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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain In The Abdomen

Hi doctors. please help me im desperate for medical attention for my beloved sister
her symptoms includes:-
CONTINUOUS pain in the region of diaphragm (according to local diagnosis, its muscular narrowing and its untreatable) also, the pain increases significantly when she breathes or try to swallow some food... her breath is very shallow
Mon, 2 Mar 2015
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General Surgeon 's  Response
Hi.
Thanks for your query.
This is an emergency if your sister has shallow breathing and you should take her to the ER or the hospital immediately.
If the pain is increasing on breathing, there is either a problem of the lungs or pleura or just below the diaphragm.
Continuous pain in the region of the diaphragm according to local diagnosis has to be investigated immediately as this may need immediate intervention.

I would suggest the following in such a patient:
Admit in Emergency / ICU
Measure the SPO2, vitals.
CT scan of the chest and the abdomen to find the most probable cause of this which may be :
Liver abscess
Subdiaphragmatic collection
Plural infection and may be Pneumonia.

The treatment will obviously be - general : Supply oxygen, antibiotics, painkillers, intravenous fluid, and
Surgical : like drainage of the abscess or putting a tube in the chest depending upon the diagnosis found.
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Suggest Treatment For Severe Pain In The Abdomen

Hi. Thanks for your query. This is an emergency if your sister has shallow breathing and you should take her to the ER or the hospital immediately. If the pain is increasing on breathing, there is either a problem of the lungs or pleura or just below the diaphragm. Continuous pain in the region of the diaphragm according to local diagnosis has to be investigated immediately as this may need immediate intervention. I would suggest the following in such a patient: Admit in Emergency / ICU Measure the SPO2, vitals. CT scan of the chest and the abdomen to find the most probable cause of this which may be : Liver abscess Subdiaphragmatic collection Plural infection and may be Pneumonia. The treatment will obviously be - general : Supply oxygen, antibiotics, painkillers, intravenous fluid, and Surgical : like drainage of the abscess or putting a tube in the chest depending upon the diagnosis found.