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Abdominal pain, back ache, extended use of birth control pills - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2249 Questions
User :   Hello,I am very thankful that you are online to answer my question. I am a 21 year old white female 5'9 and about 200 pounds but very athletic build. I have been experiencing some pain on the right side of my abdomen very high up. From the lower tip if my sternum it is an inch down and an inch to the right. For the past two weeks this pain has been on and off gradually becoming worse with each episode. Some days it will happen only twice and others it seems like it is all day long. I dont think it is a gas pain, constipation, or indigestion. When the pain comes on it is sudden and it burns and almost tingles. It is not sensitive to the touch nor swollen from what I can tell. It almost feels better when I rub it because it hurts so bad. I have tried antacids, advil, heating pads, cold packs, laying down, stretching, curling up and I cant seem to make it go away. With the pain becoming more frequent and more severe each time I am starting to be concerned. Do you have any idea what could be causing me this discomfort?
Doctor :   Hi
User :   Hello
Doctor :   may i know if you are married ?
User :   Im not
User :   Live with my boyfriend of 5 years
Doctor :   ok
Doctor :   may i know if you smoke or consume alcohol ?
User :   I am trying to quit smoking and at about 5 cigarettes per day. Very very rarely consume alcohol.
Doctor :   ok
Doctor :   apart from the pain in the area you explained may i know if you feel it else where as in your abck , hands , jaw , etc?
Doctor :   back*
User :   that is the only place that I feel the pain. occasionally it may go toward my right side even more around to my back.
Doctor :   ok
Doctor :   may i know how is your diet ? does it include junk , fatty food , and oily food as well ?
User :   I dont eat great but I dont eat bad either. I eat out alot but also eat alot of grilled and greens.
User :   Im in college, its not the best!!
Doctor :   ok
Doctor :   have you run ny blood tests or urine tests any time recently ?
User :   No just a pregnancy test to rule that out and it was negative
Doctor :   ok
Doctor :   may i know if you take any birth control pills
User :   I have been on birth control pills since I was age 13. I was put on them because on my first period i never stopped bleeding, I was hospitalized and given lots of blood transfusions. I was talking with my MD and she took me off my birth control because I was wanting to get either implanon or mirena...i ahve an appnt with an OBGYn on the 20th of this month,
Doctor :   are you with me ?
User :   I havent been on the pills for about a month and a half now, no period but thats not suprising The last year that I was on BC pills I was not having periods anyways my doctor said thats probably normal for me since I had been on birth control for so long.
Doctor :   ok
Doctor :   any history of diabetes or high blood pressure in your family ?
User :   none,
Doctor :   ok
Doctor :   thanks for your patience
User :   Cancer and CHF thats the only history
Doctor :   I will summarize it to you
User :   No problem I am thankful that you are making sure you understand.
Doctor :   ok , lastly may i know if you had any injury to the chest , any complaints of cough for a long time any time in the past ?
User :   None, no injuries or cough in a really long time
Doctor :   ok
Doctor :   i will explain it to you
User :   ok
Doctor :   the possibilities of a right sided abdominal pain are many
Doctor :   1. cholecystitis : this is common in females
Doctor :   it has to do with your gall bladder this indicates an inflammation of the gall bladder
Doctor :   often seen in females , who are over weight , an association with fatty meals and presents with on and off episodes of pain
User :   so this could possibly be something to be concerned about?
Doctor :   2. DUODENAL ULCER : most often this is a cause in young individuals even though they would not consider it as a possbility
Doctor :   i will complete the possibilities and brief you about how to go about next
User :   ok
Doctor :   3. Gall bladder stones and kidney stones may also be a cause for this pain
Doctor :   4. right ovarian pain: sometimes if there is some ovarian pathology , it could manifest in this way
Doctor :   5. APPENDICITIS : appendix though causing left sided pain , may also causes pain in the right side
Doctor :   these are only possibilities , if everything is normal , it could be a muscle pull pr a rib inflammation also
Doctor :   firstly , see a general physician for a stethoscope examination and an abdominal examination , we need to look for other pathologies of liver as well
Doctor :   you will need to do an ultrasound scan of the abdomen to verify the findings of a gall bladder stone or inflammation
Doctor :   sometimes a fatty liver also ma cause these problems , all this will be evident ina scan
Doctor :   are you there ?
User :   yes i was just reading
User :   im sorry.
Doctor :   ok
Doctor :   i will continue and then you may ask your doubts
User :   ok
Doctor :   after a scan the doctor will be able to rule out the possibilites i mentioned
Doctor :   there is nothing to worry much or it is not a panicky situation
Doctor :   the doctor will also suggest a few basic tests to aid in doagnosis
Doctor :   1. complete blood count with hemoglobin
Doctor :   2. blood sugar
Doctor :   3. urine routine and microscopy
Doctor :   4. ESR
Doctor :   5. ECG
Doctor :   6. lipid profile and liver function tests if needed
Doctor :   these are basic work ups and do not worry
Doctor :   if it is a gall bladder issue , some diet and medicines may be suggested , if there are larger stones , you may need a simple surgery
Doctor :   if it is an ulcer , you will need a course of antibiotics
Doctor :   meanwhile i suggest to modify your diet and try to lose weight as well
Doctor :   please avoid smoking and this will surely help
User :   I will print this conversation and take it with me when I go just as information. I am just so worried because I never lhave any pain or "problems" medically. I dont like to hurt..
User :   you an I both want me to lose weight, its been a life long battle.
Doctor :   there is nothing to worry
Doctor :   you can surely get this treated
User :   Ok I hope so.
Doctor :   if the reports are normal , there will be nothing to worry , simple analgesics with some hot compression will help
Doctor :   for everything there is a treatement
Doctor :   the work up will help you to know if there is a cause
Doctor :   daily exercise and good diet will help you lose weight
Doctor :   and this will prevent any further problems too
Doctor :   i also suggest cut don on smoking as it aggravates chances of a peptic ulcer
User :   alright. I did have a CBC done with my yearly check up about two moths ago. the onlly thing off was my blood count I guess its always really low I have beta semia minor
Doctor :   ok
Doctor :   do you have any complaints of fever ,vomiting , or burning urination ?
User :   No one of the above
User :   none*
Doctor :   ok , do not worry
Doctor :   just do these modifications in your life style
Doctor :   and go for an examination
User :   Alright. thank you
Doctor :   did i answer all your questions ?
User :   I thinkso
Doctor :   are there any questions for me to help you with ?
User :   I think you answered them all. I will just go in and see what she has to say. I will take this convo with me as a reference.
User :   where are you located?
Doctor :   We are in INDIA
User :   Oh alright
Doctor :   Thanks for consulting me
User :   thank you
Doctor :   It was a pleasure assisting you
Doctor :   you could chat with us again 24/7 for any further suggestions
User :   ok
Doctor :   Take care and wish you good health
User :   you to
Doctor :   Bye for now
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