Suggest treatment for constant upper abdominal pain
Patient: I am 33 yrs old wt 55kgs, height 5'3''.I had Pain in right flant radiant to right side of lower abdomen for the last two months. I got the ultrasound done which reveled bulky Lt Adnexa measuring 4.7X4.0X2.9coms(29cc volume) which as per the doctor is incidental finding. Minimal Free fluid is seen in the pouch of Douglas. I don’t have any pain in Lt side. Also small bilateral renal concretions were found. Doctor have suggested antibiotic Amphy IBL for 10 days,which relieves my pain but now I’v a constant stomach ache in the upper abdomen….Please suggest because the pains are now really getting onto my head I’m working and my job requires lot of traveling and standing most of the time.TLC 12400 DLC N15L14Urine 10-15 pus cells. Doctor: Hi.Thanks for an elucidate history. The history and the findings and the lab reports are well connected to each other .You had urinary tract infection in the past which I think was half treated. It is possible that you have an obstructing lesion in the right ureter like a stricture or so .Now this looks to be an Infection in the Kidney hence the reports. I would advise the following:First of all give the sample of the urine for culture and sensitivity before starting the antibiotics. Once the sample is given you have to get started on an antibiotic most suitable for UTI like Ofloxacin or so. Once the infection is settled and f your blood urea and creatinine are normal you should go for IVP- intra-venous Pyelography, CT scan of the abdomen.Further management will depend upon the findings. Once you start the treatment, do not stop till you get a complete relief