I Have Severe Lower Abdominal Pain That Feels Like Pressure

Posted on Sat, 7 Sep 2019

Question: I have severe lower abdominal pain that feels like pressure and burning in my bladder. Orgially they thought I had a UTI but even thoughthe dip test showed high WBC and trace blood it cam back from the lab as negative, Unto an ultrasound which suggested a 10 adnexal mass. Onto a CT scan which says the "mass" was likley and air filled elongated cecum. Also noted some diverticulois in the sigmond colon. Now, I await an appt with gastro for a colonoscopy but the pain which comes and goes is excruciating. My GI appt isnt until mid November. What could possibly be causing this severe pain?
Here is the ct summary:
Bowel/mesentery/abdominal wall: There is no evidence of small bowel obstruction. The
appendix is within normal limits. The cecum is somewhat elongated and extends into
the right pelvis. There is extensive diverticulosis, particularly involving the sigmoid colon.
However, no focal inflammatory changes are seen to suggest acute diverticulitis.
Impression:

1.No mass identified in the abdomen or pelvis. The apparent abnormality described on
the comparison ultrasound examination performed 6/26/2019 may have represented the
air-filled cecum, which is elongated and extends into the right pelvis.

2.Mild hepatosteatosis.

3.Diverticulosis.

Answered by Dr. AJEET SINGH (3 hours later)

Brief Answer:
Diverticulosis

Detailed Answer:
Hi...
Welcome to 'Ask a Doctor' service.
I am Dr. Ajeet XXXXXXX

I have gone through your query and your report and here is my opinion.

You have diverticulosis disease which occurs when small, bulging pouches (diverticula) develop in the digestive tract.

Usually, it has no symptoms.
You are among 5 percent of the people with diverticulosis who have symptoms.
Abdominal pain is the most common presentation.
When one or more of the diverticulosis pouches become inflamed or infected, it is called diverticulitis.

Diverticulitis is most of the time symptomatic.
It has hardly any complications.
It is not precancerous.

Diverticulitis is managed by dietary modifications, good hydration, avoiding constipation, stool softeners, antibiotics, and antispasmodic drugs.

Your dietitian would help you to make a relevant diet chart and your gastroenterologist would tailor the treatment protocol according to your needs.

Hope that I have answered your query.
If you have any doubts, please let me know.
Stay healthy and stay blessed.
Regards

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Above answer was peer-reviewed by : Dr. Arnab Banerjee