Dr. Khant Shahil Ramesh Bhai
Urology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have been feeling some pain in my lower left abdomen for the past three months. The pain is not intense, though, and it does not disrupt my daily activities, though it comes for a few minutes and then goes. I did an ultrasound scan, and no stone was found; the radiologists said it might be muscular pain as all the organs examined through the abdominal scan were fine. I did a urine analysis (the sample was taken after sweating from the heat of the sun), and the result says crystals of calcium oxalate (+) were found. I took Buscopan, Amoxicillin, and Ciprofloxacin. I need your expert opinion on this.
Hello,
Welcome to icliniq.com.
Relax and do not worry. Yes, it is possible that you may have a stone in the urinary system. Sometimes, stones get missed on ultrasound examination. I suggest you get a plain CT (computed tomography) scan (without contrast) of the abdomen and pelvis region. It will 100 percent rule out the stone in the urinary system. If no stone in the CT scan is there, then your pain is of musculoskeletal origin.
Patient's Query
Hi doctor,
Thank you for the reply.
I have done the scan. The conclusion is left partial disc collecting system. Please tell me what it means.
Hello,
Welcome back to icliniq.com.
If possible, please send me the complete report. Although it does not indicate stone, I am not able to understand clearly what you have written. So, please send me the total report image.
Patient's Query
Hi doctor,
Thank you for the reply.
I am currently uploading the dicom images and attached is the report from the radiologist.
Hello,
Welcome back to icliniq.com.
I have seen your report (attachment removed to protect patient identity). You do not have stone 100 percent. You do have left partial collecting system which means that instead of one ureter draining urine from the kidney you have two ureters. But, it is only an incidental finding and is present in many people, so nothing to worry about it. I think you are clear from urology. Your pain may be because of muscle origin. For calcium oxalate crystals, you should drink plenty of water.
Patient's Query
Hi doctor,
Thank you for the reply.
I really appreciate this.
Hi,
Welcome back to icliniq.com.
You are welcome.
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Urology
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