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Kidney and gall bladder stones, painful bleeding due to nabothian cysts - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 638 Questions
Doctor :   hello
User :   hi
Doctor :  
how can i help u?
User :   im not sure if youre still the doctor i was chating a while ago
Doctor :  
i am a different doctorr..but still nothing to worry....
User :   can you explain my blood result
Doctor :  
i am gping through the chat history
Doctor :  
going*
Doctor :  
ya pls procedd
User :   normocytic normochromic RBC. Occassional normocytic hypochromic cells
Doctor :   u just tell me the blood report i will explain u in detail
User :   occassional acnthocytes and schizocytes
Doctor :  
normocytic normochromic rbc means.....red blood cellls are of normal size and shape
User :   im typing it paragraph by paragraph so you would not get bored on waiting for me to type it all
Doctor :   yes
User :   WBC adequate with almost equal predominance of segmenters and lymphocytes. Most segmenters with toxic granules.
User :   Atypical lymphocytes seen. no evidence of prematurity
User :   platelets adequate. occassional large forms and clumps seen
Doctor :  
acanthocytes and schizocytes are abnormal cells which indicates some disease is present
User :   like what kind of disease?
Doctor :  
there are many disease in which they are present
User :   they have seen kidney and gallblader stones
User :   and i just came out from the hospital they said severe infection
User :   but they also said its not from the kidney and gallblader
Doctor :  
ok
Doctor :  
do u have fever?
User :   yes the day they brought me to the ER
Doctor :  
ok
User :   had chills like 3 times the following day
Doctor :  
ok
Doctor :  
chills with fever indicates that u are having infection somwhere in the body
User :   then my hemoglobin really went down to 80L
Doctor :  
kidney and gallbladder stones are some times silent and they will not cause any problem ..so nothing to worry
User :   but for 4 years already i am having concern with the cervix
Doctor :  
ok
Doctor :  
what is the problem with cervix?
User :   ill type the exact result they have noted
Doctor :  
ok
User :   supposedly last 2005 the cervix was already remove but after a few months afetr my total hysterectomy that i started complaning of abdominal pain and i still had bleeding i went to the capital city of my country to get already a 2nd opion
User :   then they said that the cervix is still there with nabothian cysts but they said nothing to worry
User :   but a few years after there was again pain and up to this present day it gets even worst
Doctor :  
ok
Doctor :  
just give me 2 minutes
User :   before going this week to the hospital having right upper abdominal pain for 2 weeks straight i was experiencing dysminoreah
User :   ok
Doctor :  
dysmenorrhea>>
Doctor :  
??
Doctor :  
u said u have got total hysterectomy done?
Doctor :  
Nabothian cysts are considered harmless and usually disappear on their own,
Doctor :   u there?
User :   yes sorry
Doctor :  
pls proceed
User :   thats also my question
Doctor :  
do u still have regular peroids?
User :   i know that i should not anymore be experiencing that
User :   no
User :   not having menstration since june 15, 2005
User :   i have been thru 6 operations in my 26 years of life
Doctor :  
then u must not call it as dysmenorrhea
Doctor :  
ok
Doctor :  
dysmenorrhea is pain during menses
User :   appendectomy, 3 time CS, hysterectomy and the last left ooperectomy
Doctor :  
but what u are experiencing is painfull bleeding
Doctor :  
ok
User :   i called it that because its the same pain like i have before when i was still having menstration
Doctor :  
ok
Doctor :  
got it
User :   hers the TVS result
Doctor :   ok
User :   cervix is visuallized., showing a large lobular structure of about 15.9mm size within its posterior upper segment
User :   a smaller nodule of about 4.8mm size is noted superiorly
Doctor :  
ok
Doctor :  
when is this transvaginal ultrasound done?
User :   march 23 2009
Doctor :  
ok
User :   i still have really bad pelvic pain and i always feel very tired even not doing anything anymore
Doctor :  
have u taken pap smaer ?
User :   just today
Doctor :  
smear*
Doctor :  
ok
Doctor :  
when will they give report?
User :   but in your opinion doctor what do you think?
User :   10-14 days they said
Doctor :  
Sometimes, particularly if large, Nabothian cysts will be seen to have a significant blood vessel or two coursing over the surface. These are of no concern, though if tampered with, they may bleed.
Doctor :   nodule in the cervix is seen in many condition
Doctor :  
so it may be even nabothian cyst
User :   thats good to know
Doctor :  
ok
Doctor :   we can exclude cancer if pap smear is negative
Doctor :  
ur blood picyure indicate that u ar aneamic because of chronic blood loss
User :   but do this kind of cysts would let you feel so much pain and as time past it becomes more painfull and much longer radiating to my lower back
User :   what do you think would be causing blood loss?
Doctor :  
normally they dont annoy u that must
User :   my urine always have like a small amount of mucous like
Doctor :   ok
Doctor :  
mucus in urine from how many days?
User :   very long already
User :   i think 2-3 months already
Doctor :  
it indicates infection of the urinary system
User :   when i was hysterectomized i had 2 catheters
Doctor :  
Mucus in the urine can be a symptom of issues within the excretory system, reproductive system and or the immune system. Urinary mucus can be a sign of infection in the urinary tract, Cystitis or Calculi.
Doctor :   ok
User :   1 was inserted i think directly to my urinary bladder
User :   can you pls advice me of what i need to do or what i should i do next
Doctor :  
wait till ur pap smear result
Doctor :  
once if the pap smear is negative then u can happily relax
Doctor :  
did u experience weight loss recently??
User :   oh ok but do you also think that there is something wrong with the cervix based on the information that i gave you
Doctor :  
yes
User :   yes but i have like a pregnant womans abdomen
Doctor :  
pap smear is the test which is used for screening of cervical cancer
Doctor :  
once if it is negative then cancer is excluded
Doctor :  
ok
Doctor :  
ur abdomen is increased in size?
Doctor :  
have u done ultrasound abdomen?
User :   yes this week in the hospital
Doctor :  
what is the report?
User :   i dont know if this website could receive scanned documents
Doctor :   pls wait untill all the chat is loaded
User :   sorry i did not understand
Doctor :  
u pls type the result
User :   inside the gall bladder are at least 3 intense shadowing bright echoes (meas. up to 0.84cm in size) The GB is otherwise normally distended. Its walls is not thickened. There is no pericholecystic abnormallity dected
Doctor :  
ok
User :   the pancreas and spleen are normal
Doctor :  
did they mention anything about ascitis?
Doctor :  
ok
User :   the right kidney meas. 11.7x6.2cms. The left kidney meas 11.6x5.6cms.
Doctor :  
ok
User :   there is a mild dilatation of the right pelvocalyceal structures.
Doctor :  
ok
Doctor :  
it indicates that there is some obstruction to the oultflow of the kidney
User :   NOte the associated intense shadowing echo meas 1.2x0.43cm seen within the right ureto-pelvic junction
Doctor :  
ok
User :   The pelvocalyceal structures in the left are unremarkable. Both kidneys show normal cotical thickness and echogenecity. No focal parenchymal lesions seen
User :   what do you mean of obstruction to the outflow?
User :   oh the impression is
Doctor :  
kidney is the structure from where urine is produced and transferd to bladder through ureter
Doctor :  
obstructon to the outflow means there is interruption ogf flow of urine from kidney into the ureter/bladder
User :   gallstones, mild pelvocalyceal dilatation, right, secondary to uretero-pelvic junction lithiasis. non visuallized uterus and left ovary
Doctor :  
ok
User :   and that would be the cause of my infection and anemia?
Doctor :   ultrasound shows that u are having gall bladder stones and stones in the ureter which is causing obstruction to the urine
Doctor :   anaemia is because of blood loss
User :   but is that also the one that causes the infection?
User :   is there any connection with the blood result i gave you and this?
Doctor :  
infection part i am not sure cos it may be in kidney or else urinary bladder or gall bladder
Doctor :  
or else even the nabothian cyst may be infected sometimes
User :   what procedures do you reccomend that i should do immediately
Doctor :  
first wait for pap test
Doctor :  
if that is negative then we can go further investigations
User :   can this infection be the reason that i again experienced dysminnoreah?
User :   is it possible to know your name doctor and if from what country are you from
Doctor :  
no
Doctor :  
i am from india
User :   oh good i heard really good doctor are from there
Doctor :   thanks for ur compliments
User :   if ever because me and my family is already very desperate of me getting well how could i contact you if i go there?
Doctor :   where are u from?
User :   im from the philippines but my father who is an american is still fixing my papers going there so im talking to him now telling him the things you have very well explained so he is thinking of me if i could go there
Doctor :  
ok
Doctor :  
u can contact me
User :   first while im still waiting for my papers
Doctor :  
but first wait till ur pap smear results
User :   oh ok
User :   can i have your email add. here is mine YYYY@YYYY
Doctor :  
ok
Doctor :  
YYYY@YYYY
User :   my father is asking what is your speciallization?
Doctor :   i am a family physician
Doctor :  
have u got the feed back form?
Doctor :   Please fill the feedback form say done when done.
User :   ok thats good, if ever what hospital there are you affliated with so i could already check their website so i would know the procedure for tourist patients
User :   yes
Doctor :  
i will tell u my details through the email id u have given
User :   oh okay
Doctor :  
and also information regarding fixing appointment..
User :   i hope you would be very patient with me because me asking many questions its just that i have this pain for 4 years already and still getting worst
Doctor :  
sure
Doctor :  
we are here to help u anytime
Doctor :  
have u filled the feedback form?
Doctor :  
thanx bye
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   yes thankx bye
Doctor :   bye
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