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Single ovarian cyst, pelvic inflammatory disease, kidney stone - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   hi
Doctor :   hi
Doctor :   please go ahead with your query
User :   my sister has got a cyst in her ovary,how to deal with it?
Doctor :   ok
Doctor :   when was the cyst diagnosed?
User :   3 months back
Doctor :   was it a single cyst or are there multiple cysts?
User :   its single
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
Doctor :   of your sister
User :   she has been taking ovral -g as the medication
User :   she is 20yrs,student(B.TECH),NEW DELHI,single,5 feet,48 kgs
Doctor :   what symptoms does she have?
User :   she feels pain in the lower ab
Doctor :   any problems with her menses?
User :   yeah ,earlier the menses were regular but now its not like that
Doctor :   ok
Doctor :   does she have any facial hair?
User :   no
Doctor :   ok
Doctor :   solitary cysts are usually benign
User :   yeah
Doctor :   the periods nay be regularised after using the oral pills
Doctor :   the menses problem may be co-incidental
User :   co-incidental means?
Doctor :   means the cyst may not be causing the problem
User :   ok
User :   so what medications and precautions wud u advise
Doctor :   the periods problem may be due to any hormonal imbalance
Doctor :   that will be corrected with the pills
Doctor :   she should continue the medicines given to her
Doctor :   and she should eat a low carbohydrate high protein diet
User :   ok
Doctor :   she should eat more fresh fruits and vegetables
Doctor :   they would be good anti-oxidants
Doctor :   ask her to avoid junk food
Doctor :   and keep her weight in control
Doctor :   so that there wont be any future problem
User :   wudnt u suggest any medications
User :   she has got stone in her left kidney
Doctor :   as we are not directly examining the patient, it would be unethical tp prescribe medicines like that online, for her own safety
Doctor :   these are prescription based medicines
Doctor :   hence cannot be given without direct physical examination
Doctor :   are you there ?
User :   yeah
Doctor :   ok
Doctor :   Is there any thing else that I could help you with?
User :   yeah she has got stone in her left kidney
Doctor :   ok
Doctor :   what is the size?
User :   its 6by 5,but i'm not very sure
Doctor :   mm?
User :   yeah
Doctor :   ok
Doctor :   then it is also incidental
Doctor :   there is nothing to worry about
Doctor :   is there any pain?
Doctor :   in the flanks?
User :   yeah too much
Doctor :   ok
Doctor :   she should drink plenty of oral fluids
User :   that she does
Doctor :   is she using any medicines for it as of now?
User :   i'm not sure for that
Doctor :   2.3 liters of water must be taken per day
User :   ok
User :   and what else?
Doctor :   Water is best.
Doctor :   Include a glass of lemonade every day, too.
User :   fine
Doctor :   avoid foods rich in oxalates
Doctor :   like beet root, cheese,
User :   ok
Doctor :   spinach, sweet potatoes,
Doctor :   almonds and soya
User :   ok
Doctor :   ask her to restrict salt and non-veg too
User :   but y?
Doctor :   that helps in stone formation too
User :   ok
Doctor :   the uric acid is reduced
Doctor :   she can also take a supplement called GNC PHARMA CRANBERRY
Doctor :   2 tabs daily
User :   whats this?
Doctor :   this is a natural supplement made of cranberry extract
Doctor :   Reduces UTI, acidifies urine,
Doctor :   prevents kidney stones and is good for kidney and bladder
User :   its meant for?
User :   ok
User :   i got it
Doctor :   as it is a natural product there would be negligible side effcets
Doctor :   YYYY@YYYY
Mobile : 0000 please confirm your details
User :   is it available easily at all medical stores?
Doctor :   or Guardian pharmacy outlets in your city.
Doctor :   YYYY@YYYY Mobile : 0000 please confirm your details
User :   YYYY@YYYY mobile :0000
Doctor :   if the pain is still not subsiding then she may have to have a rescan
User :   ok
Doctor :   and depending on the size
Doctor :   she may have to be put on pain killers and relaxants
User :   i c
Doctor :   if there is any increase, she may have to undergo ESWL
User :   i dont think the pain grows that severe
Doctor :   usualy water drinking flushes out the stone
Doctor :   by itself
User :   but at times it aches too much
Doctor :   ok
Doctor :   then she may have to be put on painkillers
Doctor :   better by a urologist
User :   yeah she was having stones in both the kidneys but now only one is left
Doctor :   for now she can take meftal spas tablet
Doctor :   after food
Doctor :   whenever she gets the pain
Doctor :   ok
Doctor :   Please fill the feedback form say done when done
Doctor :   are you there ?
User :   yeah
Doctor :   Have you filled the feedback form which I have sent?
User :   i want to know abt cervical block
User :   yeah i did that
Doctor :   ok
User :   as one of my sis is suffering from that problem
Doctor :   did she have any PID in her?
User :   doctors say its congenital
User :   whats PID?
Doctor :   ok
Doctor :   Pelvic Inflammatory Disease
Doctor :   was a scan done?
Doctor :   was there any uterine abnormality?
User :   nop
User :   nop
Doctor :   ok
User :   but she has got intestinal tb infection and her uric acid is 10
Doctor :   there could be a block due to congenital malformation,
Doctor :   or due to an infection or cancer
Doctor :   are her menses regular?
User :   yeah
Doctor :   ok
User :   she feels pain
Doctor :   did she undergo a hysterosalpingography?
User :   she is 18 yrs
Doctor :   ok
User :   no
Doctor :   how was it diagnosed as cervical block?
User :   she went for a ct
Doctor :   it could be due to the TB which must have caused scarring of her tubes and uterus
Doctor :   that may have caused partial obstruction of the cervix
User :   it showed that c3 and c4 are fused together and its congenital
Doctor :   ok
Doctor :   i was thinking it was a reproductive problem
Doctor :   ok
User :   she got the tb in fection in last few months
Doctor :   ok
Doctor :   since when did she have the symptoms?
User :   she feels pain in her back,neck ,shoulders,and hands since last year
Doctor :   ok
Doctor :   and the CT showed fusion at c3,c4 level?
User :   and now a days she has become very depressed
User :   yeah
Doctor :   ok
Doctor :   is there any other findings in the CT?
User :   no
Doctor :   ok
Doctor :   she may need physiotherapy exercises
User :   ok
Doctor :   she may need surgery if the symptoms dont subside
Doctor :   nerve decompression may need to be done
User :   what kind of surgery?
Doctor :   is there any bulging of disc?
User :   dont think so
Doctor :   ok
Doctor :   she should avoid sitting straight for long hours
User :   ok
Doctor :   she should avoid using a pillow while sleeping
User :   ok
Doctor :   she should apply hot fomentation whenever there is pain
User :   ok
Doctor :   does she drive?
User :   no
Doctor :   ok
Doctor :   she should ge herself thoroughly examined
Doctor :   by an orthopedician
User :   yeah she did
Doctor :   she should if necessary go for physiotherapy
User :   ok
Doctor :   the cause for the fusin and the cause for symptoms need to be known
Doctor :   the fusion may not be causing the symptoms as she had it from birth
User :   how can we know that
Doctor :   it could be spondylitis
Doctor :   that can be done only by examining her
Doctor :   if there is spondylitis she may need a collar
Doctor :   cervical collar
User :   so what do u advise,where to go for that examination
Doctor :   to an orthopedician
User :   any recommendations?
Doctor :   what did the orthopedician previously advice?
User :   exercises
Doctor :   the exercises also should be better learnt by direct supervision by a physiotherapist
Doctor :   rather than my explaining to you online
User :   ok
Doctor :   as i told you ask her to avoid a pillow
User :   that she already does
Doctor :   and avoid sitting staright for a very long time
User :   what are the future consequences of this prob
User :   is it very serious
Doctor :   she could have spondylitis
Doctor :   that needs to be treates
Doctor :   treated
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