How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Abid Your Own Question

Dr. Abid
Dr. Abid, Doctor
Category: Medical
Satisfied Customers: 4239
Experience:  MBBS, FCPS(R)
Type Your Medical Question Here...
Dr. Abid is online now
A new question is answered every 9 seconds

Off and on for 4 months, my son has had sever abdominal pain

Resolved Question:

Off and on for 4 months, my 33 year old son has had severe abdominal pain on his left side that radiates to the middle of his stomach. Now it up under his rib cage on that side too.He has seen several doctors one thought it was a stomach virus. Because he had Diverticulitis 4 years ago, two doctors just assumed it was the same. He has had two courses of Flagyl and Cipro. He had a CT scan which was inconclusive and blood tests which were fine  few days ago. He is also nauseous and has diarrhea. He has missed 2 1/2 weeks of work. What is it?

Submitted: 12 months ago.
Category: Medical
Expert:  Dr. Abid replied 12 months ago.
Hi there.
Welcome to Just Answer and thank you for the question.
I am Dr. Abid a Medical Internist and will help you out.
It is highly unlikely the stomach virus,such a severe pain in left side of abdomen could be diverticulitis ,over 90 percent of diverticular disease involves the sigmoid colon and therefore diverticulitis most commonly presents with left sided abdominal pain with radiation in some cases other cause include often kidney stone pain.
Although CT scan is sensitive to pick problem but if it is inconclusive than repeat CT scan and before that get his Ultrasonography.
Possibility of abdominal aortic aneurysm should also be ruled out.
Regards XXXXX XXXXX him good health.
Please leave positive feedback for me.
Thanks.
Dr. Abid, Doctor
Category: Medical
Satisfied Customers: 4239
Experience: MBBS, FCPS(R)
Dr. Abid and 7 other Medical Specialists are ready to help you
Customer: replied 12 months ago.

Kidneys were fine and there was no abdominal aortic aneurysm found.









Clinical Indication: Evaluate for diverticulitis, left lower quadrant
and left upper quadrant pain and tenderness with fevers.

Findings: CT exam of the abdomen and pelvis is performed following the
uneventful administration of 125 cc Isovue-370 IV contrast. No prior
exam for comparison.

Lower chest: Normal.

Liver: Diffuse fibrotic infiltration of the liver. The liver is mildly
enlarged measuring 19 cm in length.
Bile ducts: Normal
Gallbladder: Normal
Pancreas: Normal
Spleen: Normal

Adrenal glands: There is a 1.7 cm right adrenal adenoma.
Kidneys: Normal
Ureters: Normal
Bladder: Normal

Abdominal aorta: Normal
Retroperitoneum: Normal
Peritoneum: Normal

Mesentery: Normal
Stomach: Normal
Small bowel: Normal
Colon: There is mild diverticulosis without CT evidence of
diverticulitis.
Appendix: Normal
Extraperitoneal pelvis: Bilateral fat containing inguinal hernias.

Prostate: Normal.

Abdominal wall: There is a small fat containing periumbilical hernia.
Bones: Normal


Expert:  Dr. Abid replied 12 months ago.
As his CT shows bilateral inguinal hernia so obstructive inguinal hernia can be the reason,similarly he has mild fatty liver and adrenal adenoma that should be further evaluated.
Inguinal hernia can cause pain when obstructed.
Regards.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.