w******a
发帖数: 36 | 1 Which ultrasound are you going to have? It depends, if you are going to look
at your abdomin (uterus, kidney blablah), actually you need drink some
water and hold it, which give better result. If dor liver/gallbladder/right
upper quadrant, nothing to prepare. Usuaully no requirement for starving. |
|
f******I
发帖数: 769 | 2
if you're a female, probably also need to look into ovarian etiology, always
thought pelvic exam is part of work-up for female with abdominal pain, my
pelvic exam is CT of abdomen and pelvis,
other test i could think of is endoscopy,
if HIDA scan with cck injection is still normal, probably is not gallbladder
related, but you could always go to extreme and get an exploratory
laparotomy, |
|
p*******g
发帖数: 1 | 3 Hi,
I have a similar problem. It is abdominal discomfort, always there for a
year now. I am here in Canada and I have gone through ultra sound, ct scan,
and Upper Gi, and colonoscopy. Apart from there are a few less than 4mm size
polyps in my gobblader, no other abnormal things can be identified. The
Doctors think I am mentally ill. The discomfort is wouse in the evening
hours, especially after dinner. I have cut down my dinner volume. Recently I
am scheduled to have a HIDA CCK Scan, can anyone |
|
t*******n
发帖数: 4445 | 4 Still worth checking to see whether it's something more treatable...like
mechanical obstruction or hernia.
Did the doctors find anything in abdominal palpitation & manual rectal exam?
years |
|
h***z
发帖数: 233 | 5 http://www.odemagazine.com/doc/56/at-our-fingertips/all
Carol Greenhouse | September 2008 issue
At our fingertips
Along with modern medical technology, acupuncture, herbs, exercise and a
good diet, pulse diagnosis could be a crucial part of effective preventive
medicine.
Photo: Leon Hammer
"Good news. We didn’t find anything." The doctor delivered her verdict from
the doorway of my room in the emergency ward of a hospital in Troy, New
York, where I’d gone a few weeks ago for sharp abdominal pain |
|
f******I
发帖数: 769 | 6
if you have no fever and no nausea and vomiting and no abdominal pain, then
don't worry too much about it, might be something you ate that you don't
absorb well, |
|
g***r
发帖数: 285 | 7
or better yet, you can ask your physician for an endoscopic ultrasound,
which has better yield than trans-abdominal ultrasound, just not sure if
your insurance will cover it, and it's not a widely available in everywhere, |
|
g***r
发帖数: 285 | 8
appendicitis mostly present with right lower quadrant pain, with significant
rebound and guarding, associated with fever often,
gallbladder is in right upper quadrant,
diverticulitis is often in left lower quadrant,
pancreatitis is often epigastric with radiation to the back,
but in general abdominal pain is quite difficult to diagnose, |
|
g***r
发帖数: 285 | 9
intesinal
i thought 疝气 is hernia, like inguinal/femoral hernia, you do not need to
get an ultrasound for the diagnosis, you need to see a good surgeon and get
a good physical exam, or you can do it yourself or ask your friend to do it,
assume you are male,
have the finger push on the scrotum sac, push up against the skin toward the
external ring, then you cough or strain, to increase the intra-abdominal
pressure, if it is true hernia, then the finger should be able to feel it, |
|
t*******n
发帖数: 4445 | 10 Generally, CT gives much more information than X-ray. A lower abdominal CT
costs something like $2k, I guess.
ER is not the way to go. You should ask you doctor why he/she ordered the
CT (e.g. I had one last year, the doc said it was to rule out a very specific disease), and
1. If $$ is the concern, ask about cheaper alternatives;
2. If pain is the concern, ask about possible ways of symptom relief. It's
possible to do that without CT results.
is |
|
t*******n
发帖数: 4445 | 11 Abdominal x-rays are not given to pregnant women, unless in the rare case
when potential benefit outweights the risk, and there are no alternatives.
So it's always a matter of weighing... |
|
j****i
发帖数: 496 | 12 Both my doctor and I highly suspect that I had a ruptured ovarian cyst which
causes me excruciating pelvic and abdominal pain, dizziness and nausea. My
doctor puts me on (600mg Motrin + Vicodin) x 3 times/day. The pain becomes
manageable now with the combo pain meds, but I read that overdose of
Ibuprofen/APAP can cause stomach bleeding and liver problems. Is it too
much to take for extended time? How many days should I try to limit myself
to the pain management regime? What if the pain does |
|
g*****j
发帖数: 1211 | 13 溃疡性结肠炎 (ulcerative colitis) is a type of inflammatory bowel disease.
Another type is called Crohn's disease (克罗恩氏病）
Inflammatory bowel disease are usually chronic illness, and can present with
abdominal pain and bloody diarrhea. In children, it is associated with
developmental delay, weight loss, etc.
These illness are rare, compared to constipation or food allergy. However,
if diagnosis is confirmed, there are treatments including medication and
surgery to control the symptoms and prevent ma |
|
g*****j
发帖数: 1211 | 14 What you described is a symptom, not a disease or diagnosis. Abdominal pain
can be caused by many reasons, and I don't think there is a way that you
can get reliable answer through the web. |
|
n******s
发帖数: 210 | 15 several questions that you might be asked next visit to your doc.
Any weight change lately, headache, visual change, comstipation/diairrhea,
difficulty adjusting to temperature, hair change, abdominal pain, cramp
during period previously, hot flashes, abnormal vaginal discharge or itchy.
If you are positive for any of the above, you need immediate medical
attention. |
|
g*****j
发帖数: 1211 | 16 Hepatitis panel
Liver function test
Chest X-ray
Urine analysis
B超（彩色）--> not sure about this one, either abdominal ultrasound or
echocardiogram. You need to make sure what organ is to be tested
EKG |
|
g*****j
发帖数: 1211 | 17 Yes. Ultrasound abdominal survey; I guess 彩色 means color doppler. |
|
n******s
发帖数: 210 | 18 OK, runny nose, cough, and mild left abdominal pain, all these remind
infectious mononucleosis which is rare.
For acid reflux (GERD), cough while lying down is one of symptoms, but note
the cough is caused by the refluxed acid, typically the patient gets metal
taste in the mouth, in fact, asthma is more often than cough.
Several questions may help with the Dx, like any heartburn, chest pain,
asthma, association with eating, lying down. exacerbating and alleviating
factors. |
|
n******s
发帖数: 210 | 19 before I can give you any suggestion, may I ask you some questions, like
when did it start,
do you have any sputum,
could you describe the abdominal pain, severity, any radiation, any
exacerbating or alleviating factors?
any chest pain?
do you cough in the daytime?
ill contact?
family history?
or any other information that you think you need to tell me?
no need to "pay" any baozi, in fact, I have no idea how to use them. |
|
n******s
发帖数: 210 | 20 busy with something else, just got time to come back.
OK, now the differentials in my mind:
1. Upper respiratory tract infection (RUI), runny nose, cough, yellow sputum
, but we can roughly rule out pneumonia, since the CXR is normal.
2. GERD: nocturnal cough, and relieved by losec, right? but typically, the
patient with GERD will tell that they can feel heartburn or chest pain, and
most of them can feel the reflux of the acid.
3. Gastritis: LUQ abdominal pain, not sure, sometimes, the pain as y |
|
c********e
发帖数: 496 | 21 this is what I am thinking,
you has hypoglycemia, I am you are a female.
you has abdominal pain, melena, tenesmus, and mucus in stool. roughly this
is not IBS (irritable bowel syndrome), should be IBD (inflammation bowel
disease, including crhon's disease and ulcerative colitis). You feel pain in
LLQ, and black stool which means upper GI bleeding. BOth upper and lower GI
are involved, I guess you have crhon's disease. Which there are many
possibilities. You need to see a doc for that, could be s |
|
c********e
发帖数: 496 | 22 if GERD is suspected, there are several indications for upper endoscopy.
weight loss, persistent abdominal pain or chest pain, persistent vomiting.
for your case. the clinical diagnosis is pretty clear, and your response to
the treatment is perfect, so no need to do upper endoscope.
Check something online to find out what you need to pay attention to with
respect to GERD. |
|
c********e
发帖数: 496 | 23 OK, what you described is abdominal aorta for sure. You must be a slim girl.
:-).
If you got EKG when felt discomfort, then no need to do holter.
Relax, take a good rest.You will be fine, |
|
c********e
发帖数: 496 | 24 abdominal pain on hungry, this is duodenal ulcer.
what you need is prilosec or zantac. |
|
g*****j
发帖数: 1211 | 25 Yes, your mom will need cholecystectomy (removal of gallbladder).
似乎胆囊摘除手术可能带来些许后遗症
Most common side effect is malabsorption of fat, ie diarrhea after a very
fatty meal. The side effect is minor compared to the recurrent abdominal
pain and possibility of more severe problems. Chronic gallstone can lead to
gallbladder cancer as well.
包括直肠癌的可能性增加等等
This is suggested in some studies. However, the increase in risk is not big
. And colon cancer can be prevented to a large extent, if patient perfo |
|
m***n
发帖数: 62 | 26 太谢谢您了！
请问您说will need是指一定要吗？而且是不是应该越快越好呢？原因能不能简要地说
明一下呢？
very
abdominal
lead to
big
performs |
|
l*****O
发帖数: 402 | 27 i am moved by your love for your mom. however, all her symptoms point to
bone metastais and brain metastasis. i am not against your choosing
alternative therapy for your mom, but to monitor her progress, you still
need western medecine's disgnostic techniques. go get her brain cat scan,
bone scan + abdominal ultrasound. |
|
g*****j
发帖数: 1211 | 28 That is a bad decision in my opinion.
Acute appendicitis is a surgical emergency and should always be treated
properly. It is not because appendicitis cannot self-resolve. Yes, it can
resolve spontaneously. But you are risking perforating your appendix, and
developing into a much more complicated situation, leading to peritonitis,
abscess, adhesion or even death. Surgery will be much more complicated if
it perforates. Acute appendicitis has a death rate of 0.2-0.8%, not because
of surgical ... 阅读全帖 |
|
l****z
发帖数: 29846 | 29 WASHINGTON—Combining aerobic exercise and resistance training lowered blood
-sugar levels in people with Type 2 diabetes, a new study has found.
The same improvement in glycemic levels wasn't seen among patients who
performed aerobic exercise or resistance training alone, according to the
study, which will be published in this week's Journal of the American
Medical Association.
Patients who walked and lifted weights also lost more fat and trimmed their
waistlines more than people who did just on... 阅读全帖 |
|
h**a
发帖数: 108 | 30 被告知肺部有血栓但是不是大问题，但是看到以下的医院的CT报告又觉得比医生说的要
严重一些，不知哪位能帮忙解读一下。万分感谢
Findings: There is significant thrombus within the right lower lobe
pulmonary artery, which distends the artery somewhat and is nearly occlusive
. There are several vessels distal to this, which also appear to contain
thrombus. Contrast does, however, pass beyond this into the more distal
branches. There is what appears to be peripheral consolidation, which has a
lobulated,slightly ill-defined contour, which could represent focal
infa... 阅读全帖 |
|
vn
发帖数: 6191 | 31 没事 look here:
“
For example, the amount of radiation that a baby gets from a mother's dental
X-ray is only 0.01 millirad. Since a rad is equal to 1,000 millirads, one
would have to have 100,000 dental X-rays for the baby to receive just one
rad. Other estimated fetal doses are 60 millirads for a chest X-ray, 290
millirads for an abdominal X-ray, and 800 millirads for a computerized
tomographic (CT) scan.
”
http://www.babycenter.com/404_is-it-safe-to-get-an-x-ray-while- |
|
L*1
发帖数: 11537 | 32 P.M.T. Support Formula
http://www.ynpstore.com/supplements/femalehealth.html
Premenstrual tension (PMT), also called premenstrual syndrome, is a
condition that affects many menstruating women one to two weeks before they
begin menstruation. Symptoms may include abdominal bloating, cramping,
breast tenderness and swelling, fatigue, irritability, anxiety, headache,
and more. |
|
C******d
发帖数: 66 | 33 听着象myelofibrosis，血液癌的一种。症状包括：
1.Abdominal fullness related to an enlarged spleen (splenomegaly).
2.Bone pain
3.Bruising and easy bleeding due to inadequate numbers of platelets
4.Fatigue
5.Increased susceptibility to infection, such as pneumonia or diarrhea
6.Pallor and shortness of breath while doing physical work due to anemia
7.Because of a high rate of cell turnover, hyperuricemia and gout may also
complicate the picture
有几项都符合。
现在只有一个药可以治疗，Jakafi。
你可以进一步确诊下，祝好运。 |
|
c********a
发帖数: 244 | 34 Sorry, can't type Chinese.
he started to complain on Wednesday afternoon when waking up from nap. He
said he had 15 dumplings for lunch (our nanny made it). The poop seems
normal. No vomiting or diarrhea. for consecutive 2 days he is in pain.
Especially at night he is crying out loud to tears keep saying mama du4du4
teng2. Took him to doctor yesterday, didn’t get any suggestion,, just get
some Tylenol to relieve the pain. I am afraid it might be Appendicitis since
there is no symptom of stomach ... 阅读全帖 |
|
|
t*******n
发帖数: 4445 | 36 Did the doctor do a hands-on-exam? Could you guys figure out where it's
hurting? If it's never in the lower right, chance for appendicitis is small.
since |
|
n*******y
发帖数: 453 | 37 前几周回国的时候检查 谷丙转氨酶有点高，其他都正常，也没有肝炎。
现在回学校了想再复查下，学校的health center 有个预约系统，可是不知到应该选那
项啊....
要 select reason code，然后选项有
abdominal pain / allergies / ankle,foot pain or injuries 后面还有好多，可
是没找到 liver 相关的...
是不是要选 statement of good health? 那会不会检查很多内容？ 虽然有医保，
不过不知道是不是100% cover,所以不想做不必要的检查.
然后还有一栏是 elaborate below, 如果想说就检查肝功能的话，应该怎么说呢？
谢谢啦！ |
|
l*h
发帖数: 4124 | 38 过敏性紫癜 in children is usually benign but in adults, should be treated as
a serious systemic disease unless thorough examination shows no signs of
kidney damage.
the key of the skin presentation is 紫癜, not 斑块. the pain is in deep
tissues, typically large joints or abdominal organs, not the skin itself.
if there is no signs of kidney damage, a skin biopsy can be performed to
establish diagnosis. pathology shows IgA vasculitis.
你。 |
|
a**********2
发帖数: 3726 | 39 Very sorry to hear that. But unfortunately, pancreatic cancer is just too
bad. You didn't tell us the details about his symptoms and ct findings, but
I assumed that he has abdominal pain, jaundice, weight loss, and ct shows
mass in the pancreatic head or neck? If that's the case, there is really not
much doctors can do. Pain control, symptomatic treatment is all. Personally
I don't recommend chemo. It's your decision and I believe you may hear that
some will recommend chemo, but I am strongly ag... 阅读全帖 |
|
f****o
发帖数: 2770 | 40 Orally, glucosamine hydrochloride can cause mild gastrointestinal (GI)
symptoms such as gas, abdominal bloating, and cramps (1520). Anecdotal
reports have associated glucosamine with renal toxicity, but changes in
renal function have not been reported in long-term studies.
Elevated blood glucose levels in patients with diabetes have also been
reported (22). However, taking glucosamine for up to 3 months does not seem
to affect hemoglobin A1C or blood glucose levels in healthy or obese people
or ... 阅读全帖 |
|
d*****3
发帖数: 65 | 41 请教版上医生。去年查出胆囊息肉，现在多了肝血管瘤。情况会不会严重？需要注意什
么？非常感谢！
There is no evidence of cholecystolithiasis. A small echogenic nodular focus
is again seen associated with the anterior fundal wall the gallbladder
measuring 0.8 x 0.4 centimeters in diameter. On Doppler evaluation again
demonstrates some associated vascularity. This is consistent with a stable
polyp. The common duct measures 2 mm in AP diameter. There is no evidence of
dilated intrahepatic biliary radicles. A homogeneous liver parenchyma
pattern is... 阅读全帖 |
|
f*******0
发帖数: 508 | 42 求助：左下腹疼痛一个月（B超，CT, Urine test normal）
大概从一个月前发现左下腹疼痛，就是和肚脐平行靠近腰的位置，有时还放射到相同位
置的背侧疼。不分时候，白天晚上都会时不时的疼，没有规律。刚发现是站起来走路时
加重。这几天几乎一直疼。
• 疼痛一周后去见obgyn，给physically 检查了子宫什么的，说正常。
• 一周后疼痛不减，就给做了妇科的B超，也都正常。
• 又过了一周，做urine test排除肾结石，也negative.
• 当时obgyn说他能想到的一个可能是endometriosis, but need to use
laprascopy to confirm. 因为是创伤性的检查，不建议马上做。 所以先做了个之后又
做了腹部CT （oral and IV contrast）, 结果总的说也正常。具体内容如下。我怀疑
是不是liver cyst 造成的？上周我没有觉得特别不舒服。可是从周六开始，腹部疼痛
厉害。用了热敷，有点帮助。今天上班扛不住了，吃了2颗Advil 200... 阅读全帖 |
|
y*****d
发帖数: 4451 | 43 It's called referred pain, google it. epidural abscess is often misdiagnosed
as other abdominal disorder. |
|
l*h
发帖数: 4124 | 44 I won't comment in detail, but I suggest you drop this GI doctor. If you
have concerns about your abdominal pain, go to see another GI doc. If you
have concerns about your mild anemia, go to see a hematologist. |
|
t*******n
发帖数: 4445 | 45
一小时内得不到诊治很可能会出大问题的，去ER
希望24小时内得到简单治疗的，去Urgent Care
除痛苦和不便外，拖一周不会有大变化的，或者需要细查原因的，找家庭医生或专家。
（如果已有家庭医生关系并且诊所较大，一两天内能预约到本人或同事也有可能，免
了去Urgent care多交钱不治本）
From http://www.mountsinai.org/patient-care/service-areas/urgent-care/what-is-urgent-care
Emergency：
Severe chest pain or difficulty breathing
Compound fracture (bone protrudes through skin)
Convulsions, seizures or loss of consciousness
Fever in newborn (less than 3 months old)
Heavy, uncontrollable bleeding
Deep knife wounds or gunshot ... 阅读全帖 |
|
l*h
发帖数: 4124 | 46 there is little to believe in your posted history. this is not your fault,
but rather showing the lack of training of the "doctors" in China.
i am doubtful about the "急性胰腺炎." if it was diagnosed by B超 as you said
, the pancreas would have had severe damage to be unequivocally imaged by B
超.
CA19-9 is neither sensitive nor specific. it doesn't give you much clue as
to where to look.
as for PET/CT, what purpose do you want it to serve? which tracer are you
going to use?
You need to go back to the ... 阅读全帖 |
|
l*h
发帖数: 4124 | 47 to have a meaningful discussion about a case, a clear summary of history,
physical and lab and imaging studies is needed. the history needs to include
a reasonably detailed description of the symptoms.
so far there is no description of her abdominal pain. there is no
description of findings of her physical.
if "acute pancreatitis," there is no mention anywhere about amylase, how it
was treated etc. there is no mention whether other things were considered,
such as autoimmune pancreatitis.
regardi... 阅读全帖 |
|
M****0
发帖数: 877 | 48 今天有点空，用ld的ID上来帮你分析一下。
First, you need to know the stage (as you mentioned your uncle has
adenocarcinoma which belongs to non-small cell lung cancer. If is small cell
lung cancer, it will be a different story). For most of stage I and II,
even some IIIA, the intent for treatment is cure.
If your uncle's lung cancer is just 2.5 cm and no metastases, then his
cancer is stage IA. This stage can be cured with surgery only, followed by
imagine surveillance. But he does not need an abdominal ultrasound... 阅读全帖 |
|
M****0
发帖数: 877 | 49 今天有点空，用ld的ID上来帮你分析一下。
First, you need to know the stage (as you mentioned your uncle has
adenocarcinoma which belongs to non-small cell lung cancer. If is small cell
lung cancer, it will be a different story). For most of stage I and II,
even some IIIA, the intent for treatment is cure.
If your uncle's lung cancer is just 2.5 cm and no metastases, then his
cancer is stage IA. This stage can be cured with surgery only, followed by
imagine surveillance. But he does not need an abdominal ultrasound... 阅读全帖 |
|
c***a
发帖数: 133 | 50 he needs to see a provider who can order tests for him.
other than basic labs/thyroid, he needs to get age appropriate cancer
screening (colon and prostate). may need to do more screening based on his
risk factors and medical history.
abdominal imaging probably is needed, since he has early satiety,
unintentional weight loss. |
|
