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Abdominal USG showing partially distended bladder, gas filled bowel loops, no free fluid in the peritoneal cavity. What does it mean?

Below Report of USG Abdomen + Pelvis:
My name is Naresh and my age is 30 years.

4mm calculus is seen in middle calyx No hydronephrosis
Urinary Bladder : Partially distended. No calculus. No cystitis. No mass lesion.
Prostate : Normal Size/ Normal echotexture.

Gas filled bowel loops throughout the abdomen.
No thickened bowel loops. No e/o intestinal obstruction.
No free fluid in peritoneal cavity.

Kindly advise what is the problem and how to get it diagonised ?

Email id : YYYY@YYYY
Wed, 17 Jul 2013
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General & Family Physician 's  Response
Hello Good Evening,

You just mentioned your USG report but not mentioned that you are symptomatic for that or not, if yes the since when and what is the severity of the pain.

As per your USG report you have Renal Stone (Calculus), and dilated bowel loops, so you might have pain abdomen due to constipation, for that you got USG done.

As your calculus causing no harm to kidneys and other organs, so this might be asymptomatic, and more chances of passing out of it.

Since less than 5 mm calculus find asymptomatic, then nothing to do with them, they can be pass spontaneously, but if you are symptomatic for that calculus, then you have to go through a Hydrotherapy followed by a surgery (PCNL) if needed.

You should take laxatives and prokinetics for the constipation, if you have, and do some physical activity, if you are in sedentary life style.


Dr. Naresh Jain.
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General & Family Physician Dr. Raghuram's  Response
Hi Naresh !
It appears from your history that you have a single ureteric calculi.It might require admission to a hospital for a day to flush it out.Do consult a physician /nephrologist for further management.
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