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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain?

hello..i have a bit pain in the middle right side of my stomach.So i did a Ultrasound of the whole abdomen and the finding are: bilateral mild nephromegaly with mild dilation of the pelvicalyceal system of the right kidney and mildly enlarged prostrate.
Wed, 22 Oct 2014
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General Surgeon,  's  Response
HI.
Since the prostate is at the base of the urethra, the obstruction caused by an enlarged prostate can cause back-pressure to cause reflux of the urine from the urinary bladder to the ureters and up to the kidneys causing the changes you have seen in the ultrasonography.
I would suggest such a patient the following.
To get a consultation of an Urologist ( Surgeon ) for physical examination of the prostate by per-anal palpation by a finger to ascertain the size , consistency , tenderness and all relevant examination.
PSA and all other blood tests including kidney function tests and sugar.
Urine -routine, microscopy, culture and sensitivity tests.
If Cancer is suspected a core-biopsy may be needed as also Orchidectomy.
Prostatectomy as a treatment and as a specimen for biopsy.
This should solve your problem.
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What Causes Abdominal Pain?

HI. Since the prostate is at the base of the urethra, the obstruction caused by an enlarged prostate can cause back-pressure to cause reflux of the urine from the urinary bladder to the ureters and up to the kidneys causing the changes you have seen in the ultrasonography. I would suggest such a patient the following. To get a consultation of an Urologist ( Surgeon ) for physical examination of the prostate by per-anal palpation by a finger to ascertain the size , consistency , tenderness and all relevant examination. PSA and all other blood tests including kidney function tests and sugar. Urine -routine, microscopy, culture and sensitivity tests. If Cancer is suspected a core-biopsy may be needed as also Orchidectomy. Prostatectomy as a treatment and as a specimen for biopsy. This should solve your problem.