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Suggest Treatment For Lower Abdomen Pain

Posted on Thu, 18 Dec 2014

Question: Reasons due to my lower abdomen pain couldn't be diagnosed in spite of undergoing all the necessary medical tests.Pl go through the medical reports attached and help me out in this problem. Im a chartered accountant student and facing lot of problem due to this unknown illness in my career.

Answered by Dr. Deepak Kishore Kaltari (19 minutes later)

Brief Answer:
Diagnostic Laparoscopy indicated

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Ms XXXXXXX

Majority of your reports are normal except Ultrasound scan done on 22nd March 2013 2 which suggest possibility of Appendicitis or Pelvic inflammatory disease.

Going by description of your symptoms of lower abdominal pain and loss of appetite during episode of pain possibility of Chronic Appendicitis needs to be considered. Polycystic ovary as report in one of the scan will not have such presentation.

CT scan or other scans have failed to conclusively attribute cause to your symptoms. In such scenario I would recommend you to undergo Diagnostic Laparoscopy (keyhole surgery) as that will help in definite diagnosis and management. Do discuss it with your treating Surgeon.

Kindly keep me updated about the progress. I always tend to follow the progress.

Wishing you great Health

Best regards
Dr Deepak Kaltari
Consultant Surgeon

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Deepak Kishore Kaltari (1 hour later)

Now im being treated by a gynecologist for this pain.But still i have the tenderness in my abdomen and stomach.But pain is not on the right side this time.This time it is on the left side.Pain was on the right side in March 2013 and March 2014.Kindly advice on this matter.Does it really tends to be appendicitis? Is there any alternative other than diagnostic laparoscopy ?

Answered by Dr. Deepak Kishore Kaltari (10 minutes later)

Brief Answer:
There is no option other than Diagnostic Laparoscopy

Detailed Answer:
Dear Ms XXXXXXX

As suggested previously it could be either Appendicitis or Pelvic inflammatory disease. As the diagnosis is not established by noninvasive Radiological techniques further diagnosis is possible by Diagnostic Laparoscopy.
I would suggest you to discuss it with your Gynecologist.
Diagnostic Laparoscopy is almost like a day care procedure .

Take care
Best regards
Dr Deepak

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Deepak Kishore Kaltari (47 hours later)

Sir, i have been using CEPODEM 200 & DOCTRINE PLUS for the past five days. But still i have severe pain on the left side of lower abdomen and diffused pain all over stomach and abdomen. I couldnt sit for long time due to this pain. I feel so weak even. Kindly advice on my position to get rid of this pain and tenderness.

Answered by Dr. Deepak Kishore Kaltari (3 hours later)

Brief Answer:
Consider adding an antispasmodic

Detailed Answer:
Dear Ms

Apart from antibiotics I would also suggest you the following
1. Add an antispasmodic like Drotavarine
2. Acid suppressant like Pantoprozole will help

You will need to discuss the addition of these medications with your prescribing doctor and get a prescription for the same.

Also do provide me the following additional information

1. Is your appetite normal ?
2. Are you having fever?
3. Are you presently having urinary symptoms
I would suggest you to discuss with your Gynecologist the need of diagnostic Laparoscopy which can be done as elective procedure.

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj