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 am suffering from continuous pain, a sensation in the whole right half of my body with an epicenter of this chronic pain somewhat near my last rib, backside, right side near the corner end of my lung, or near to liver. This chronic pain started with a fever eight and a half years back. Since then, it has been with me. Sometimes it sores for 10 to 15 days once in six months. Symptoms are chronic pain, cough and sore throat, pain in the jaw, pain in the eye (burning sensation) like some inflammation starts in the right half of my body, fever due to this cough, sore throat (not high but 99 to 100), the repetitive urge of micturition in worse days. The situation worsens when micturition gets delayed due to sleep, travel, class, meeting, etc.
I consulted with a urologist three years back, and he suggested to go for a cystoscopy, in which I got confirmed as having IC (PBS) (please see reports in the images attached). I had Elmiron 100 mg for two months after getting diagnosed three years back. The reports and previous consultations I am attaching herewith. Nowadays, it gives me the same pain, but my concern is that it is limited to only the right side of the body. Is there anything we have not diagnosed so far?
Hello,
Welcome to icliniq.com.
I have seen your reports (attachment removed to protect patient identity), and I have some questions for you. Do you have the urge to pass urine? If you cannot pass for some reason, what will happen? Do you get severe pain? Do you leak urine? I feel you may have an overactive bladder or regional pain syndrome. Again it is a diagnosis of exclusion. I suggest you start on the tablet Soliton (Solifenacin) 5 mg in the morning and evening for seven days and see how you feel. In your reports, you mentioned that you have RBC (red blood cells) in your urine. If that is there, then it is not normal. So do the urine routine and microscopy test. I think your other symptoms, like pain in the chest and cough or throat pain, are all related to regional pain syndrome. If you are feeling better with Elmiron, then please continue it.
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Urology
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