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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurrent Pain In The Upper Abdomen?

I had my gallbladder removed in October 2016 and have had reoccurring pain in my upper abdomen. Due to this, I had an MRCP that showed pancreas divisum and a mildly complex cyst on my left kidney. I ve had two urine tests - one in March of 2017 that showed RBC urine at 6, hyaline casts 1, squamous epithelial cells urine 6, WBC urine 4, hazy, leukocyte esterase urine 2+ and blood urine 1+, and another urine test at the end of May 2017 with very similar results. I don t have a UTI. My upper abdomen pain appears to be related to my pancreas and not my kidney. The urologist doesn t seem concerned about the cyst on my kidney and told me to have a CT scan in 1-2 years. I m not comfortable with waiting that long, and I m not sure what to do next. Can you give me any guidance?
Tue, 25 Jul 2017
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General & Family Physician 's  Response
Thanks for putting your query over here.
Considering the scenario you described ,your persistent upper abdominal pain and urine analysis report,It seems to be due to kidney cyst.
Kidney cyst needs to be treated through procedure called as sclerotherapy or surgical removal followed by regular follow ups.
Also precaution needs to be taken against development of hypertension by adopting a low salt diet,high fibrous food like cereals,vegetables,fruits.Avoiding smoking.
Hope this information is helpful.
Thanks and regards.
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What Causes Recurrent Pain In The Upper Abdomen?

Thanks for putting your query over here. Considering the scenario you described ,your persistent upper abdominal pain and urine analysis report,It seems to be due to kidney cyst. Kidney cyst needs to be treated through procedure called as sclerotherapy or surgical removal followed by regular follow ups. Also precaution needs to be taken against development of hypertension by adopting a low salt diet,high fibrous food like cereals,vegetables,fruits.Avoiding smoking. Hope this information is helpful. Thanks and regards.