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Suggest Treatment For Extreme Abdominal And Pelvic Pain

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Posted on Fri, 12 Dec 2014
Question: I am just curious what all of this really means? I had to go to the imaging center just to get the results and my doctor didn't explain anything to me - she just put me on an antibiotic. I have been having extreme abdominal and pelvic pain for the past 5 weeks that has only intensified as the weeks go by and having bowel movements is getting harder and harder. I'm so incredibly exhausted all of the time and could probably literally spend 20 hours a day just sleeping. I'm tired of being tired and I'm tired of hurting. I will be seeing a GI doctor this week but I just would like to hear from someone else what the results of this CT Scan mean and perhaps a second opinion on treatment.
doctor
Answered by Dr. Grzegorz Stanko (25 minutes later)
Brief Answer:
Inflammation in the kidney-ureter junction. A Urologist would be helpful rather than a GI

Detailed Answer:
Hello!

Thank you for the query.

The only thing found in the CT is a possible inflammation in the area described as UPJ (Ureteropelvic junction - in simple words the area where the kidney connects the ureter). Its on the left side. Such findings in the CT can mean an inflammation of this area.

There might be a stone which has obstructed this area or a kind of infection. For sure this must would give you the pain. When there is an inflammation of the kidney or ureter, bowels respond to inflammation with paresis (slowing down). That is why you have constipation. It is proven in the CT and bowels obstruction is ruled out.

In simple words most likely you have kidney infection which has caused constipation. Main symptoms which should be present with such condition are upper left abdominal to back pain radiating to the lower abdomen, groin or even left leg. Some burning while urinating, frequent urinating and fever can be also present.

No other significant abnormalities have been found.

In my opinion there is no point in visiting GI doctor. Instead of gastroenterologist, you should rather consult urologist.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Grzegorz Stanko (42 minutes later)
Thank you so much for getting back with me so quickly. I do have an appointment with a Urologist for the week after Thanksgiving as well but that is the soonest they could see me.

In the mean time, because my bowels have slowed down, is it safe to use laxatives until my appointment with the urologist? I'm just not sure what a healthy way to alleviate bowels would be. Are there any kind of dietary considerations I should do or perhaps foods/beverages I should steer clear from?
doctor
Answered by Dr. Grzegorz Stanko (1 hour later)
Brief Answer:
Yes, laxatives are safe.

Detailed Answer:,
Hi,

Yes, as there is no obstruction, it is safe to use any available laxatives. Warm bath, physical activity or even abdomen massage can stimulate bowels for proper work.

Fiber and probiotic are the most important factors of proper bowels function. You should also increase mineral water intake and avoid fatty foods, sweets, protein rich products.

If you are able to visit your regular doctor in a meanwhile, you may ask him about Metoclopramidum medicine which can also improve bowels function.

Hope this will help.
Regards,
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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Suggest Treatment For Extreme Abdominal And Pelvic Pain

Brief Answer: Inflammation in the kidney-ureter junction. A Urologist would be helpful rather than a GI Detailed Answer: Hello! Thank you for the query. The only thing found in the CT is a possible inflammation in the area described as UPJ (Ureteropelvic junction - in simple words the area where the kidney connects the ureter). Its on the left side. Such findings in the CT can mean an inflammation of this area. There might be a stone which has obstructed this area or a kind of infection. For sure this must would give you the pain. When there is an inflammation of the kidney or ureter, bowels respond to inflammation with paresis (slowing down). That is why you have constipation. It is proven in the CT and bowels obstruction is ruled out. In simple words most likely you have kidney infection which has caused constipation. Main symptoms which should be present with such condition are upper left abdominal to back pain radiating to the lower abdomen, groin or even left leg. Some burning while urinating, frequent urinating and fever can be also present. No other significant abnormalities have been found. In my opinion there is no point in visiting GI doctor. Instead of gastroenterologist, you should rather consult urologist. Hope this will help. Feel free to ask further questions. Regards.