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Pain in lower abdomen, sonography and CT scan normal, left kidney removed, tumor, muscle spasm in lower abdomen. Ulcers or appendix? - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hello
Doctor :   Good morning
User :   Hello Doctor
Doctor :   Please proceed with your query
Doctor :   ok
Doctor :   May I know your age/sex?
User :   Hi, I am having mild pain in my lower abdomen since last two days
Doctor :   ok
User :   i used to have occassional pain ..
User :   37 Male
Doctor :   Do you have the report?
User :   i had done sonography and ct scan of my abdomen a couple of weeks back... but nothing was highlighted in my intestines
User :   tho it showed a tumor in my left kidney (RCC) and a result of which my left kidney was sugically removed on 12 July 11..
User :   and i have been on antibiotics since then
Doctor :   Can you send me the latest report of the scan?
User :   yes i have the report
User :   how can i do that?
Doctor :   You can send it to doctor@healthcaremagic with subject as ATTENTION to Dr.
Doctor :   Yes sure, I will check it
User :   wil send rightaway
User :   sent
User :   i hve sent both my Sonography and CT scan reports
Doctor :   ok, I will check it, just hold on
Doctor :   I just received them, thank you
Doctor :   Let me just go through them, please give me a minute
Doctor :   Thanks
User :   k
Doctor :   Yes, I have gone through the reports
Doctor :   Thank you for waiting
Doctor :   When the left kidney removed?
Doctor :   ok
Doctor :   Are you passing urine normally?
User :   12 July 11
Doctor :   That is good
User :   Laparoscopy Radical Nephrectomy (left)
User :   yes
User :   before i was discharged i went thru a urine test also
Doctor :   Coming back to your symptoms, you have pain in the lower abdomen since past two days, is that right?
User :   my doc did not highlight any issues as a result of the report
Doctor :   I hope the urine report was normal, wasn't it?
Doctor :   ok, I understand
User :   it was because of this occassional lower abdomen pain that i went for a sonography of the abdomen... but ended up identifying the tumor in the kidney..
Doctor :   How is your eating habits now?
Doctor :   Are you eating normally?
Doctor :   ok, that is good also
User :   yes
Doctor :   It seems to be like a simple spasm of muscles in your lower abdomen
User :   normal food... a little soft stool.. no vomiting.. no loss of appetite
User :   i have gas tho
Doctor :   The pain that you are experiencing may be due to the effects of the surgery also
Doctor :   May I know how severe is the pain?
Doctor :   Gas in the intestines is a normal finding
Doctor :   ok
User :   the person who did the sonography told me that she cud see gas in my intestines.. thats all.. no other issues..
User :   bearable
User :   pain
Doctor :   Is it crampy type of pain?
User :   but this kind of pain has been there before the sugery also
User :   i used to have loose motions (not very loose) sometimes along with this lower abdomen pain (mild).. hence my doc had suggested me to go for a sonography in the first place..
User :   whilst the kidney issue has been resolved (thru surgery), my original issue remains :)
Doctor :   I understand your concern
Doctor :   ok
Doctor :   I understand
Doctor :   No, it does not mean that
User :   since the kidney issue was quite serious.. i was told to ignore the lower abdominal pain as nothing was noted in the CT scan / sonogrpahy
User :   does it mean that i shud continue to ignore this pain..
Doctor :   Why don't you just repeat a simple Ultrasound of the abdomen again
User :   i mean cud it be ulcers or appendix
Doctor :   Since it is post operative period also
User :   i had done two tests :)
User :   at diff places..
User :   k
Doctor :   I suggest you to take another new ultrasound and send me the report, Is that possible?
Doctor :   No
Doctor :   It won't cause any problem
User :   no issues, right? in me going for a sonography after the surgery..
Doctor :   You can go ahead with
Doctor :   Yes sure
Doctor :   Meanwhile, I will give you some suggestions
User :   i will try to do that in the next week.. as i wish to avoid stressing myself after the surgery
User :   k
Doctor :   You can send me the ultrasound report at the same email address
User :   k
Doctor :   Drink lots of fluids
User :   k
Doctor :   Is there any swelling in the lower abdomen?
Doctor :   ok
Doctor :   USG will highlight Appendix but not ulcers
User :   will USG highlight existense of ulcers or appendix?
User :   no
Doctor :   Also, Watch your urine output
Doctor :   Make sure you are passing adequate amounts of urine
Doctor :   That is good
User :   k
Doctor :   Also, eat 2 bananas minimum everday
User :   i pass uring around 8-10 times a day
User :   *urine
Doctor :   consume lot of fibre in your diet
User :   k
User :   k
Doctor :   yes sure, it does
User :   can certain excercises like lying down and liftng the legs from the knee or from the hip.. result in lower abdominal pain?
Doctor :   Wait and watch for few days
User :   k
Doctor :   You can take simple antispasmodics
Doctor :   You can take Tab. Cyclopam for the pain
User :   i have been doing some excercies suggested by my physiotherapist.. may they have caused some stress
User :   k
User :   done
User :   thx a lot for your time
User :   ?
Doctor :   It is an antispasmodic
User :   is it a pain killer?
Doctor :   It doesn't harm kidney
User :   i have been told to avoid pain killers as i have only kidney now
User :   *one kidney now
Doctor :   You can take it one tablet after food if pain is severe
User :   k
User :   thx
Doctor :   Thanks for consulting me
Doctor :   Is there anything else I may help you with?
User :   thx
Doctor :   Please do take an USG and send me the report
User :   thanks..
Doctor :   Bye for now
User :   sure
User :   thx
User :   thats all
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