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Severe abdominal pain and mass on lower abdomen - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions

User :   is any one here
Doctor :   Hi
Doctor :   How can I help you?
User :   My girlfriend has been having bad abdominal pain and has a mass on her lower left side
User :   she is also having mid abdominal pain
User :   kidney pain
User :   headaches
User :   acid reflux
Doctor :   ok
User :   vomiting
User :   acid reflux
User :   headaches
User :   please help doctors have been jerking us around for over a year
Doctor :   Do you mean all these over an year
Doctor :   is the Ultrasound done
User :   most of them, the mass has been
Doctor :   What is the impression on U/S
Doctor :   a mass?
User :   yes, the doctors say they dont know what it is, then run a bunch of tests then refer us to someone else
Doctor :   where is the mass
User :   lower left abdomen
Doctor :   Which country are you in and locations
Doctor :   Does she get periods?
User :   yes
Doctor :   anything related to ovaries is been said

User :   hello?
Doctor :   hi
Doctor :   how can i help you
User :   are you the same guy from last time i was on?
User :   i was talking about my girlfriend and her abdominal pain
Doctor :   yes give me a moment
Doctor :   iam going through the chat history
User :   okay
Doctor :   Do you have any test reports
Doctor :   like ultrasound abdomen or xray
Doctor :   which was taken
User :   no sorry
User :   we have been moving around from doctor to doctor
Doctor :   any time endoscopy or ECG was done
Doctor :   ok
User :   ya a scope was done to her stomach with no results
Doctor :   ok
Doctor :   it would very helpful for us
Doctor :   if we could the ultrasound report
Doctor :   it will help to arrive at probable diagnosis
Doctor :   and the likley cause
Doctor :   any blood work was done
Doctor :   like complete blood count or liver profile
Doctor :   or renal function tests?
User :   well i know some of the info it thats any help, the doctors werent too specific though, blood work was done,
Doctor :   how old is ur girlfriend
User :   most of the time they said they couldnt see anything because her intestense were in the way, she is 20
Doctor :   is her periods regular ?
Doctor :   i mean menstrual periods
User :   ya they are regular, she is on birth control. i'm pretty sure they are regular but she isn't here right now but will be back shortly so i can ask her
Doctor :   where exactly is the abdominal pain and how severe is the pain?is it dull aching type of pain or squeezing type of pain
Doctor :   ok
User :   she said its a sharp pain, lower left and mid abdominal, her right kidney is abnormaly large and a little high up, her left kidney may not be operational, she also has stomache spasms
Doctor :   ok
Doctor :   is she having fever?
User :   also her throat is sore but i'm not sure if its related, lately she has had a slight fever but i haven't taken her temp, she just feels slighly warm but always feels cold
Doctor :   ok
Doctor :   is this abdominal pain related to food intake
Doctor :   does this pain aggravate when food is taken or when she is hungry
User :   she has been caughing up small white things out of the glands in the back of her throat. her abdominal pain is almost always contsant but it does hurt her to eat, the scope said she didnt have ulcers tho, but a few months ago it actually lessened the pain when her stomach was full
Doctor :   ok
User :   yogurt seems to make her feel a little better though, meat usually hurts her
Doctor :   ok
User :   could the two symptoms be related? what about her lymph nodes
Doctor :   does consuming fatty food
Doctor :   make her condition worse
Doctor :   it can be
User :   ya i think so, also she is diabetic that might help your diagnosis
User :   not fully diabetic but pre-diabetic, she still has diabetic reactions but is not on insulin
Doctor :   is he sugars under control
Doctor :   when was the last time around her sugars were tested
User :   yes, she watches her diet and hasn't had a reaction but i don't think her sugers were tested as of late. the doctors actually said it might be a hurnia but they haven't been helping us at all
Doctor :   ok
Doctor :   i would suggest u to get Liver function test and kidney function tests along with abdominal scan
Doctor :   this tests will help us diagnose the condition
User :   what kind of abdominal scan?
Doctor :   ultrasound scan along with clinical examination
Doctor :   of the patient will give the exact cause
Doctor :   it could be due to ovarian, pancreatitis or gastritis
User :   she has had at least 4-5 ultrascans, both abdominal and vaginaly but the doctors always say that they cant tell, she did have pelvic inflamitory about 4 months back due to ruptured systs but that has been resolved, what about her throat?
Doctor :   yes this could be one the causes
Doctor :   ovarian cyst
User :   okay
Doctor :   throat infection could be due to viral or bacterial or it could be
Doctor :   due to allergy
User :   okay
Doctor :   does she have history ofallergy or asthma
User :   so the cysts can cause the bump on her abdomen? she said she's had the bump for about 3 years but it has been bothering her severely as of late
Doctor :   yes it cause
User :   no asthma and i'm not sure of allergy but i dont think so
Doctor :   it can cause severe pain during her periods
Doctor :   in that case
Doctor :   also sometimes bleeding
User :   all they did was give her a shot for the cysts, would that really cure it or could she still have them, i know the pelvic inflamitory is gone. she seems to be at the same pain level when on her period or off her period. she has had some blood in her urine and stool but only like 3 or 4 times but her urine is usually dark. do you think it could maybe be Wilms' Tumor?
User :   she said her kidneys also hurt her on the underside of her ribs on her back
Doctor :   ok
User :   she also has alot of headaches
User :   when she was younger she was hospitalized for her migranes
Doctor :   yes u will have dark coloured urine in wilms tumour
Doctor :   ok
User :   is there a specific test for wilms tumour
Doctor :   Ct,ultrasound scanning
Doctor :   or MRI will confirm
User :   i did alot alot of research because her doctors weren't helping and i was also thinging of maybe a strained abdominal aorta or somehting
Doctor :   also biopsies blood test urine tests will help in identifying this along with clinical examination
Doctor :   only on clinical examination and running the tests to confirm the same
Doctor :   would help us diagnosing
Doctor :   mere speculation without clinical examination will not help up arriving at diagnosing
Doctor :   Is there any thing else that I could help you with?
Doctor :   u can wrtie to us with the reports
Doctor :   at YYYY@YYYY
User :   i know its just hard when the doctors aren't helping and i'm watching my loved one suffer, they just dont listen
Doctor :   we will be able to help u arrive at possible diagnosis with those test report and history
Doctor :   with history alone it is difficult to point at the exact cause
Doctor :   are you there?
Doctor :   Is there any thing else that I could help you with?
User :   okay, can i email those reports even though my 24 hour period is up
Doctor :   sure
Doctor :   yes u can
Doctor :   we will mail u possible diagnosis
Doctor :   after consulting with out panel of experts
User :   okay, how will you know its me, are you loging all the symptoms or do i have to send them again in the email
Doctor :   u can send us with the detailed medical history with all test which were done
Doctor :   we will go through this and we will mail with possible diagnosis
User :   okay thats a crap load to type again lol. one more question, if it is wilms tumour, how urgent does she need medical attention, because if things keep going at this pace... it takes us a week to get ahold of a doctor, 2 weeks till the appointment, and another 2 weeks till the test...
Doctor :   is there any thing else i can helpyou
Doctor :   it usually affects children
Doctor :   at this age it is unlikely
Doctor :   we cant speculate on that
Doctor :   it depends on the stage of tumuor
User :   okay... well all i can do is pray i guess
Doctor :   The prognosis and treatment of Wilms tumor depends on the treatment and the cancer's histology (favorable or unfavorable). T
User :   has there been cases of it affecting older people,
Doctor :   as of now it depends on the general condition of the patient
Doctor :   it is very rare tumour
Doctor :   it is rarely seen in children
Doctor :   extremely rare at ur girlfriends age
Doctor :   it occurs in children within 8 years
Doctor :   after that to present with this tumour is extremely rare
Doctor :   first we will see what exactly is the cause
User :   it could still be other types of tumours i guess...but if its not a tumour what other type of mass could it be...its about 1-2 inches (aprox) and feels egg shaped
Doctor :   as i said i need to run tests
Doctor :   without seeing the patient or running these tests
Doctor :   we cant speculate
Doctor :   mail us the reports
Doctor :   we will get back to you
Doctor :   ok
Doctor :   take care
Doctor :   bye for now
User :   okay, well i guess we hit a plateu as far as a $5.50 chat room goes
Doctor :   u can get back to us again later with report
Doctor :   and have chat with us or mail us
Doctor :   we will mail u with the possible diagnosis
User :   Ok
User :   sorry to keep you i just care alot for her, goodbye
Doctor :   Thanks for consulting Healthcaremagic. Bye for now. Please refer your friends to our service.
Doctor :   hi
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