Suggest treatment for pain in lower abdomen till groin
Patient: I have been having issues with my lower abdomen for the last 18 month or more. My symptoms are varied but key features are pain on the left side from the belly button wraps round to the side bad down into the left groin . There is a subtle swelling of the abdomen on the left and also left top of thigh. There is a feeling that there is something heavy in the abdomen pushing out the pelvic bone and ischium, the bone I am sitting on and causing pain. I have suffer from night sweats and find it difficult to sleep as there is always pain.. I had tests and scans but it didn t turn up anything. It was suggested that I had IBS but the pain and pressure is very localised to left side of body only. I have been round the loop a few times to try and get to a diagnosis but was advised to take IBS medication. This doesn t make any of the symptoms go away and I do despair of the pain. Doctor: Hi.Thanks for your query.Read the whole history carefully. To recapitulate: 18 months-pain from belly button to --- as described - to groin- swelling- feeling of pushing- night sweats- This can not be due to IBS.There has to be a reason for this. \I would advise you to go for a PET scan also along with an MRI of the abdomen and upper leg. This will definitely help to find out or rule out the cause. Also important is a clinical examination , I mean real physical examination to confirm by a Doctor the severity of the swelling - to confirm it is really present and its relation to the other findings. Also go for the blood and urine and stool tests - rule out diabetes, typhoid.Blood culture and sensitivity does help sometimes.Occasionally the findings of osteomyelitis does take some time to be picked by the CT or MRI. So the need to repeat,..