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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Is Suggested For Persistent Abdominal Pain On Right Side?

have had persistant upper abdomen pain on my right side for 4 months. had 3 ultrasounds, and they say they saw mild hydrothyroidsm?? on kidney. Went to do dye test to see where the blockage was and turned out normal. Now they tell me to go to my family doctor. I'm in pain and already sent to see a specialist for a problem one radiologist seen. Now they tell me I'm fine. The pain is still persistant. Worse at night, and I have so much pain I can't lay on the right side. Should I just go to an emergency room to avoid all these random appointments?
Mon, 29 Sep 2014
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General Surgeon 's  Response
HI.
As ultrasonography has already been done, so there is not Problem of Cholecystitis, Liver abscess, Pancreatitis or of kidneys as Intravenous pyelography is also normal.
As you are not able to lay on right side, this is most probably due to Costo-chondritis.
I would suggest you to press hard on the lower side; if there is a pain take the following treatment and you will be fine.
I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis.
I would suggest the following treatment.
-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.
-Anti-inflammatory medicines in full dose as per the weight.
-Steroids if required for its strong anti-inflammatory role.
-Lasix to reduced the edema.
This sort of a treatment helps all my patients. and should help you too
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What Treatment Is Suggested For Persistent Abdominal Pain On Right Side?

HI. As ultrasonography has already been done, so there is not Problem of Cholecystitis, Liver abscess, Pancreatitis or of kidneys as Intravenous pyelography is also normal. As you are not able to lay on right side, this is most probably due to Costo-chondritis. I would suggest you to press hard on the lower side; if there is a pain take the following treatment and you will be fine. I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful- tender area. This will confirm the diagnosis. I would suggest the following treatment. -Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur. -Anti-inflammatory medicines in full dose as per the weight. -Steroids if required for its strong anti-inflammatory role. -Lasix to reduced the edema. This sort of a treatment helps all my patients. and should help you too