Hey, This is Dr.Nikhil , Your online doctor
Seems like this there must be some discripency with the report
kindly consult me as there is need for further questioning and detailed information if we want to crack the disease.
It would be great help to the patient if we diagnose the disease as soon as possible
Please get a CECT done to make a definitive diagnosis for the epigastrium mass. Since there is a gall stone it can be removed laproscopically. Pcos is also there. Follow diet and lifestyle modifications.
Go for a 30 minutes walk everyday. Do yoga.
Have green leafy vegetables, fruits.
Avoid junk food, fried food and fat rich meal
Consult for further discipline
The ultrasound report gave differential diagnosis and no conclusion so needed CECT Abdomen. It's better if u get it done. Also there is evidence of stones in gall bladder which u need to bother and early stages of ovarian cyst to be taken care of
Next Steps
get CECT Abdomen done. consult me on practo with the reports
Early evidence of PCOS and gallbladder calculi and inconclusive pancreatic cyst , which will further need confirmation by having a CECT Abdomen ( ct scan) .
Next Steps
Kindly get your CECT Abdomen done and consult a gastroenterologist
Health Tips
Avoid heavy diet and outside food esp bakery items ,bread etc . Increase oral intake, fibres, fruits .
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Take a glass of milk daily.
Thanks.
Hi
The USG report is inconclusive. You have to do CECT abdomen to confirm the diagnosis. Once the diagnosis is confirmed the appropriate treatment is required. Pseudocyst is a surgical emergency. The other diagnosis can be managed conservatively if no symptoms are present.
Next Steps
Kindly consult a Gastroenterologist or Gastrosurgeon with CECT abdomen report.
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The configuration of the mass in the epigastric region suggests that it could be the gall bladder . A CECT is required. The total evaluation can be done by laparoscopy. Cholecystectomy can be done and the epigastric region explored by direct visualization.
Hello, I am Dr. Romain Rajan, General Physician.
I understand your concern. The ultrasound shows a cystic lesion near the pancreas and liver region, along with gallstones and early changes of polycystic ovaries. The pain you had earlier could have been due to mild inflammation or temporary pressure from this cyst. Now that the pain has settled, it is a good sign, but this finding still needs proper evaluation.
â Advices
⢠Please get a CECT abdomen scan done as advised. It helps confirm whether the cyst is a pancreatic pseudocyst or a mesenteric lymphangioma, both of which are usually benign.
⢠Include more water, fruits, and fiber in your daily diet to regularize bowel movements.
⢠Avoid fatty or heavy meals that can trigger gallbladder discomfort.
What to Monitor
⢠Watch for recurrence of upper abdominal pain, nausea, or vomiting.
⢠Note if you develop yellowish eyes, dark urine, or fever.
Management
You may continue light diet and plenty of fluids. For mild constipation, you can use Isabgol husk in warm water at bedtime. Please avoid self-medicating further until the CT scan clarifies the diagnosis.
When to Consult a Doctor Immediately
⢠Persistent or severe upper abdominal pain
⢠Vomiting or inability to eat properly
⢠Yellowish discoloration of eyes or urine
⢠Abdominal swelling or high-grade fever
Every patientâs situation is unique. For accurate diagnosis and lasting relief, it is important to discuss your medical history and reports in detail.
ð You can reach out to me directly for this case, and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where you will receive:
A personalized treatment plan
Safe medicine adjustments if required
Quick follow-ups to track your recovery
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
Pls Get a CECT abdomen and then Consult a surgeon for this pancreatic pseudocyst / mesenteric Lymphhemangioma. Psudocyst has to be confirmed and treated .
Cholelithiasis (gall bladder stones) and polycystic ovaries are not of immediate concern.
If you want to discuss your problem in more detail, feel free to message me on Whats App at nine one one nine two five five six nine nine for al free detailed discussion
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Hi
Needs detailed history and examination and expert Gastroenterlogist opinion and later may need MRCP etc. better consult gastroenterologist directly.
Findings here:
1. Gall bladder stone— please consult a surgeon for this, surgery may be required, as the pain is intensive.
2. Polycystic ovarian disease- irregular menses, weight gain etc might be symptoms due to this. Please consult a OBGyn doc for the required treatment.
Next Steps
CECT abdomen after kidney function test. This is to see the details of the cyst mentioned — consult surgeon after this.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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