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Suggest Treatment For Right Abdominal Pain With Lower Back Discomfort
Question: Hi , thank you, lower right abdominal pain, (I'm female 60 years old) accompanied by lower back discomfort, side of abdomen-around waistline. OBGYN all clear...after having had ultrasound, and biopsy of uterus.
no bleeding or discharge.
no bleeding or discharge.
Brief Answer:
Typhlitis, retro-cecal appendicitis, and so on.
Detailed Answer:
Hi.
Thanks for your query.
It is good to know that the OBGYN is clear after biopsy and ultrasonography has already been done. This also rule out to a certain extent the few other causes of pain in lower right abdomen.
With this in mind I can think of the following causes for a pain in right lower abdomen with low back discomfort, side of abdomen and around waistline:
Colitis of the cecum also called a typhlitis.
Retro-cecal Appendicitis ( retro meaning behind the cecum).
Ilio-psoas abscess. ( muscles at the back ).
Urinary tract infection is rare situations.
I would advise you the following:
Blood- CBC, sugar, urea, creatinine.
Urine - routine, microscopy, culture and sensitivity.
Stool examination.
Repeat ultrasonography .
CT scan to confirm or rule out specific cause.
A course of an antibiotic, metronidazole, probiotic and so on.
If there is a complete response, nothing more needs to be done.
If surgical cause is found, it is better to get operated.
I hope this answer helps you to get an early and proper diagnosis so that further treatment can be guided.
Typhlitis, retro-cecal appendicitis, and so on.
Detailed Answer:
Hi.
Thanks for your query.
It is good to know that the OBGYN is clear after biopsy and ultrasonography has already been done. This also rule out to a certain extent the few other causes of pain in lower right abdomen.
With this in mind I can think of the following causes for a pain in right lower abdomen with low back discomfort, side of abdomen and around waistline:
Colitis of the cecum also called a typhlitis.
Retro-cecal Appendicitis ( retro meaning behind the cecum).
Ilio-psoas abscess. ( muscles at the back ).
Urinary tract infection is rare situations.
I would advise you the following:
Blood- CBC, sugar, urea, creatinine.
Urine - routine, microscopy, culture and sensitivity.
Stool examination.
Repeat ultrasonography .
CT scan to confirm or rule out specific cause.
A course of an antibiotic, metronidazole, probiotic and so on.
If there is a complete response, nothing more needs to be done.
If surgical cause is found, it is better to get operated.
I hope this answer helps you to get an early and proper diagnosis so that further treatment can be guided.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
The appendix was removed years ago. What is your thinking in having sugar checked.
Brief Answer:
Get all relevant tests done- course of antibiotic and metronidazole
Detailed Answer:
Thanks for your feedback.
I suggest you get all relevant tests done to rule out other possibilities.
A course of antibiotic and metronidazole.
Appendectomy history noted.
I have already mentioned above about blood sugar. Sugar test needs to be done as a routine test along with other blood test to be safer side.
Get all relevant tests done- course of antibiotic and metronidazole
Detailed Answer:
Thanks for your feedback.
I suggest you get all relevant tests done to rule out other possibilities.
A course of antibiotic and metronidazole.
Appendectomy history noted.
I have already mentioned above about blood sugar. Sugar test needs to be done as a routine test along with other blood test to be safer side.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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