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Unexplained Abdominal Swelling

Q: I am a thirty-year-old woman and have had lower abdominal swelling on my left side for three months. I have had a pelvic ultrasound and was told nothing was wrong with my ovaries.  The swelling is increasing; it is noticeable because it protrudes over a scar I have from a kidney surgery I had when I was two.  The scar is itching from the stretching but only on the left side.  What further tests should I ask my doctor to conduct?


Dr. Donnica:
A complete physical exam is the most important "test" here (including another pelvic and rectal exam). That should guide any subsequent tests. I would recommend that you return to your physician and explain that the swelling is increasing. Another ultrasound may be indicated, but there are other choices based upon the clues s/he gets from the physical exam.  This brings up an important point: Sometimes, a problem is simply not evident on the first visit, but as the condition progresses, it may become easier to diagnose.

Good luck!

Donnica L. Moore, MD
President, DrDonnica.com

Created: 10/5/2002  -  Donnica Moore, M.D.

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