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Suggest Treatment For Abdominal Pain And Fever While Treating Liver Abscess
Hi, i had problem of Abscess in my lever .Its been almost 5 months now i have taken all the possible treatment still the Abscess is not reducing in size for last 2 months. I still feel pain in my abdomen and gets fever aswell. Could please guide me what should i do and how long does Abscess takes to clear.
Tue, 12 Jan 2016
hello and welcome to healthcaremagic.
I am Dr Asad sami.i have read your question and I can understand your concerns.
what is your age.?
are you diabetic.?
have you got history of other liver diseases or any itra abdominal pathology.?
are you taking any immunosupressant drugs.?
if i were treating you in my clinic i would have done blood complete picture to look for anemia and leukocytosis.
immunoessays for entamoeba histolytica.
blood cultures .
ultrasound abdomen to look for size etc.
computed tomography for any underlying malignancy of liver.
casoni test to see for hydatid cyst which is caused by echinococcus granulosus
liver abscesses are mainly polymicrobial in nature(80%)
entamoeba histolytica abscess account for 10% cases.
rest are fungal in nature.
treatment include medications and drainage of the cyst.
medications include antibiotics for poly microbial abscess suc as escherichia coli,klebsiella pneumonia etc.ciprofloxacin,ceftriaxone,imipenum or cefuroxime can be used.
for fungal abscess antifungals such as ketoconazole and fluconazole.
metronnidazole is also good.
drainage procedures are
percutaneus drainage of the abscess under ultrasound or computed tomographic guidance.
open surgical drainage can be done by transpleural or transperitoneal techniques.
it must be remembered that abscess anywhere needs proper drainage.
cysts more than 5 cm will need open drainage.
complications of this abscess include sepsis,emyema and peritonitis etc.
i will suggest you to meet a general surgeon or an intervention radiologist to drain this abscess.
thanks.
hope the answer is helpful.
feel free to ask further questions.
regards.Dr Asad sami
I am Dr Asad sami.i have read your question and I can understand your concerns.
what is your age.?
are you diabetic.?
have you got history of other liver diseases or any itra abdominal pathology.?
are you taking any immunosupressant drugs.?
if i were treating you in my clinic i would have done blood complete picture to look for anemia and leukocytosis.
immunoessays for entamoeba histolytica.
blood cultures .
ultrasound abdomen to look for size etc.
computed tomography for any underlying malignancy of liver.
casoni test to see for hydatid cyst which is caused by echinococcus granulosus
liver abscesses are mainly polymicrobial in nature(80%)
entamoeba histolytica abscess account for 10% cases.
rest are fungal in nature.
treatment include medications and drainage of the cyst.
medications include antibiotics for poly microbial abscess suc as escherichia coli,klebsiella pneumonia etc.ciprofloxacin,ceftriaxone,imipenum or cefuroxime can be used.
for fungal abscess antifungals such as ketoconazole and fluconazole.
metronnidazole is also good.
drainage procedures are
percutaneus drainage of the abscess under ultrasound or computed tomographic guidance.
open surgical drainage can be done by transpleural or transperitoneal techniques.
it must be remembered that abscess anywhere needs proper drainage.
cysts more than 5 cm will need open drainage.
complications of this abscess include sepsis,emyema and peritonitis etc.
i will suggest you to meet a general surgeon or an intervention radiologist to drain this abscess.
thanks.
hope the answer is helpful.
feel free to ask further questions.
regards.Dr Asad sami
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