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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Abdominal Pain?

i have aches on my side especially by lower right abdomen. When i lay down i feel pressure that makes me get up 5x a night andI do actually urinate. But the ache I get is like a ache when you work out and the soreness after wards I get the aches/pain actually now on both of my side, feels like its kinda of getting scrapped ont he sides. I have been to plenty of dr. and they seem not to know the real reason this is happening.










Fri, 2 Jan 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.

You have visited plenty of Doctors for the said problems which you described so well.
You are getting pain on your sides specially the right and now on both the sides- feeling pressure and actually have to go for urination 5 times in a night - ache is like that of work-out and soreness - like scrapped out the sides-

With such a history I can think of the few things only:
-Urinary tract infection with a classical '' reflux into the ureters''.

I would suggest you the following:
-Get the blood tested for CBC , urea, creatinine, sugar.
-Urine: routine, microscopy, culture and sensitivity.
-Ultrasonography with full urinary bladder and to see if there is a reflux on pressure and to see the post-void urine in the bladder to see the residue/
-Actual IVP- intra-venous Pyelography to see the reflux.

The treatment :
Antibiotics as per the report of culture and sensitivity
Urologist's opinion
Not to hold urine for long
Treatment of the urinary obstruction at whichever place it shows.

I hope this may help you.
If required you can go for another / Second Opinion of a Surgical Gastroenterologist to rule out any gastrointestinal cause like colitis..
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What Causes Lower Abdominal Pain?

Hi. Thanks for your query and an elucidate history. You have visited plenty of Doctors for the said problems which you described so well. You are getting pain on your sides specially the right and now on both the sides- feeling pressure and actually have to go for urination 5 times in a night - ache is like that of work-out and soreness - like scrapped out the sides- With such a history I can think of the few things only: -Urinary tract infection with a classical reflux into the ureters . I would suggest you the following: -Get the blood tested for CBC , urea, creatinine, sugar. -Urine: routine, microscopy, culture and sensitivity. -Ultrasonography with full urinary bladder and to see if there is a reflux on pressure and to see the post-void urine in the bladder to see the residue/ -Actual IVP- intra-venous Pyelography to see the reflux. The treatment : Antibiotics as per the report of culture and sensitivity Urologist s opinion Not to hold urine for long Treatment of the urinary obstruction at whichever place it shows. I hope this may help you. If required you can go for another / Second Opinion of a Surgical Gastroenterologist to rule out any gastrointestinal cause like colitis..