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HI, Thanks for your question. My name isXXXXX and I am here to help you today. I will be happy to help you with your follow-up questions also. I need few details.
Since how long he has this?
He is 53. He broke his pelvis three weeks ago. he also has lukemia
He is having spasms on his right side
I am so sorry to hear this.
he has to stand up to breathe
Since how long he has this distension and where exactly in abdomen?
it has been distended tonight but is now in serious pain
Is this just below rib cage?
or whole abdomen?
I need all this detail so that i can give you suggestions.
hang on i'm asking him
I have more questions, i am going to ask so that you can ask him once.
Any constipation, diarrhea, fever, cough, sputum, pain on pressing that area, yellow eyes
when he passed his stool and urine last time?
most of the adbomen
pain is below the rib cage on the right side
Any shoulder tip pain on right side?
painful to touch
Any constipation, diarrhea, fever, cough, sputum, pain on pressing that area, yellow eyes, nausea, vomiting?
no diarrhea, fever cough,
he was taking a medication for pain that made him vomit yesterday
pain on right shoulder tip?
bad reaction to the drug
hasn't had it since this morning
he has shoulder and rib pain
Is he with you right now or on phone?
on the phone
Has he tried any medicine for this pain?
it started about a half hour ago
Thanks a lot for your input.
but it is severe
There can be few causes for this.
It can be related to gall bladder like gall stones, gall bladder infection or it can be pancrreatitis.
It can be muscular also but it's least likely.
Last cause can be stomach ulcer.
He was taking Tramadol
I don't think it is muscular
Exact cause cannot be identified without investigations but one thing is for sure that he needs to doctor in ER because this can be serious.
It's better that he don't take anything now and see doctor because pain killers taken on own can mask the underlying problem.
He needs to get an ultrasound and or CT scan with blood tests for pancreas and liver.
Considering that he has already few diagnosed medical problems, ask him not to ignore this.
I wish him good luck for all.
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Are you with me?