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Experiencing a sharp pain on my right side and night sweats. It feels like something inside of me is turning over. what is the disease?

im a 42 year old female... My cycle is 5 days late. My tubes have been tied for over 10 years and my partner had a vestocomy about 12 years ago. Lately when i get up off the sofa im experinicing A SHARP PAIN on my right side. It feels like something inside of me is turning over... Its a wierd feeling, im also experincing alot of NIGHT SWEATS my bed is socked my morning with sweat
Asked On : Sat, 27 Apr 2013
Answers:  1 Views:  15
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General & Family Physician 's  Response
Hi and thanks for the query,

A keen clinical evaluation is required under such circumstances. Pain and these night sweats could be an indication of most probably a chronic infectious process or a tumoral syndrome. Intrabdominal abscesses and tumors classically present as such. Extra pulmonary Tuberculosis could also have manifestations as such.
A complete blood count to measure the white blood cell count is mandatory, an Erythrocyte sedimentation rate and C reactive protein to ascertain the degree of inflammation. A blood culture needs to be done. A chest X ray and an abdominal ultrasound is required to visualize internal abdominal structures.

Doing a routine pap smear in your case could also be helpful for follow up and routine purposes with respect to cervical integrity. paying special attention during the clinical evaluation and ultrasound with respect to presence or absence of lymph nodes could be very informative for further diagnostic purposes.

I strongly recommend you consult an internist for rigorous clinical review. thanks hope this helps. Best regards.

Bain LE, MD.
Answered: Sun, 23 Jun 2013
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