Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
199 Doctors are Online

Unidentified sickness, tightness and rigidity around stomach area, TB negative but taking medicine for Uterus TB

User rating for this question
Very Good
Answered by

General Surgeon
Practicing since : 1974
Answered : 1750 Questions
Question
Hello Doctor,

The patient is my younger sister. Details are as below.

Name : XXXXXXX
Age: 26 yrs
Gender : female

She is suffering from an unidentified sickness from past 1.5 year.
Her stomach area feels rigid , stiff , tight all the time. She doesnt feel healthy and hence becomes dull and feels low.
We tried all possible tests to identify the cause of the problem but none of the doctors could identify anythings.

List of tests tried.

1) Antibiotics for a few weeks thinking it was realted to digestion and stomach ache.
2) Ultrasounds
which showed some lymph nodes and were tested for being cancerous , the output of the test was negative.
2) Colonoscopy -> All clear
3) Hormone tests -> All normal
4) Blood tests such as CBC, IGA
5) Thyroid tests -> no problem noticed
6) CT scan of pelvis and chest which shows

Multiple small subcentimetric sesentric nodes noted.
Liver is normal in shape and size. No focal lesion seen IHBR are not dilated.
Gallbladder is normally distended and shows no radio opacity inside. CBD is not dilated.
SPleen and pancreas are normal in size,thickness and enhancement pattern.
Both kidneys and normal in location,shape,size and axis,Renal function are adequate
The adrenals are normal.
Urinary bladder is normal.
The stomach is normal in wall thickness. Rest of the gut loops up to the normal. The rectum is normal. Surrounding fat planes are maintained.
Aorta and illac vessels are normal.Other vessels are normal in course and diameter. There is no aneurysm or thrombosis.
No ascites is seen.
Uterus is normal.
Both ovaries shows multiple peripherally arranged follicles.
The spine is normal. No lysis is seen.
The plevic bones are normal.

She had a history of cysts 2 years back and she took homoepathy treatment for that and the cyst problem got solved hence it did not list in ultrasound
In CT scan however polyscistic cysts were cited and then we consulted a gynaecologist.
She suggested laproscopy.

8) Laproscopy
The gyane who did laproscopy was confident that my sister has Tuberculosis of Uterus, She noticed the fluid in pouch of XXXXXXX
Uterus was red with infection (she said)
She ordered a TB test to confirm the same from a special lab which came out negative.

She still was confident that my sister is suffering from TB of uterus and since then she started TB medicine course . It has been 3 months since
then but there is no improvement in the tightness and rigidity around the stomach area.



We are clueless what to do now . Please show us some way to identify the problem.

Detailed treatment given
it started1.5 yrs back when she FELT TIGHTNESS IN RIGHT ABDOMEN had a constipation for few days and than there was little blood in stool.we went for a gastroentrentologist
note:-.tightnes and tenderness(right abdomen) was less in the biggening and then it spreaded and became huge
treatment given was as follows

A) Antibiotics for a few weeks thinking it was related to digestion and stomach ache.
B) Colonoscopy -> All clear
C) Ultrasounds...(REPORT ATESTED)
few lymph nodes seen in right inguinal region
it was than treated by the gynaec with the antibiotics but there was no relief than she adviced for F.N.A.C->REPORT ATTESTED
D) Hormone tests -> like fh, fsh, glucose(all nrml)
E) Blood tests such as CBC,ESR IGA
F) Thyroid tests -> no problem noticed
G) CT scan of pelvis and chest(REPORT ATTESTED):- MESENTRIC LYMPHADENOPATHY.POLYCYSTIC OVARIES
h) vitamin d3 ->14 counts(insuffceincy)treted with 3 dose in 15 days gaps via injectable vitamin D suppliments
note:-every thing was normal but ESR was always high 55 counts,2mnth later 60, 2 mnth later 58, after 52


She had a history of cysts 2 years back and she took homoepathy treatment for that and the cyst problem got solved hence it did not list in ultrasound
In CT scan however polyscistic cysts were cited and then we consulted the gynaecologist.
She suggested laproscopy.

I) Laproscopy:-REPORT ATTESTED
ࠠ The gyane who did laproscopy diagnosed Uterus was red with infection and told that there is a lot of inflammation in that region
DOC COLLECTED SAMPLE OF FLUID FROM (POD) AND TESTED IT FOR TB_PCR WHICH WAS FOUND NEGATIVE then She started treatment for (PID) WITH SOME HEAVY
ANTIBIOTIC INJECTIONS AND TABLETS BUT THERE WAS NO RELIEF AT ALL.THEN THE GYNEC SAID THAT I M
confident that SHE has Tuberculosis of Uterus,
ࠠ Uterus was red with infection (she said)
ࠠ She ordered a TB test to confirm the same from a special lab which came out negative.

ࠠ She still was confident that my sister is suffering from TB of uterus and since then she started TB medicine course . It has been 3 months since
ࠠ then but there is no improvement in the tightness and rigidity around the stomach area.
Posted Thu, 19 Apr 2012 in Digestion and Bowels
 
 
Answered by Dr. Swapnendu Sekhar Ghosh 1 hour later
Hi
Thanks for posting your query.

Persistent pain and stiffness and rigidity with tenderness in right side of upper abdomen indicates some underlying inflammation in the underlying organs. It may be within the stomach in the form of peptic ulcer /gastritis/hepatitis etc. Gall bladder disease also needs to be excluded.

If there are associated dysentery like features like diarrhoea, fever; stool examination is to be done and amoebic hepatitis should be excluded

As opined by gynaecologist of having tuberculosis, immunological test for tuberculosis should be done. Upper gastrointestinal endoscopy should be done also to rule out gastritis and peptic ulcer syndrome

Dorsal spine should be examined also for any lesion that may cause referred pain and other features in the area by pressure on nerve roots

If nothing helps, persistent pain, rigidity, tenderness if associated with loss of weight and continuous running down, laparotomy to be considered

Hope she becomes all right soon
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to

The user accepted the expert's answer

Ask a Gastroenterologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor