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Suggest treatment for lower abdominal pain

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Posted on Mon, 24 Apr 2017
Question: Hi I've had pains in my lower stomach now for 3 days
my urine is darkish orange. big loss of appetite
Please note just over a year ago I contracted hepatitis b
had three weeks in hospital, got the all clear apart from being told my liver did have some damage.
After my monthly check ups I was told my next appointment would a year, that should be due soon.
Any advice please guessing your just going to tell me to go and see my local doctor ?
Regards XXXXXXX


after 6 months from leaving hospital.
any advice please.
Regards XXXXXXX
doctor
Answered by Dr. Uday Nath Sahoo (2 hours later)
Brief Answer:
liver disease

Detailed Answer:
Hi,


Thanks for your question on HCM



I do understand your pain and discomfort



As per your clinical history is concerned please provide me few things which will clarify your all doubts:-



1)Do you have swollen foot, ankles or fluid build up in abdomen?

2)Do you have diarrhea that can be greasy(Steatorrhea)?

3)Do you have yellowing of the skin and eyes(jaundice)?



Please follow with correct answers and do not worry at all



Hope that helps
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Uday Nath Sahoo (1 hour later)
Hi in response to your questions
1 no
2 just started showing signs
3 no
ps when I was in hospital they did state my gall bladder would have to be taken out
hope this helps
doctor
Answered by Dr. Uday Nath Sahoo (1 hour later)
Brief Answer:
cholecystectomy

Detailed Answer:
Hi,

Thanks for your follow up reply soon

As per your reply it is clear that you have no liver damage as well as infection to liver present right now, so for confirmation you can do liver function test.you had mentioned for removal of gallbladder which is called as cholecystectomy.so as doctors are planning for it so you must have inflammation or gallstones present in gall bladder so do an ultrasound examination to know present status.once your gallbladder is removed, bile flows directly from your liver into your small intestine, rather than being stored in your gallbladder and it does not affect your ability to digest foods.

Do a microscopical and routine examination of urine for bile salts and pigments.

Add pancreatic enzymes[lipase, protease, amylase]before food for stomach discomfort after meal due to blockage of pancreatic duct by gallstones and these are OTC medications and you may discuss with your local drug stores.

You can do few things at home -:

1)stop drinking alcohol and stop smoking

2)choose a diet that limits fat and emphasizes fresh fruits and vegetables, whole grains and lean protein.

3)drink more fluids throughout the day. It may help to keep a water bottle or glass of water with you.

4)Do exercise regularly



further management depends upon ultrasound report only



Hope that helps.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Uday Nath Sahoo

General & Family Physician

Practicing since :1969

Answered : 2462 Questions

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Suggest treatment for lower abdominal pain

Brief Answer: liver disease Detailed Answer: Hi, Thanks for your question on HCM I do understand your pain and discomfort As per your clinical history is concerned please provide me few things which will clarify your all doubts:- 1)Do you have swollen foot, ankles or fluid build up in abdomen? 2)Do you have diarrhea that can be greasy(Steatorrhea)? 3)Do you have yellowing of the skin and eyes(jaundice)? Please follow with correct answers and do not worry at all Hope that helps