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Suggest Treatment For Pain And Soreness On Left Lower Abdomen

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Posted on Mon, 19 Jan 2015
Question: I woke midnight pain & soreness on left lower abs. Periodically next day very sharp pain, incld urinary tract. Second night sharp pains increased & began fever 102. Pain lessened on right & began over navel & on left side. No bowel function for 24 hrs, bloating. Pain periodically w/ fever dropping 101.7. Broke fever 4th night & pains regularly lessening. Next morning no fever & diarreah w/ much mucus. 5th & 6th days no fever but still sluggish bowel & discomfort in all lower ab area. Tender to touch but sharp pain gone. Had full hysterectomy yrs prior. Was told then I had a lot of scar tissue in an area, have had 2 surgeries & 2 laparoscopic procedures prior.
doctor
Answered by Dr. Deepak Kishore Kaltari (57 minutes later)
Brief Answer:
Possibly due to infective intrabdominal foci

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Ms

Going by description of your symptoms possibility of Pelvic inflammatory disease or other intraabddominal infective foci needs to be considered along with subacute intestinal obstruction(incomplete obstruction of bowel which could be due to previous adhesion due to surgery ). Exact diagnosis will depend on clinical examination.

You will require the following investigation in consultation with your Physician

1. Erect X ray abdomen

2. Ultrasound scan of abdomen

3. Complete blood count

4. Urine routine and microscopic examination

5. Urine Culture and antibiotic sensitivity

I would suggest you to consult your physician for detailed assessment and clinical examination.

In the meantime till you consult your physician I would advise you the following

1. Continue taking Tylenol and Ibuprofen for control of Fever

2. Soft diet

3. Antispasmodic like Drotavarin will help relieve intestinal spasm

4. Antibiotics to be started once urine culture is submitted

Do keep me updated about progress.

Wishing you a very happy and healthy life.

Take care

Best regards
Dr Deepak Kaltari
Consultant Surgeon
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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Suggest Treatment For Pain And Soreness On Left Lower Abdomen

Brief Answer: Possibly due to infective intrabdominal foci Detailed Answer: Hi Welcome to Healthcaremagic Greetings of the day Dear Ms Going by description of your symptoms possibility of Pelvic inflammatory disease or other intraabddominal infective foci needs to be considered along with subacute intestinal obstruction(incomplete obstruction of bowel which could be due to previous adhesion due to surgery ). Exact diagnosis will depend on clinical examination. You will require the following investigation in consultation with your Physician 1. Erect X ray abdomen 2. Ultrasound scan of abdomen 3. Complete blood count 4. Urine routine and microscopic examination 5. Urine Culture and antibiotic sensitivity I would suggest you to consult your physician for detailed assessment and clinical examination. In the meantime till you consult your physician I would advise you the following 1. Continue taking Tylenol and Ibuprofen for control of Fever 2. Soft diet 3. Antispasmodic like Drotavarin will help relieve intestinal spasm 4. Antibiotics to be started once urine culture is submitted Do keep me updated about progress. Wishing you a very happy and healthy life. Take care Best regards Dr Deepak Kaltari Consultant Surgeon