Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
169 Doctors are Online

Left side abdominal pain and recommended tests for diagnosis - 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 : 2408 Questions
User :   Hi,
Doctor :   hi
User :   hi, i have a question related to my girlfriend, is that ok?
Doctor :   sure
User :   are you a male or female doctor?
Doctor :   i am a male
Doctor :   why does that matter ?
User :   no, not att all, just easier to know who you are writing to
Doctor :   ok
User :   she has had abdominal pain for a while
Doctor :   may i know her age ?
User :   23
Doctor :   ok, does she have nay other symptoms and how long has she had is issue ?
User :   now and then, 2-3 weeks
Doctor :   any nausea vomiting, diarrhea, constipation ? etc
User :   no
Doctor :   is she getting her periods regularly ?
Doctor :   are u there?
User :   yes
User :   yes, they seem regular
Doctor :   ok
Doctor :   any pain during the cycles ?
Doctor :   how is her appetite ?
User :   i know she has some pain during ovulation and also some pms-related symptoms
Doctor :   any loss of weight , that is unintentional ?
User :   no, for me the appetite is normal
User :   and also weight
Doctor :   no i meant for ur girlfriend
User :   sorry, mean of course that in my opinion her appetite is normal
Doctor :   ok
Doctor :   pain during ovulation & pms-related symptoms needs to be evaluated with a ultrasound of the pelvis to get a clear picture
User :   ok, it is in the lower abdomen, to the left hand side
Doctor :   also , it could be gastric reflux as well which can be treated with regular intake of prevacid and prilosec 20 mg twice daily
Doctor :   left lower abdominal pain could be due to some pathology in her ovaries or due to something in her ureter
Doctor :   like a stone in the ureter
Doctor :   a ultrasound will be good for diagnosis in this situation
User :   is it easier if i ask here to be here?
Doctor :   i did not get ur last question ?
User :   is it helpful if i ask her to come to the computer?
Doctor :   yes that would be easier for you
Doctor :   if she answers the questions herself
Doctor :   please go through the chat history
Doctor :   and re confirm your symptoms and the suggetions that i have offered
User :   he has answered quite well
Doctor :   ok
User :   is it possible to say something if i push on different "points" on the abdomen?
Doctor :   yes
Doctor :   if u have pain in specific points on the belly , it helps for the diagnosis
Doctor :   but simce your history of left sided pain is correct, it could be better diagnosed with a ultrasound of the lower belly
Doctor :   are u following my advice ?
User :   is it best to sit or lay down on my back?
Doctor :   lying down on ur back will be good
User :   ok, where to start?
Doctor :   getting a physical by urself does not help to diagnose the condition
Doctor :   as you may not be able to elicit the signs
User :   i understand
User :   sorry
Doctor :   that is fine , i understand that u are apprehensive
Doctor :   can u tell me the severity of the pain ?
User :   mostly dull pain
Doctor :   on a grade of 1 -10 ?
Doctor :   where exactly it is very severe ?
User :   4-5, so not so bad, but of course you think about it
Doctor :   ok
Doctor :   as i said earlier get some tests including a ultrasound and a urine analysis will be helpful
User :   so you recommend a visit to family doctor?
Doctor :   yes that will be good
User :   what would you have included in a first exam?
Doctor :   a urine analysis, a CBC, A urine culture as well as a ultrasound would also help in final diagnosis
Doctor :   this tests will rule out conditions like cystitis, or ovarian issues which are causing u these symptoms
User :   ok
User :   so no physical is needed?
Doctor :   a physical examination should preceed all these tests
User :   and what would you have included in the physical examination?
Doctor :   just a general examination as well as a examination of your belly
User :   ok
User :   thank you very much doctor
Doctor :   you are welcome
User :   thans for all your information and advices
Doctor :   you are welcome
User :   thank you once again and bye for now
Doctor :   take care and bye
Doctor :   hope u get well soon
User :   thank you
User :   what could it be when you say ovarian issue?
Doctor :   it could be due to some ovarian cysts
User :   ok, common?
Doctor :   yes , it is a common condition
User :   are you able to feel the ovaries when you examine the abdomen?
Doctor :   no, but they can be made out by an ultrasound
Doctor :   a pelvic examination can help to palpate the ovaries
User :   i understand, but this is not performed by a family doctor i guess
Doctor :   the ultrasound is a test , done by a nurse or a technitian
Doctor :   a pelvic examination can be done either by your gynaecologist
Doctor :   or your family doctor (female)
User :   ok, thank you very much doctor
User :   have a nice day
User :   bye
Doctor :   you are welcome
Doctor :   bye
Doctor :   take care
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor