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Had dull ache in waist area. Done ultrasound. What does it sound like? - 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 : 2004
Answered : 1722 Questions
Doctor:How can I help you?
User:I have a concern
User:I feel some dull kind of ache below my waist and exactly above "P" area
User:And the pain is so mild that most of the time it gets unnoticed if I am busy in work or invloved in some activity
User:I did the ultra sound
Doctor:Are you there?
User:yes am there
User:am just trying to read the report
User:It says small possible hernia in the left medial inguinal region which is seen on coughing
User:Now my question is , is it hernia? or just a possibility
Doctor:Since the ultrasound scan picked up hernia, you indeed have an hernia. This can be confirmed by a clinical examination.
Doctor:Now whether or not this is the cause of your pain is the question.
Doctor:Small inguinal hernia does cause occasional pain, however such pain is located at the site of hernia.
Doctor:In your case this refers to left lower abdominal site.
Doctor:You need to consult a surgeon to confirm the presence of hernia and to determine the cause of this pain.
User:I have consulted a doctor and also shown him the scan report
User:My question is the report says possible ?????
User:And the pain is so mild that most of the time it gets unnoticed
User:Even if its hernia as you say, Is surgery the only way?
User:Or you have an altreantive
Doctor:I think you couldn't understand my last statements.
Doctor:Hernia is a clinical diagnosis.
Doctor:The presence of hernia was documented on scan.
Doctor:Whether it is truly present or not can only be confirmed by clinical examination.
Doctor:If your doctor feels presence of mass upon coughing than you indeed have one small hernia.
Doctor:If it is present, it may be responsible for the lower abdominal pain.
Doctor:Hope it is clear to you now.
User:Is surgery the only way
User:as it is very small and its seen only when I cough
User:in scan
Doctor:A small hernia can be treated conservatively by use of abdominal support and avoiding constipation/lower abdominal exercise/avoiding lifting heavy objects.
Doctor:Surgical treatment of hernia is suggested if hernia grows despite the conservative measures or if complications arises.
Doctor:Have you followed?
Doctor:Do you have any other questions?
User:What you suggest? Is there any abdominal support that you can ask me to get?
User:And do I need to have this support always
Doctor:The need for abdominal support band is judged by clinical examination.
Doctor:if the hernia opening is found to be slightly large then you need to wear the support daily.
Doctor:Else avoiding constipation and abdominal exercise, bending and lifting thing should suffice.
User:My Doctor asked to get the surgery... So I thought to get an second opinion from you. The reason being of second opinion is as I said, its possible hernia and can be seen only on coughing
Doctor:I think I would be able to clarify things better over a phone call.
Doctor:Is it fine if I call you to discuss this issue.
Doctor:Can you confirm your phone number?
Doctor:I hope I have clarified your doubt.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:thanks so much
Doctor:You are welcome.
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