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LEFT Adrenal Lesion Compatible With Lipid-poor Adenoma . Status Post

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Posted on Tue, 7 Jul 2020
Question: LEFT adrenal lesion compatible with lipid-poor adenoma.
status post cholecystectomy with mild prominence intra and extra hepatic biliary tree.
its within normal limits postoperative state, if there concern do biliary pathology ultrasound.
i have done to ct scans so far.
so what do i do with this now findings ovoid16x18mm left lesion adrenal. average attenuation of 27HU precontrast , 47Hu venous phase and 28 Hu on 15mins delayed phase. relative washout lesion 47% absolute washout of 95%. and my right adrenal is normal gland no mass.
cholecystectomy clips noted prominence intra and extrahepatic biliary tree. mid cbd 10mm tapering distanlly towards ampulia. no radio opaque choledocholithlasis.
what remedies can i do help with pain hurts to go bed sleep and get up when i bend hurts , hurts to cough and yawn.
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Follow up: Dr. Mirjeta Guni (2 minutes later)
how can i make pain go away, can i put heat on it on icepack.
it constant pain during the day and gets worse by the nighttime.
doctor
Answered by Dr. Mirjeta Guni (35 minutes later)
Brief Answer:
About postoperative pain;

Detailed Answer:
Hello and thank you for asking!
I have gone carrfully through your concern and seen the attached report.
The painkillers used to manage postoperative pains, usually depends on postoperative day you are.
During the first days, strong painkillers are suggested ( tramadol, morfine), than depending on individual pain threshold, milder ones can be used.
Usually is the surgeon or anesthesiologist who prescribes them.
Regarding to adrenal adenoma, you have to exclude a functioning one ( by checking the adrenal hormones) and than decide to do an intervention or not.
Hope the information will help.
Best wishes,
Dr.Mirjeta Guni
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Mirjeta Guni (1 hour later)
so should i go see specialist in then ,
do i need to do ultrasound. or no ?
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Follow up: Dr. Mirjeta Guni (1 minute later)
is any vitamin supplements i can take for it too? or can i change my diet what foods are good for this problem if any?
doctor
Answered by Dr. Mirjeta Guni (13 hours later)
Brief Answer:
about post-surgical pain;

Detailed Answer:
Hi again,

If pain persists, even out of expectations of physician and it is a sharp pain that can not be tolerated without painkillers then you should see your physician again.

Of course, diet is very important postoperatively and instructions are routinely given by the physician at the discharge.

Let me know if I can assist you further.

Best wishes,
Dr.Mirjeta

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

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

Endocrinologist

Practicing since :2006

Answered : 2414 Questions

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LEFT Adrenal Lesion Compatible With Lipid-poor Adenoma . Status Post

how can i make pain go away, can i put heat on it on icepack. it constant pain during the day and gets worse by the nighttime.