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hello would you like to chat on this?
any tests done like ultrasound or CT of abdomen?
no tests done, other than urine analysis
well that is not enough
this could be a GIT problem
it could be diverticulitis, which can present with just these symptoms
an ultrasound or CT of the abdomen is needed for this
tubo-ovarian problems could also be a cause
Patient has history of stomach ulceration, helicobacter pylori, has also lost 6kg over the last 4 weeks. This istress related as she is looking after a puppy litter of 13 pups, which give her NO rest.
other causes in the intestine like colitis, inflammatory bowel disease, etc also need to be ruled out
i would suggest you go back to your doctor
discuss about the possibility of GIT problems like diverticulitis
the key symptoms (to me) are that this occurs at a specific time every day, ie. 4am and only after lying supine for 4-5 hours.
also ovarian or tubal or uterine problems
kidney and ureteric problems also need to be ruled out
thats right, conditions like diverticulitis cold cause problems at night
so she needs to have all these ruled out
tests to discuss with the doctor are:
Ultrasound of the abdomen
CT of the abdomen
OK. Are there any other symptoms for diverticulitis that i may check for?
if necessary, colonoscopy of the intestine
discuss all this with your doctor
she needs further investigations for this
thank you. I shall.
for diverticulitis, she may have symptoms like blood in the stool
though this is not common
usually just pain is the only symptom
can only be ruled out with tests
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any further questions?
OK. I shall take her to the doctors again today.