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Abdominal pain. Normal abdominal USG. Should Drotin be taken?

My father is facing with extreme lower abdomen pain.. USG of whole abdomen has been done.. Report is normal.CBC, LFT, Lipid profile test have been done.. uric acid is above the range and others are normal. Prostate test has been done ...the report of it is also normal.. Family Physician prescribed Drotin twice for 5 days... What to do? Should he start the medicine?
Asked On : Wed, 13 Mar 2013
Answers:  2 Views:  251
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
Does your father has spasmodic abdominal pain/ loose watery stools/ constipation/ frequent urge to use washroom?
Does he has burning urination/ frequent urination/ fever?
With the available described symptoms, there could be possibility of cystitis or gastrointestinal infection.
Your father should go for urine routine & microscopy, complete blood count and CT/ MRI scan of abdomen.
Treatment depends on exact diagnosis.
Meanwhile, your father should continue drotin and if condition won't improve then he should take tramadol for relief of pain.
He should take plenty of water.
Take care,
Dr. MAyank Bhargava
Answered: Wed, 13 Mar 2013
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General Surgeon Dr. Grzegorz Stanko's  Response

Thank you for the query.

Drotin can be taken as ordered by your doctor but this does not solves the problem or explains the reason of your fathers pain.
Ultrasound is very sketchy test and there is many diseases (especially in the abdominal cavity) completely invisible for it. That is why, lac of disease indications in ultrasound does not mean that everything is fine. Same with blood tests. Increased uric acid is sometimes and indication of a cancer.
If your father is about 50 years old, large intestine diseases like polyps or cancer should be ruled out. To do that colonoscopy should be performed.
If still nothing will be found, abdominal CT might be necessary. All this tests should be done after gastroenterologist consult.

Hope this will help.
Answered: Thu, 14 Mar 2013
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