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Hernia with groin pain,ELISA test to detect HIV - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3481 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   Hi
User :   I have a query related to pain in my groin region
User :   both sides
User :   u there?
Doctor :  
Please proceed with your query?
User :   k, so i went for ultrasound
Doctor :  
Ok
User :   and report it was mentioned, incidentally detected nodes on both sides
Doctor :  
Ok
User :   what could be the problem
User :   now the pain is sporadic
Doctor :  
May I know since when do you have the pain?
User :   it happened around 1 month back,
Doctor :  
Ok
Doctor :   Can you describe the nature of the pain?
Doctor :  
I mean
User :   yes
Doctor :  
If the pain was just an ache or was it like cramps?
User :   now whenever i get pain it will be there in thighs also kind of ache
User :   and its intermittent
Doctor :  
Ok
User :   mainly when i drive car or when i keep my leg on top of another
Doctor :   Ok.
Doctor :  
Is the pain located at the thighs or the groin?
User :   groin and just below groin (thigh)
Doctor :  
Ok
Doctor :  
Do you have any weakness of the limbs?
Doctor :  
Do you get recurrent fever?
User :   no no
User :   never
Doctor :  
Do you find any color changes over the skin at the area of the pain?
User :   no
Doctor :  
Do you have any dilated veins in the limbs?
Doctor :  
I mean in the lower limbs?
User :   not sure
Doctor :   Do you have diabetes or hypertension?
User :   i have not tested for diabetes
Doctor :  
Are you on any medications?
User :   i dont have hypertension
User :   can it ha[ppen because of weakness and stress
Doctor :  
I shall explain it to you.
Doctor :  
Your pain probably looks like a muscular pain.
Doctor :  
Probably related to the exertion.
Doctor :  
It could be related to the stress also.
Doctor :  
Since the ultrasound examination was normal, it should not be causing any major problems.
Doctor :   Have you followed?
User :   the report also mentioned that with cough reflex hernia is seen on left side
Doctor :  
Ok.
User :   but the ultrasound doc said its almost normal
Doctor :  
That may be partly contributing to the pain.
Doctor :  
I shall suggest you these remedies.
Doctor :   Hernia is an abnormal swelling and it occurs due to the defects in the wall of a cavity.
Doctor :  
Like that of abdominal cavity.
Doctor :  
The presence of this defect may make the contents of the abdomen to come out of the defect.
Doctor :  
This can especially happen when you are straining too much.
Doctor :  
Like when you try to apply brakes to your car,
User :   k
Doctor :  
or if you strain too much while passing stools.
Doctor :  
When this contents of the abdomen come out or rather i would say just peep out of the defect, it can cause pain.
Doctor :  
The pain may last till the contents are present in the defect.
Doctor :  
this will, I mean the contents of the abdomen will slowly regress back to its position after some time.
Doctor :  
So if you want to prevent this from happening you need to stop exerting too much pressure either while driving your car or while passing stools.
Doctor :  
Are you following?
User :   yea,
Doctor :  
Ok.
Doctor :  
Small defects should not cause much of a problem.
Doctor :  
But if you continue exerting too much pressure the defect may grow and can lead to spontaneous herniation.
Doctor :  
It will cause more of the abdominal contents to herniate and more severe pain may tesult.
Doctor :   Do you get what I mean?
User :   yes
Doctor :  
So the treatment for this problem is to reduce the excessive pressure while working, or driving car.
User :   i got it
Doctor :  
If you have constipation problems you may have to treat it.
Doctor :  
During sexual acts the same applies.
Doctor :  
If you have symptoms of chronic cough, you need to treat it.
User :   i dont have cough
Doctor :  
If you can do this then it should not be causing problems.
User :   k
User :   i get the pain even when i take drinks which i take occasionaly
Doctor :  
I mean to say if you develop cough any time, try to get relief as soon as possible.
User :   k\
Doctor :  
Drinking alcohol is not related to the present problem,
Doctor :  
But if you puke after the alcohol which I think you don't then the same pressure effects can happen.
Doctor :  
Have you followed?
User :   yes
Doctor :  
Ok.
Doctor :  
You can try simple pain killer like brufen tablets 400mg when ever you develop pain, and take rest.
Doctor :  
The pain will slowly come down.
Doctor :  
Follow these measures, you should not be having any complications because of this hernia.
Doctor :  
Have you followed?
User :   sure, yes
Doctor :  
Do you have any other query?
User :   Doctor, please dont mind if i take some more time of urs, i have few other things to ask
Doctor :  
Please proceed.
User :   i got really tensed because i had sexual exposure 3 months back,
Doctor :  
Ok
User :   and i saw symptoms of hiv which was very similar to this\
User :   on net
Doctor :  
Ok
User :   so after the 45 days of exposure i went to a hospital in bangalore and got myself tested with PCR DNA
User :   result was negative
Doctor :  
Ok
User :   Again after 3 months i went to KIMS AND TESTED WITH CHEMILUMINECENCE
User :   and result was negative
Doctor :  
Ok
User :   do i needto worry bout hiv now
Doctor :   Web is only for information.
Doctor :   It does not help in diagnosing the conditions.
Doctor :  
There are varieties of test that can be used for the diagnosis of HIV.
Doctor :  
Out of these test two test that are important are HIV DNA PCR and Western blot tests.
Doctor :  
HIV DNA PCR is the most sensitive of the test.
Doctor :  
Since the sensitivity is high, it means that if the test is negative, then you do not have the disease or infection.
Doctor :  
Since your test has come negative, it indicates the chance of you being positive for infection is only less than 5%.
Doctor :  
So relax, you may not be having the infection.
Doctor :  
Have you followed?
User :   how bout CHEMILUMINECENCE test result
User :   that doesnt rule out the 5 %
Doctor :  
These test are supportive tests.
Doctor :  
SInce two different tests have come negative, the chance of you having the infection is almost nil
Doctor :   Have you followed?
User :   SOMEWHAT YES, wat do u suggest if i want to make sure that i dont have infection
User :   ?
Doctor :   If you are still not convinced, i would suggest these.
Doctor :  
1. Get a ELISA test done at end of 6 months.
Doctor :  
This would prove that you do not have the infection.
Doctor :  
2. look for presence of the symptoms such as recurrent fever, sorethroat, nodular swellings, loss of appetite, you feel you are loosing weight, extreme weakness and tiredness.
Doctor :  
If these test are present, you may have to visit the doctor for evaluation.
Doctor :  
These symptoms may develop due to anxiety too.
Doctor :  
So if you develop any of these symptoms, then the doctor evaluation is only to see if it is related to anxiety and not because you may be having HIV infection.
Doctor :  
3. Regular dietary habits,
Doctor :  
4. Adequate bed rest.
Doctor :  
5. stress reducing exercises has to be followed.
Doctor :  
Have you followed?
User :   YEA, the only worry is
Doctor :  
You need to know this, a double confirmation tests always rules out the presence of infection.
User :   when u r saying that if i get some persistent symptoms then these test results could be false negative also
Doctor :  
DNA PCR is a highly sensitive test.
Doctor :  
It does not produce false negative tests, if done at a reliable lab.
Doctor :  
And hospital labs are one of the very reliable labs.
Doctor :   So do not worry.
Doctor :  
I understand what is happening around you.
Doctor :   But as a doctor I can give only the advices, that you need to relax.
Doctor :   Do you have any other query?
User :   no, so again after 6 months i will go for elisa test and after that i can be assured
Doctor :  
Yes, you can be assured after that.
Doctor :   You have almost rule the infection completely now too.
Doctor :  
It is only going to be the confirmation of that so that you can be doubly reassured.
Doctor :  
Have you followed?
User :   Yea, thx a lot
Doctor :  
Do you have any other query?
User :   nups, Thanks Doctor
Doctor :  
Please fill the feed back form too.
User :   i was really nice talking to u
User :   yea i did
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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