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Abdominal pains on lower side, burning sensation while urinating. Unable to get proper diagnosis. Any help ? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
Doctor:Good Evening
User:have a query. hope you will be able to help me diagnose the problem.
Doctor:Surely I will try to help you.
User:please wait.
User:i am trying to get some prescriptions in place
User:thank you
User:i was having abdominal pain on the lower side (in front and back)
User:i assumed that it has something to do with Urine infection and sought doctor's advice.
User:he diagnosed it something related to female problem and prescribed me some medicines
Doctor:Was a urine test done?
User:Tab Gemeal500 Tab Etoshine
User:i dont know what it is for?
Doctor:Was a urine test done?
User:however, i took it and pain subsided
User:but since today morning i have a burning sensation on the right side of the abdomen.
User:yes Urine test was normal
User:i am not able to comprehend what it could be related to.
User:do i need to carry out some more tests
User:or is it just my assumption
Doctor:Let me try to explain it in simpler terms.
User:but the burning sensation is really annoying
Doctor:You are now having pain in the right lower abdomen or upper abdomen?
Doctor:Are you with me?
Doctor:Are you with me?
Doctor:Are you there with me? there
User:basically the pain is somewhere in the center
User:on the right side
User:and if i drink water it increases the burning sensation
User:its not the pain but the burning sensation
Doctor:Let me explain. Abdomen as such is known as a Magic box. That is because of various organs put together in a single cavity.
Doctor:So basically, if there is abdominal pain, to get a proper diagnosis, it is important to go for a detailed investigation.
Doctor:Since your urine test came out normal, urine infection is ruled out.
Doctor:The other possibility of lower abdominal burning and pain is pelvic inflammatory disease or PID in short.
Doctor:I assume that your doctor would have diagnosed so.
Doctor:But, if the pain is persisting, you need to go for further investigations.
User:he didn't use any such word but said it happens in females. now i don't know what happens in females
Doctor:Since, you are complaining of a right central abdominal pain, you should get an ultrasonography of abdomen done.
User:what are the possible outcomes of USG
Doctor:If the pain is persisting, it may show if any stones are there in the urinary tract.
Doctor:Or if there are any swellings or abnormalities with the ovaries.
User:is burning sensation also a possibility of a stone
User:but drinking water cannot create burning sensation to ovaries? or it does??
Doctor:Yes, burning pain can be a possibility of stone in lower ureters.
Doctor:No. Drinking water does not cause any increase in burning pain in ovaries.
User:but then tell me one thing Dr. XXXXXXX
Doctor:Yes, please proceed.
User:my urine test was normal; should it not give any indication that something is wrong in the ureter
Doctor:It may or may not show crystals or casts.
User:okay. my urine output is also not good
Doctor:May I know an approximate amount of the urine passed per day?
User:on an average if i drink 5-6 glasses of water, my urine ouput is quite 2-4 times in an hour
User:now it is hardly 1 or XXXXXXX 2 times
Doctor:You mean, 1-2 times in an hour?
User:one more thing doctor..
Doctor:That is pretty normal.
User:no i don't find it normal because the output is quite high otherwise
User:another thing that i did not mention
Doctor:Sure, please proceed.
User:since i assumed that it might be related to urine infection, before getting the urine test done i took Norflox without doctor's consultation. i mentioned this to the physician and i stopped it after he told me to do that
User:can the burning sensation be a side effect of this antibiotic
User:or that has no effect at all since urine test came out normal
Doctor:How many doses of Norflox had you taken?
User:10 tablets for 5 days - morning and evening
Doctor:Norflox does not usually cause any burning sensation.
Doctor:In that case, the Norflox would have cleared the infections in the urinary tract, before the test was done.
Doctor:If there was any infection.
User:so now what do you suggest finally
User:other than USG
User:should i do some more tests
Doctor:Let me summarize.
Doctor:First, You had burning sensation and pain in the lower abdomen, for which you had taken Norflox for 5 days.
Doctor:And then you consulted a doctor and got the urine test done, which came out to be negative.
User:there wasn't any burning sensation earlier
User:only pain in lower abd
Doctor:Now, you are having the burning pain and decrease in urine volume.
Doctor:Burning in pain mainly in the right side of abdomen, near to the center.
Doctor:Did you have any fever or vomiting?
Doctor:The pain you had could be due to various reasons which has to be excluded by investigations and a proper examination.
User:so what is your suggestion
Doctor:You should get it re-examined by a Doctor.
Doctor:Also you need to get certain investigations done.
User:please let me know what investigations so that i can show the reports to doctor
Doctor:You can go for an ultrasonography of the abdomen.
User:any other investigation?
User:should i go for USG empty stomach?
Doctor:If you are not having any swelling of the legs, or there is no massive reduction in the urine output, then you do not need to do any kidney function test.
Doctor:USG does not need an empty stomach.
User:no the swelling is not there.
Doctor:But you need to drink at least 1 litre of water prior to going for the USG.
Doctor:That will help in a better visualization during the examination.
User:one last question.. what do you anticipate this as..
Doctor:With only the history, as I have not examined you, I would have a few diagnoses in my mind.
Doctor:1. Ureteric Calculi
Doctor:2. Pelvic inflammatory disease.
Doctor:3. Ovarian Cyst.
Doctor:All these needs to be excluded.
Doctor:Have I been able to clear your doubts?
User:yes to a large extent
Doctor:Is there anything else I could assist you on?
Doctor:You are Welcome.
User:thanks i will get back if required
Doctor:Thank you for consulting me.
Doctor:Hope I was helpful.
Doctor:Let us know if you have any health related queries.
Doctor:And have a Nice Evening!!
Doctor:Be relaxed, you should be fine soon.
Doctor:Bye for now.
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