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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Dull And Persistent Pain In Right Lower Abdomen?

i have been getting a dull aching, but persistent pain in my lower abdomen on the right. Its been happening for a while now. And then I get like these puss filled nodes/bumps on my pubic area.. one of them turned into like an open wound once. what is this?
Mon, 1 Sep 2014
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General Surgeon,  's  Response
Hi.
Since you have got pus filled nodes in the groin and one is opened up and also have persistent dull ache in the right lower abdomen , I would think of the lymph node mass in the right iliac fossa . This may be due to tuberculosis or fungal or just infective.
I would advise you to have an ultrasonography, FNAC and CT scan to prove.
Also would advise for blood tests for CBC, sugar, Quantiferon gold test for tuberculosis; Urine and stool; colonoscopy to cecal infection. Pus from the opened node for gram staining AFB staining, culture sensitivity.
Treatment would be to start Boaod spectrum antibiotics and anti-tb treatment on empirical basis if thought so.
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How To Treat Dull And Persistent Pain In Right Lower Abdomen?

Hi. Since you have got pus filled nodes in the groin and one is opened up and also have persistent dull ache in the right lower abdomen , I would think of the lymph node mass in the right iliac fossa . This may be due to tuberculosis or fungal or just infective. I would advise you to have an ultrasonography, FNAC and CT scan to prove. Also would advise for blood tests for CBC, sugar, Quantiferon gold test for tuberculosis; Urine and stool; colonoscopy to cecal infection. Pus from the opened node for gram staining AFB staining, culture sensitivity. Treatment would be to start Boaod spectrum antibiotics and anti-tb treatment on empirical basis if thought so.