Suggest Treatment For Persistent Pain On The Stomach

Posted on Thu, 19 Feb 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 19 Feb 2015 Answered on

Mon, 16 Mar 2015 Last reviewed on

Question : I have had stomacb pains on and off for the last month, last night i got one started suddelnly on my left hand side then moved to thr right side. It slowly went into my lower right hand back then travelled doen to my groung and down my leg all on the right side. Then it slowly moved up my back. I feel nauseous and the pain is really intense what could this be? I dont have a fever.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
MRI of spine - examination of abdomen and relevant investigations

Detailed Answer:
Hi.
Thanks for your query.

To Recapitulate: 23 / Female - pain in abdomen on and off for last month - sudden
pain yesterday night - started on left > right > right lower back > groin > right leg > moved up the back - nausea with intense pain - no fever - wants to know the reasons.

Other than nausea and no fever, there are no other symptoms related to the urinary or bowel systems that you have mentioned.

This is most likely to be due to spinal problem, as per the history you have provided.

I would advise you the following:
-Actual physical examination of the abdomen and the back by a Doctor, preferably a Surgeon to rule out any clinical problem that may not be showing up at the moment.
-Ultrasonography of the abdomen just to rule out any problem related to the abdomen as you have a history of stomach pains on and off for the last month.
-MRI of the lower spine- this will help us to see whether there is any problem related to the spine, spinal cord, disc and the space around and get a probable diagnosis.

Nausea can be due to reflex mechanism as it can come due to severe pain itself.

I hope this answer helps you to get an early and proper diagnosis for a proper treatment.

Please feel free to give me feedback, ask for more relevant queries or if you feel that there is a gap-of-communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (8 minutes later)

I cant eat or drink anything n i feel cold but hot at the same time. Its in the lower right abdomin is where the pain is and goes into right groin and leg and liwer right back

Answered by Dr. T Chandrakant (13 minutes later)

Brief Answer:
Admission- USG and other investigations as per the clinical findings.

Detailed Answer:
Thanks for your feedback.
IF you can not eat or drink anything you need admission for intravenous fluids and may be antibiotics and urgent ultrasonography of the abdomen to see for appendicitis or Urinary tract stones and infection or any other possibility related to the Gynecological problems like ovarian or tubal pathology.
Also required are:
-The tests of the blood, urine and stool.
-CT scan of the abdomen to confirm the findings of the ultrasonography.
-Treatment as per the reports.
-In addition to the points already mentioned.

Please get the things ASAP (As soon as possible)
Feel free to give a feedback and ask for further if need be.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (7 minutes later)

Okay then. But i cant afford to have time off work

Answered by Dr. T Chandrakant (47 minutes later)

Brief Answer:
Get a proper diagnosis.

Detailed Answer:
Yes, you may be right as far as the time is concerned.
But, when the problem is long lasting, and has a severe problem, you need to have the correct diagnosis and proper treatment.
The old saying '' stitch in time saves nine '' meaning proper care in time saves bad complications in the future.

Please get a proper diagnosis at your earliest.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (7 hours later)

Thats true ill get it checked out when i can. I havent been urinating as much n that maybe its just dehydration or something im not sure. I diid my bp before its 115/90 so thats okay .

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
May be dehydrated.

Detailed Answer:
Great.
This is the right decision you have taken.
Get the investigations ASAP (as soon as possible).
Dehydration is one of the reasons for reduced urination, very true; but also indicates that you need a proper treatment too.
Try to avoid complications.
BP of 115/90 looks fine, but many a times this can just be the body's natural
defense that is in action and can be fallacious in some cases.
What is your Pulse rate?
is the mouth and tongue normally moist and wet ?
Or you feel thirsty ?

How is the pain now ?

Please feel free to discuss more and get a proper diagnosis ASAP,
Get properly treated.
Feel free to ask or give feedback
You may contact me in future
on this link
http://bit.ly/askdrtchandrakant

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (1 hour later)

My pulse was 80 at restfulness. The pain is still not very good. I feel like i need to consitnlh urinate but i get there and i cant. My mouth feels dry i want to drink but i take a little bit but thats it dont feel good if i drink any more than one glass of water

Answered by Dr. T Chandrakant (5 minutes later)

Brief Answer:
Get checked by a Doctor.

Detailed Answer:
Pulse of 80 with the BP you noted is not bad.
But the dry mouth is not a good symptom / sign.
Pain is still not good, you say.
Feeling like to pass urine but unable to pass is also not a good symptoms.

Why not to attend an Emergency room or a hospital nearby and get checked ?
Dehydration should be treated and most important is the diagnosis.

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar