doctor :   How is your appetite?
User :   normal i would say
Doctor :   Ok this rules out that the problem may not be Gut related or urinary system related, the only thing left is Pelvic region, that could be infectious in origin
Doctor :   Did you follow?
User :   i understand, thank you
User :   feels much better to know how you think
User :   should you have performed any kind of examination during first visit?
Doctor :   Now I do wish to say that this is not worrisome but I wish you to check with the doctor and take early treatment
Doctor :   Yes simple abdominal and gynecologic exam?
Doctor :   Hence it is good to visit a Gynecologist or GP?
User :   will you send the patient to a gynecologist for gynecological exam?
Doctor :   Usually Gynecologist are females, hence the patient would be more comfortable
Doctor :   with them
User :   i understand, and you are right, but i think "the doctor" is more important, patient-doctor relationship and so on, than if it is a male or female
Doctor :   Absolutely I am glad you realized it
User :   are you able to handle gyn?
User :   as a gp i mean
Doctor :   yes we are trained in all specialties to treat simple problems
User :   so in this case first an abominal exam - and if necessary you will propose gyn?
User :   would you probably include something else in the exam? i mean heart, lungs, blood pressure, breasts?
Doctor :   yes
User :   what?
Doctor :   All the other systems are also examined
Doctor :   The GP can do minimal Gyencologic examination
User :   do you think you had proposed that in this case? or sent the patient directly to specialist?
Doctor :   I propose to meet a GP first
User :   may i ask some questions about the exam as i admit i am nervous
Doctor :   Yes
User :   can you say which kind of exams and in which order you should have done the examination? i fully understand that all doctors may think different, but it will help me to understand and be more prepared
User :   is that ok?
Doctor :   First the local examination that is important, that means after history the doctor shall examine that system which the problem is related by history and symptoms
Doctor :   Later the other systmes
User :   ok, so you will start with?
Doctor :   Abdominal and Gyencologic
User :   still there?
Doctor :   yes
User :   do i have to disrobe for the adbominal exam?
Doctor :   No the modesty is protected most of the times
User :   very good that you think about our situation
User :   do you perform gynecological exam in the same room?
Doctor :   No it is a different room
Doctor :   which is more convenient for the patient and doctor
User :   regarding?
Doctor :   A better visualization and convenience
Doctor :   with light source
User :   i see, do you perform the other exams in this room or your usual room?
Doctor :   usual room
User :   is there a need to disrobe for these exams?
Doctor :   Except for Gynecological examination, there is no need
User :   will you feel the uterus and ovaries?
Doctor :   Not the ovaries but the Uterus can be felt
User :   do you start by palpating the lower adbomen again in the other room? i mean after disrobing?
Doctor :   yes
User :   take off trousers and keep panties for the abdominal part?
Doctor :   No
Doctor :   need
User :   ok, but i mean in the "gyn"-room
Doctor :   Yes
User :   thank you very much, i feel much more calm
User :   i must say it is not easy to know when you can see your gp and not
Doctor :   I understand
Doctor :   Thank you for consulting me
Doctor :   Bye for now.
User :   from the start i thought it would be very embarrrasing to discuss this with a man, but you did it very well
Doctor :   Pleasure here
User :   is this kind of symtoms common for you as gp?
Doctor :   Yes
User :   i understand, as you said some things are embarrassing, but for sure not for you
User :   one last question?
Doctor :   yes
User :   do you think it is a need to check also the breasts? or most probably related to hormones?
Doctor :   Breast examination is also done by the same GP
User :   in the same appointment?
Doctor :   yes
User :   in the normal or other room?
Doctor :   Wherever possible which does not hurt your modesty
User :   thank you very much for excellent help
User :   have a nice day
Doctor :   You too
User :   once again thank you
Doctor :   Thanks
Doctor :   Bye
User :   bye
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