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Cause of abdominal pain and increased urine frequency - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2580 Questions
User :   I am having lower abdominal pain for last two weeks. I also have increased urine frequency for some times. But two Urine Culture tests have come negative, CT scan of the lower abdomen has found kidney, bladder everything unremarkable. but the pain remains. It increases if I try to bike or climb stairs. What can it be and what test will show it?
Doctor :   hi
Doctor : here
User :   Hello
Doctor :   let me read what you have typed.
User :   sure thanks
Doctor :   could you describe the pain in detail?
Doctor :   is it continuous pain?
Doctor :   does it become more before or during urination?
User :   It is in the lower abdominal area. Notconstant always. Sometimes it actually goes away completely. But comes back without any apparent reason.
User :   I have not noticed it incresing with urine
Doctor :   ok. is it a dull pain or sharp pain?
User :   dull
Doctor :   does it radiate to rest of abdomen or lower in thighs?
Doctor :   is there burning associated?
Doctor :   *burning sensation
User :   sometimes goes towards the sides. Has not gone into thighs yet. But in general it goes towards the legs
User :   No burning sensation.
Doctor :   ok.
Doctor :   since urine cultures have come back negative
User :   But urge to urine is heavy, although urine always comes'
Doctor :   your symptoms suggest possibility of cystitis
User :   what is cystitis
Doctor :   that infection in urinary bladder wall
User :   what is the treatment
Doctor :   it is difficult to identify with usual urine tests and treat it
Doctor :   it has to be identified first by a thorough examination by urologist
Doctor :   along with a cystoscopy to look for extent of infection
Doctor :   Intravenous antibiotics in high doses are required to treat it
User :   Once detected how long it tkaes to treat?
Doctor :   so I would recommend you to go ahead with consulting rologist
Doctor :   usually 3 days of aggressive therapy with intravenous medications
Doctor :   and then another 10 days of oral medications
Doctor :   are needed to treat the infectioon
User :   Is it some form of Bladder cancer?
Doctor :   during cystoscopy a small biopsy might be taken
Doctor :   to look for infection and identify infection causing agent
Doctor :   the biopsy will also help with seeing if there in any changes in bladder wall mucosa
Doctor :   please provide your age
User :   53
Doctor :   ok. then bladder cancer should be ruled out, as a possibility of pain
Doctor :   since you are above 50 years of age
Doctor :   the cystoscopy with biopsy
Doctor :   and tumor marker blood tests will hep to identify if cancer is present
Doctor :   have you followed what I have said?
User :   to some extent
Doctor :   is there anything else i can help you with?
Doctor :   please get back to me if you are having doubts
User :   Can I do anything to reduce the pain other than Advil in the meantime?
Doctor :   you will need antispasmodics, Advil might not help that much to reduce pain
Doctor :   try with hot water fomentation over bladder area,it will help in reducing pain.
User :   ok Thank you. I will try that
Doctor :   is there anything else i can help you with?
User :   No that is enough for today. I think my time is up as well.
Doctor :   thanks for consulting me. bye for now.
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