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Abdominal pain mostly on left side - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
Doctor :   Hi
Doctor :  
how can i help you?
User :   Hi Doctor, I have had abdominal pain for a while
Doctor :  
User :   may i ask if you are a male or female doctor?

User :   ok
User :   i'm female, 23 years old
Doctor :   ok
User :   the pain is more to the left side
Doctor :  
User :   i'm feeling it now and then
Doctor :  
is it more so on the back and in the groin area?
Doctor :  
I mean the pain is more so on the back and in the groin area?
User :   i'm feeling a little in the back, but most "abdominal"
Doctor :   ok
Doctor :   are bowel moments normal?
User :   yes
Doctor :   is there any burning sensation or urge to pass urine?
User :   no, no problem at all i will say
Doctor :   from how many days you have this problem?

User :   a little difficult to say exactly due to this now and then, but some days
Doctor :  
Doctor :   from the history and age it seems the pain is due to left kidney stone
User :   it is quite low in the abdominal area
Doctor :   yeah
Doctor :  
it will be
Doctor :   not to worry
Doctor :   to consume lot of water
User :   ok, sounds good, you think we can exclude the ovary?
Doctor :  
ovary will give symptoms of menstrual distrubances
Doctor :  
do you have any of them?
User :   no, not yet, just asked because the pain is in this area
Doctor :   ok
Doctor :   apart from pain what other symptoms do you have?
User :   nothing else
Doctor :   ok
User :   are you a gp?
Doctor :   yes i am
User :   i must admit that i am a litte nervous seeing a doctor, what would you have done in this case?
Doctor :  
need not be nervous
Doctor :   from the symptoms you described it seems more likely a left ureteric colic
Doctor :   so as suggested earlier to consume lot of water so that the stone is flushed out
Doctor :  
tab diclonac 50 mg to consume if you have pain
User :   thank you very much
Doctor :   please fill the feed back form
Doctor :  
is there anything else i can help you with
User :   what would you have done in case of an appointment? to make me less nervous
Doctor :   as the nervousness is common with patients, its the way we talk that makes them comfort
User :   ok, so most probably only talk in this case?
Doctor :   what is the cause for nervousness here?
Doctor :  
why do you feel nervous to come to doctor?
User :   i must admit that i am a little nervous what kind of exams are needed, will it be painful and so on
User :   or embarrassing
Doctor :   as you dont know what is going to happen your nervous, if i explain you what is done how is done will you not be comfortable?

User :   if it is possible and you have time i would absolutely appreciate it, to know what to expect
User :   thanks for your understanding
Doctor :   in your case as mentioned above first a clinical provisional diagnosis is made by the history and physical examination

Doctor :  
physical examination includes measuring BP, pulse and checking heart rate with stethoscope
Doctor :  
and with the provisional diagnosis as mentioned treatment is started
Doctor :  
and sent home with the instruction to come back if the symptom worsens after 5 days
User :   do you feel the abdomen?
Doctor :   yes we do feel the abdomen
User :   lying flat?
Doctor :  
User :   can you feel the kidneys?
User :   can you feel the ovaries?
Doctor :  
kidney yes if they are enlarged
Doctor :   for ovary we have to do Per vaginal examination
Doctor :  
and it is done only if indicated by the clinical history
User :   is this something you perform also as a gp? or then you send the patient to a gynspecialist?
Doctor :   if the gynecologist is available i shall send it to him only

User :   but as a gp you may perform a first status?
User :   sorry for the questions, but as you for sure notice, i am nervous and to know what to expect and how this is done makes me feel more comfortable
Doctor :   as said if gynecologist is available i shall send to him only even in first instance, if he is not available than i shall do

User :   i understand, this can be done lying flat as when you feel the abdomen?
Doctor :   you are talking of vaginal examination?
User :   ovaries
Doctor :   yes
Doctor :  
is there any thing else i can help you with?
User :   i am very grateful for all your help, support and explanation, thank you very much for your understanding
User :   2 last quick questions?
Doctor :   ok

User :   for the physical exam you described, what is needed to disrobe for that?
Doctor :   means??
User :   sorry for my bad english, i mean do i need to undress for that kind of exam?
Doctor :  
yeah only the part being examined needs to be undressed
User :   keep bra and panties?
Doctor :   only the part from stomach to waist is undressed

User :   ok, thank you
User :   thank you very much for all answers, tips and explanation
Doctor :   please fill the feed back form
User :   i will try your tips, and if it is not getting better i will make an appointmen
Doctor :  
hope you will get well soon
Doctor :  
this is very much confidential
User :   once again thank you, have a nice evening
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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