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What Causes Constant Abdominal Pain?

Posted on Sat, 11 Apr 2015

Question: Dear Doctor,
Please find the attachment for the endoscopy for my wife.
I hope you can exactly her case .... she has stomach pain long time ago and we did the endoscopy but the doctor did not explain to us . Could you please explain to me what is pancreatic rest ?? and what do you think about the nature of her polyps and the risk of malignancy ??thank in advance best regards

XXXX

Answered by Dr. Dr.P.Ratnakar Kini (2 hours later)

Brief Answer:
Pancreatic tissue in an abnormal location

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Pancreas is an organ normally situated behind the stomach.
A pancreatic rest is a developmental anomaly in which some of the pancreatic tissue is situated in an abnormal place. In your wife's case it is situated inside the stomach cavity.

Regarding the polyps, there are different types of polyps. It is difficult to tell about the malignant potential without seeing the histopathology report. So you please get back to me with the histopathology report ( biopsy report).

I hope that answers your query.
Let me know if I can assist you further.
Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (14 hours later)

Dear Doctor ,
Thanks a lot for you response.

Please find the attached report which i just received now. I hope Kindly please clarify and explain to me in details.

What exactly the report says?? and do we need further test like colons-copy ?? is the mild edema in the stomach is ascites in stomach ?? if yes what is treatment or the tests to do confirm or rule out.. thanks alot for you help in advance.
Best regards from Doha
Hi again doctor,

I just to would like to clarify regarding my question
is the mild edema in the stomach is ascites in stomach

What I mean is

Is Antral gastric mucosa with mild edema ( as mention in the report ) is Ascites??
Best regards

Answered by Dr. Dr.P.Ratnakar Kini (19 hours later)

Brief Answer:
No it is not ascites

Detailed Answer:
Hi,
The mild edema in the antrum of stomach could be to inflammation and congestion.

No it is not due to ascites.

Let me know if you have any more questions.
Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (29 hours later)

Dear Dr.Klni thanks a lot for your reply . Iam sorry one more question , do we need do colonoscopy ? My wife has RBC 2-4 in her stool test what does it mean . Thanks and best regards XXXX

Answered by Dr. Dr.P.Ratnakar Kini (8 hours later)

Brief Answer:
No she does not need colonoscopy

Detailed Answer:
Hi,
No she does not need a colonoscopy.
2-4 RBC need not be taken significant.
I presume she is not anemic.

Regards,
Dr.R.K.

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Above answer was peer-reviewed by : Dr. Raju A.T