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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hello, My left abdomen feel uncomfortable for a week now.

Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2346 Questions

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Posted on Sat, 23 Mar 2019 in Digestion and Bowels
Question: Hello,

My left abdomen feel uncomfortable for a week now. I have seen 2 doctors and they told me to run some tests which include sonar,cpc blood tests and stool tests. They all turned out to be good with minor digestions issues. I was prescribed medications to use but I needed a second opinion. I also have itchneness when feeling hot or sweating. I still feel some discomfort with my abdomen and cant still understand the itchness during the warm weather.

On another note just today , there is pain in left shoulder, I dunno if this is relatable or maybe its due to sports or maybe slept in a different way.

Please support
doctor
Answered by Dr. Ramesh Kumar 41 minutes later
Brief Answer:
Some more details required dear patient.

Detailed Answer:
Hello and thanks for choosing "Ask A Doctor" service on this forum,
I have gone through the reports attached by you,
The only finding in the report significant is presence of undigested food in stools.
Before answering the query i would like to have few more answers about your history.

Divide your left abdomen in three equal parts and tell me whether the pain is in upper middle or lower part of abdomen?
Do you have problem like constipation or loose motions?
How is your appetite?
Itchiness is present all over the body or is localised to specific region?
Associated symptoms, including Weight change, Fever,Diarrhea or Constipation?
Any previous medical condition like Diverticulosis?
History of use of Use of non-steroidal antiinflammatory drugs (NSAIDS) including OTC NSAIDS or recent antibiotic?
Any thing which relieves the pain?
Waiting for answers to provide you with better advice.
Regards!


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ramesh Kumar 6 hours later
Thanks Dr XXXXXXX

Please find my feedback below.

Divide your left abdomen in three equal parts and tell me whether the pain is in upper middle or lower part of abdomen?

I would say upper. Mostly left one but sometimes it switches to right. I get the feeling most of the times when on bed or laying down mainly.


Do you have problem like constipation or loose motions?

Not at all.


How is your appetite?

I eat well.


Itchiness is present all over the body or is localised to specific region?

All over the body, back and front.


Associated symptoms, including Weight change, Fever,Diarrhea or Constipation?

No fever, weights risen cause I eat more i guess, no diaarrhea or constipation.

Any previous medical condition like Diverticulosis?
No, this is the first time I get a problem with my digestive system.


History of use of Use of non-steroidal antiinflammatory drugs (NSAIDS) including OTC NSAIDS or recent antibiotic?

Not at all.
Any thing which relieves the pain?
Not at all.

Might want to add, I have been going in very stressful period the past 2 weeks and thats when the problem happened. I am a smoker as well.

doctor
Answered by Dr. Ramesh Kumar 32 minutes later
Brief Answer:
ultra sound kidney urinary bladder to be done.Though abdominal sonar is done yet get a specific KUB ultrasound done.If possible get it done at another hospital.

Detailed Answer:
Hello again,
1)I would say upper. Mostly left one but sometimes it switches to right. I get the feeling most of the times when on bed or laying down mainly-Get an ultrasound done.The position you are trying to tell is called flanks and kidney stones or urinary tract infection is most likely and commonest part of pain in that area.
Itching can be related to anxiety.High level of stress causes stimulation of nerves.This stimulation can cause hypersthesia or sensation of generalised itching.When anxiety is high your autonomous nerves are stimulated which causes the intestines to move rapidly hence may be responsible for presence of undigested food in your stomach.
To sum up,
Get an ultrasound KUB done to rule out kidney stones
Get a urine test done
Start taking anti anxiety medication like clonazepam 0.25 mg once daily for one week.You would easily get it in cairo.

Hope i was helpful,
Follow ups are welcome,
Do rate the answer and please provide any suggestion to make answer better in case you feel like.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar 15 minutes later
Thank you Dr XXXXXXX

I will do the KUB and share back.

Overall, What i listed is normal ? or is there anything I should be concerned about ? Is there anything severe I should worry about ?
doctor
Answered by Dr. Ramesh Kumar 8 minutes later
Brief Answer:
Follow up answer.

Detailed Answer:
Hello again,
I don't feel that you need to worry about any thing as per the reports and history given by you.
But as pain is still there so we have to proceed further as per protocol.
See all these tests done are baseline tests or you may call screening tests,So some times they miss things.
Get well soon,
Follow ups are welcome.
Do rate answer.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar 28 hours later
Hello

I have updates the urine test

Will share ultrasoound as requested tonight
doctor
Answered by Dr. Ramesh Kumar 31 minutes later
Brief Answer:
Urate crystals in urine suggestive of stones.

Detailed Answer:
Hello again Sir,

I've checked the reports there are urate crystals in urine sample highly suggestive of stones in kidney.

Ultrasound, once done would be able to reveal stones in kidney.

Thank you.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ramesh Kumar 53 minutes later
Please find ultrasound report here

Thank you
doctor
Answered by Dr. Ramesh Kumar 14 minutes later
Brief Answer:
Follow up.

Detailed Answer:
Hi there,
Ultrasound seems to be normal.

Crystals in urine test look at the amount, size, and type of crystals in your urine. It's normal to have a few small urine crystals. Larger crystals or specific types of crystals can become kidney stones.

Suggestions:
Drink enough fluids. The number one thing you can do is to drink enough fluids, like water 3.5-4 liters a day.
Avoid eating too much protein.
Eat less salt (sodium).
Include the right amount of calcium in your diet.
Avoid too many vitamin C supplements.
Eat less oxalate-rich foods.

Thank you.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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