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Suggest Treatment For Night Sweats, Constipation And Light Headedness
Question: For the past few weeks I have felt a lumpy area to my upper outer left quadrant.
I have night sweats, constipation, light headedness, pain following main meal, pain also when sitting at desk for long period. I have considered twisted bowel??
I have night sweats, constipation, light headedness, pain following main meal, pain also when sitting at desk for long period. I have considered twisted bowel??
Brief Answer:
Clinical evaluation and examination, investigations to get a cause
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/54 - few weeks - lumpy area to left outer quadrant - night sweats - constipation - light headedness - pain following main meal - while sitting at desk for a long period - considered twisted bowel? - not visited a Doctor - tried laxatives, exercises and increased fluid intake ...
Noted the history well.
My thoughts as per the history you have provided:
- This can not be a twisted bowel as it gives severe pain, vomiting, bloating total constipation.
- The possibilities are:
Colitis with inflammation at splenic flexture, a part of the colon at the left upper quadrant.
Stricture or mass at the same position.
This can be diagnosed by the following way:
Clinical evaluation by a Doctor, preferably a General Surgeon.
Tests of blood: routine including CEA
Tests of stool and urine.
X-ray in the standing position.
Ultrasound of the abdomen.
CT scan may be needed along with colonoscopy and biopsy if mass or stricture is suspected.
If the laxative are not working and there is impacted fecolith formation, Saline+ soap enema may help to evacuate properly
All the above things will lead to the most probable diagnosis and gives the plan for further management.
I hope this answer helps you an early diagnosis and proper timely management.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Clinical evaluation and examination, investigations to get a cause
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/54 - few weeks - lumpy area to left outer quadrant - night sweats - constipation - light headedness - pain following main meal - while sitting at desk for a long period - considered twisted bowel? - not visited a Doctor - tried laxatives, exercises and increased fluid intake ...
Noted the history well.
My thoughts as per the history you have provided:
- This can not be a twisted bowel as it gives severe pain, vomiting, bloating total constipation.
- The possibilities are:
Colitis with inflammation at splenic flexture, a part of the colon at the left upper quadrant.
Stricture or mass at the same position.
This can be diagnosed by the following way:
Clinical evaluation by a Doctor, preferably a General Surgeon.
Tests of blood: routine including CEA
Tests of stool and urine.
X-ray in the standing position.
Ultrasound of the abdomen.
CT scan may be needed along with colonoscopy and biopsy if mass or stricture is suspected.
If the laxative are not working and there is impacted fecolith formation, Saline+ soap enema may help to evacuate properly
All the above things will lead to the most probable diagnosis and gives the plan for further management.
I hope this answer helps you an early diagnosis and proper timely management.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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