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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56503
Experience:  GP in the United States
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What will Ultrasound test reveal? I have a severe constant

Resolved Question:

What will Ultrasound test reveal?I have a severe constant pain whenever I'm sitting down, it's on the upper left side of my abdomen, next to my stomach and behind my left ribs, it's always in the same place. This place hurts when I'm using my laptop or when I'm watching TV or when I'm sitting on the bus. Sometimes I get sharp stabbing pain on the left side of my stomach. The pain seems to dissapear after I stand up. I suffered the residual effects of all these symptoms for more than
4 years.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Phil, MD replied 1 year ago.

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Expert:  Dr. Phil, MD replied 1 year ago.

does eating do anything?

what are they going to ultrasound? the whole belly?

Customer: replied 1 year ago.
Sometimes when I eat the pain is there, but I can adjust and the pain goes away while I still eat.The Ultrasound sheet said abdomen, that's all I remember.
Customer: replied 1 year ago.
The pain is not in my tummy, it's on the upper left side of my abdomen
Customer: replied 1 year ago.
The location of the pain is the spleen.
Expert:  Dr. Phil, MD replied 1 year ago.

did your doctor detect enlargement of the spleen?

that could be the case

Customer: replied 1 year ago.
No he didn't detect it as far as I know because I was just describing my symptoms and showed him the area and he said it's the Spleen.
Expert:  Dr. Phil, MD replied 1 year ago.

Okay.

This is probably what is going on

I suspect enlargement of the spleen.

have you been sick lately?

Customer: replied 1 year ago.
I haven't been sick but the abdominal pain I've had for every day since 4 years ago
Expert:  Dr. Phil, MD replied 1 year ago.

OKay. This should be done then

and if this is normal then a scope of the belly

Customer: replied 1 year ago.
an Ultrasound should be done and it is normal a scope of the belly. Sorry what do you mean by 'scope of the belly'?
Expert:  Dr. Phil, MD replied 1 year ago.

scope of the inside of the stomach

endoscopy

to see if maybe it is coming from the stomach

Customer: replied 1 year ago.
Do you think I should do a Nerve Conduction Studies/EMG to see if it is a nerve or muscle problem?
Customer: replied 1 year ago.
It's not the stomach, my stomach is fine, I eat fine and excrete fine
Expert:  Dr. Phil, MD replied 1 year ago.

Only if the ultrasound is normal

sorry about the late reply

Dr. Phil, MD and 2 other Medical Specialists are ready to help you
Customer: replied 1 year ago.
Which test do you think will be better, a Nerve Conduction Studies/EMG or a Lumbar Puncture?
Expert:  Dr. Phil, MD replied 1 year ago.

EMG first

Customer: replied 1 year ago.
What would be the reason to do a Lumbar Puncture test if you had already done a NCS/EMG first and that showed you had no nerve or muscle conditions?
Expert:  Dr. Phil, MD replied 1 year ago.

would you mind accepting additional services?

Dr. Phil, MD and 2 other Medical Specialists are ready to help you
Customer: replied 1 year ago.
Sure
Expert:  Dr. Phil, MD replied 1 year ago.

thanks

the LP would be looking for things like MS

Customer: replied 1 year ago.
What would the Lumar Puncture be looking for that NCS/EMG doesn't look for?
Expert:  Dr. Phil, MD replied 1 year ago.

things like MS

Customer: replied 1 year ago.
What kind of infections does it look for apart from MS?
Expert:  Dr. Phil, MD replied 1 year ago.

not likely infectious at all

Customer: replied 1 year ago.
What's the difference between Central Nervous System and Peripheral Nervous System?
Expert:  Dr. Phil, MD replied 1 year ago.

Central is brain and spinal cord.

peripheral is everything else

Customer: replied 1 year ago.
NCS/EMG is PNS and Lumbar Puncture is CNS?
Expert:  Dr. Phil, MD replied 1 year ago.

correct

Customer: replied 1 year ago.
because my pain is on the upper left side of my abdomen, next to my stomach and behind my left ribs, is it a Central Nervous System problem or Peripheral Nervous System problem?
Expert:  Dr. Phil, MD replied 1 year ago.

probably PNS

Customer: replied 1 year ago.
Who diagnoses Fibromyalgia and Chronic Fatigue Syndrome, a Rheumatologist or Neurologist?
Expert:  Dr. Phil, MD replied 1 year ago.

yes.

Customer: replied 1 year ago.
Which one?
Expert:  Dr. Phil, MD replied 1 year ago.

rheumatologist

Customer: replied 1 year ago.
I showed my GP the area of the pain and he said it's the spleen. What's the difference between organ originated or PNS originated? If it's organ originated pain, then will NCS/EMG or Lumbar Puncture pick it up on the test?
Expert:  Dr. Phil, MD replied 1 year ago.

I doubt it is CNS related

Customer: replied 1 year ago.
If it's the Spleen, then does it mean it's CNS related?
Expert:  Dr. Phil, MD replied 1 year ago.

No, then it is just organ related.

CNS and PNS refers to the nervous system only

Customer: replied 1 year ago.
Okay so if Ultrasound comes out normal then I should look into EMG/NCS?
Customer: replied 1 year ago.
Will the Ultrasound say if it is organ related?
Customer: replied 1 year ago.
Will the Ultrasound say if the pain is organ related?
Expert:  Dr. Phil, MD replied 1 year ago.

correct

Customer: replied 1 year ago.
Which one is better an Ultrasound or CT scan for abdominal pain?
Customer: replied 1 year ago.
What's the difference between CT abdomen and Ultrasound abdomen?
Expert:  Dr. Phil, MD replied 1 year ago.

CT is too much radiation

Customer: replied 1 year ago.
Ultrasound is used more often for abdomen scans?
Expert:  Dr. Phil, MD replied 1 year ago.

no, but they should be

Customer: replied 1 year ago.
What's the difference between CT abdomen and Ultrasound abdomen in terms of the diseases it detects?
Customer: replied 1 year ago.
Is chronic pain syndrome the same as chronic fatigue syndrome?
Expert:  Dr. Phil, MD replied 1 year ago.

no they are different

Customer: replied 1 year ago.
What's the difference between CT abdomen and Ultrasound abdomen, in terms of the diseases it detects?
Expert:  Dr. Phil, MD replied 1 year ago.

They detect basically the same things.

The ultrasound is just less radiation

Customer: replied 1 year ago.
How long does it take to get Ultrasound scan results?
Customer: replied 1 year ago.
When does the GP get the results?