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What does my ultrasound scan report indicate?

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Posted on Mon, 16 May 2016
Question: Dear Doctor,
I 36 yr male, (Naren from Delhi), I have pain under the left rib side and I feel weakness like I am very sick. I visited the doctor the made ultrasound of Liver, Spleen, Kidney and ruled out . Later he suspected to cordial related ECG, Eco normal reported negative and TMT reported mild positive and suggested to go for Coronary CT. I don’t want to go for it due to high radiation.
My question is If I have cardiac related issue than why it fell pain left side rib and I may run about 3 to 4 km than it is not feel me pain. I feel fatigue and pain while I inactive.
I am engineering background and I keep active every day, pls suggest what type of disease it and how will it diagnose ?
In XXXXXXX majority of general physician do not examine, they opt all imaginary tests or prescribe medication of related suspected disease.
I want to ask how I ruled out CAD without CT scanner and I am very upset pls help me.
doctor
Answered by Dr. BR Hudda (1 hour later)
Brief Answer:
Please provide more information and upload reports.

Detailed Answer:
Hello Mr XXXXXXX
Welcome to health care magic, I have gone through your question very diligently and I will definitely help you out in best possible way but I will be requiring more information for better assessment of the condition like
Do you smoke or consume liquor?
Do you have any family history of heart disease?
Have your doctor checked your Blood pressure?
Your Weight and relevant medical history like diabetes or if you are taking any medicine?
Since how long you are having this problem?
Are you having any symptoms of acid reflux or hyperacidity like gas, indigestion, heartburn?
If possible upload the scan copy of your reports and ECG.

I would advise you to take antiacidity medicine like pantoprazole or ranitidine group of drugs with antacids
You should practice yoga and meditation regularly

Please write back to me with these details so that I will be able to help you more precisely.
waiting for your reply
Best wishes
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. BR Hudda (20 hours later)
Sir I uploaded report,
I don't smoke and take alcohol very occasional in moderate level.
Yes, every times doctor checked blood pressure and found normal.
My weight 62 Kg Height: 5ft-7inch, I have herpes zoster (a belt of singles from left front chest to back side) in mid 2008 after three months it resolved by antiviral tablets. (I have picture of that outbreak)

Now I have some times pain same area (left under rib) and feels very tired like heart diseases. I can not some times even climb some steps.
But I dont have any pain in center of chest.

And sometimes I can run some kilometers.

I afraid that doctor want to test coronary CT radiography. But I believe if results shows normal than radiation which I took is very dangerous.
So I want to confirm all related issue which cause pain under the left rib side.

I dont have gastric problem like acid reflex.

pls suggest my what should I do ?


doctor
Answered by Dr. BR Hudda (7 hours later)
Brief Answer:
You need to undergo further evaluation to rule out heart disease

Detailed Answer:
Hello Mr XXXXXXX
Welcome again and thanks for all the details
I have gone through your reports you have uploaded.

TMT is suggestive of mildly positive for exercise induced reversible myocardial ischemia, which doesn't rule out completely that you don't have any cardiac issue.

you also have borderline high LDL which is a risk factor for heart disease

Instead of coronary CT, you can ask your cardiologist for Holter monitoring or coronary angiography
However I would advise you to follow your doctor as such your reports doesn't rule out heart disease completely and you need to undergo further evaluation.

Hope I could answer your question, please do let me know if you have any more queries.
Best wishes
Above answer was peer-reviewed by : Dr. Deepak
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Dr. BR Hudda

General & Family Physician

Practicing since :2009

Answered : 2997 Questions

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What does my ultrasound scan report indicate?

Brief Answer: Please provide more information and upload reports. Detailed Answer: Hello Mr XXXXXXX Welcome to health care magic, I have gone through your question very diligently and I will definitely help you out in best possible way but I will be requiring more information for better assessment of the condition like Do you smoke or consume liquor? Do you have any family history of heart disease? Have your doctor checked your Blood pressure? Your Weight and relevant medical history like diabetes or if you are taking any medicine? Since how long you are having this problem? Are you having any symptoms of acid reflux or hyperacidity like gas, indigestion, heartburn? If possible upload the scan copy of your reports and ECG. I would advise you to take antiacidity medicine like pantoprazole or ranitidine group of drugs with antacids You should practice yoga and meditation regularly Please write back to me with these details so that I will be able to help you more precisely. waiting for your reply Best wishes