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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain In The Abdomen And Lower Back

Hi I went to the er last night with severe pain in abdomen and lower back, I had blood work done and ct scan, all came back normal but could not see my appendix. Had to have morphine for pain. No answers, sent me home with muscle relaxant and said to take tylenol and ibuprofen and look for fever or vomiting.... should something else been done? Im not happy with that diagnosis as I still hurt today
Tue, 29 Nov 2016
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General & Family Physician 's  Response
thank you and pleased to answer you
Based on the risk-benefit ratio of the surgery, physicians generally accept that about 15 percent of appendectomies will reveal a normal appendix despite abdominal pain. In another hand, 45 percent of patients do not display classic signs of acute appendicitis. For that physicians are increasingly ordering CT scans to balance the risk of a negative appendectomy with the risk of delayed surgery and a perforated appendix. But the accuracy of diagnosing appendicitis has not improved with the use of advanced imaging techniques over the last 15 years. Moreover, appendiceal CT scans are considered to be 98 percent accurate in diagnosing acute appendicitis when read by an experienced radiologist.
Then You should be sure that your doctor's management is perfect.
best wishes
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Suggest Treatment For Severe Pain In The Abdomen And Lower Back

thank you and pleased to answer you Based on the risk-benefit ratio of the surgery, physicians generally accept that about 15 percent of appendectomies will reveal a normal appendix despite abdominal pain. In another hand, 45 percent of patients do not display classic signs of acute appendicitis. For that physicians are increasingly ordering CT scans to balance the risk of a negative appendectomy with the risk of delayed surgery and a perforated appendix. But the accuracy of diagnosing appendicitis has not improved with the use of advanced imaging techniques over the last 15 years. Moreover, appendiceal CT scans are considered to be 98 percent accurate in diagnosing acute appendicitis when read by an experienced radiologist. Then You should be sure that your doctor s management is perfect. best wishes