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Suggest treatment for rectal cyst

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Posted on Tue, 24 May 2016
Question: Thanks for getring back to me. I just went to c the doctors but they only told me i should wait . While i stil feel some pain as the days fo by. My brother i need your help to overcome my situation.

Plz am so in pain and i dont know whatvto do.
doctor
Answered by Dr. Rakesh Madhyastha (8 hours later)
Brief Answer:
Pain relief

Detailed Answer:
Hello

Thanks for getting back. I will definitely guide you in overcoming this.

1.Could you elaborate on what the doctors told?
2.Has the pain reduced in intensity or duration?
3. Was the contrast CT scan done? Please furnish the report


Tab aceclofenac is a wonderful drug for pain. I recommend using it twice a day for 2-3days. This reduces the pain to a great extent. Please do not use the drug for a prolonged period of time and without a prescription from your GP

Please get back to me , I am awaiting your reply

Regards


Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Rakesh Madhyastha (5 hours later)
I went for the contract CT Scan they told me they dont do it . They told me i should go to private hospitals and its very expensive almost 200usd almost 450, 000 Tanzanian Shillings .

The doctor told me renal ctsy is harmful til its getting bigger there they wil do surgery . They say they cant insert the needle to dry the liquid. Plz brother take me out if there other way rather than surgery.


The pain is duration . And inhave been xperianced that by the tyme i take prenty of water frequently the pain is getting vanished .
doctor
Answered by Dr. Rakesh Madhyastha (27 hours later)
Brief Answer:
Analgesics

Detailed Answer:
Hello

Thanks for getting back. I understand how painful and traumatizing the pain must be. Especially if it is constant an unbearable

There are two ways to go about it.
1. You can be on long term analgesics preferably opioid-based like Tramadol, it can be taken three times a day. However the biggest drawback would be that it causes dependacy and addiction. Please speak to your doctor about it. Another novel analgesic would be fentanyl patch, where a bandage of fentanyl (painkiller) is applied over the painful area and the pain vanishes. It is effective for about 48 hours
2. Tab Tolvaptan has been tried in such situtations and the patients have had reasonable decrease in pain intensity.

These are two conseravative options available. Please speak to your doctor about it. Did you try aceclofenac tablets which I had suggested in my earlier reply to you? It will help reduce the pain

Regards
Above answer was peer-reviewed by : Dr. Sonia Raina
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Follow up: Dr. Rakesh Madhyastha (1 hour later)
Thanks for the reply.

i have not take the tablets you suggested earlier. I was just asking does this remain forever til i die or it will vanish. i know down there u can do it successful either its surgery or needle insertion.

All i need is to get my health back as normal. what should i tell the doctors to do for me? do i need to get surgery on or is there any other way out i should go through.

If i was your patient what will you do for me to overcome my situations Doctor.?
doctor
Answered by Dr. Rakesh Madhyastha (37 hours later)
Brief Answer:
Pain might not vanish

Detailed Answer:
Hello dear , please try to understand ,

The cyst is stretching the renal capsule ( the covering later of the kidney) so unless some intervention is done like the one you have mentioned you might have pain. You might get accustomed to the pain but it will remain for a long time. It can only be managed conservatively with painkillers like I have mentioned.


If you were to be my patient I would have treated you conservatively(means with the help of pain killers and all) for 1-2 months, ruled out active cystic infection.

If still the pain remained intolerable I would have opted for surgical intervention. I believe relief from pain is the biggest gift a doctor can give to his patient .

So why don't you go ahead and start taking the pain killers as I've already mentioned, believe me you'll be much better,. Also drink a lot of water , watermelon , cranberry juice, they'll help you ..

Regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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Suggest treatment for rectal cyst

Brief Answer: Pain relief Detailed Answer: Hello Thanks for getting back. I will definitely guide you in overcoming this. 1.Could you elaborate on what the doctors told? 2.Has the pain reduced in intensity or duration? 3. Was the contrast CT scan done? Please furnish the report Tab aceclofenac is a wonderful drug for pain. I recommend using it twice a day for 2-3days. This reduces the pain to a great extent. Please do not use the drug for a prolonged period of time and without a prescription from your GP Please get back to me , I am awaiting your reply Regards