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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dull Ache, Discomfort In Right Groin, Shortness Of Breath With Certain Movements, Frequent Urination Through The Night. Guidance?

I am 74 years old. Have had 3 caesarians, appendectomy , hernia repair on the right hand side & a hip replacement also on the right side. For the past 3 years I have experienced a dull ache & some discomfort in my right groin . It has become a sharp grabbing pain that stops me in my tracks & catches my breath that only lasts for a few seconds with some of my movements. I also have a dull ache in my back. My bowels are normal & I have had colonscopies. I have urinate frequently through the night but am fine during the day.
Mon, 27 Aug 2012
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General Surgeon 's  Response
Hello!
Your symptoms ave very characteristic for right urinary tract inflammation or stones (back pain radiating to same side groin especially when associated with frequent urinating and burning during urinating). You should have simple urine test which should tell if you have an inflammation or stones (urine test might be negative when there are stones in kidney without infection) and abdomen ultrasound to see if there is no hydronephrosis.
However, according to your surgery history there is always a chance that your hernia has recurred and urinary tract infection is just a coexisting disease, that is why groin ultrasound might be necessary. Moreover, there is alway a chance of intra abdomen adhesions (after surgeries) and your intestines gets partially obstructed. So if all tests will occur normal, abdomen X-ray should be performed and intestine contrast CT if necessary.
hope this will help
Take care
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Dull Ache, Discomfort In Right Groin, Shortness Of Breath With Certain Movements, Frequent Urination Through The Night. Guidance?

Hello! Your symptoms ave very characteristic for right urinary tract inflammation or stones (back pain radiating to same side groin especially when associated with frequent urinating and burning during urinating). You should have simple urine test which should tell if you have an inflammation or stones (urine test might be negative when there are stones in kidney without infection) and abdomen ultrasound to see if there is no hydronephrosis. However, according to your surgery history there is always a chance that your hernia has recurred and urinary tract infection is just a coexisting disease, that is why groin ultrasound might be necessary. Moreover, there is alway a chance of intra abdomen adhesions (after surgeries) and your intestines gets partially obstructed. So if all tests will occur normal, abdomen X-ray should be performed and intestine contrast CT if necessary. hope this will help Take care