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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Aching Sensation In The Abdomen Having Diagnosed With Hiatal Hernia?

Hello, 28 yo male. I have had a strange tugging / aching sensation in my lower right abdomen. The location is about two finger widths to the right of my belly button. I have had this sensation for a few months now but it was very subtle, it is now growing stronger and is accompanied by nausea. I find that if I push on the location the nausea mildly subsides but returns after release. There is a flutter sensation as well as tugging and it is very isolated.

I have been diagnosed with a hiatial hernia a year ago, lymphatic hyperplasia and a spermatocele but besides that no other illnesses. Blood work shows no signs of infection or peaked numbers that would cause concern as well as ultrasound could not find any noteworthy masses or obstructions. I have had an endoscopy and a colonoscopy and gallbladder test. The gallbladder test shows its within optimal paramaters as well as no stones or obstructions.

Diet is low carb low sugar with no stimulant intake other than a cup of coffee every once in awhile. No alcohol or smoking as well as any other recreational stimulants. I have noticed no weight loss or substantial changes in physique however when I am feeling nauseous I also feel very faint and weak. My Primary care Dr as well as my Gastroenterologist believe I am fine and experiencing an upset stomach from diet induced reflux or agitation however given the prominence of the symptoms and the demand of attention from the very specific location and the growing level of fatigue and nausea I am beginning to become quite concerned.

I am not one to jump to conclusions or make hasty decisions and will continue doing research on this as much as I can but I would like to know if you or anyone has any thoughts on what may be causing this as well as some tests or requests I could ask my Drs to see if we can diagnose what is causing these symptoms?

I am most grateful for your time and thank you for any insight or thoughts you may have.
Mon, 25 Jun 2018
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Sexologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice

I can understand your situation. Since you have done endoscopy .colonoscopy, scan and few blood tests there may not be any organic lesions.However stone's in the kidney or ureter can at times cause similar symptoms.Ultrasound scan may not detect small stones at times.Rarely ultrasound scan can miss. You can get a urology consultation.second reason could be subacute appendicitis.

Hope I have answered your query.
Let me know if I can assist you further.
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What Causes Aching Sensation In The Abdomen Having Diagnosed With Hiatal Hernia?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice I can understand your situation. Since you have done endoscopy .colonoscopy, scan and few blood tests there may not be any organic lesions.However stone s in the kidney or ureter can at times cause similar symptoms.Ultrasound scan may not detect small stones at times.Rarely ultrasound scan can miss. You can get a urology consultation.second reason could be subacute appendicitis. Hope I have answered your query. Let me know if I can assist you further.