40+Years and Ticking

[COOLMAMA1957]

Hi my name Cheryl

I am very troubled by this. I had issues from the time I was 20ish. I was on medication back then for a year. 

I had a previous doctor before my current doctor which my current doctor is retiring to help his mother with cancer. 

I suffer daily and do not take medicine (over the counter okayed by him) 

I feel drained and tired of it all. Trying to get new doctor but so far they are not taking new patients or have to wait till May to see them.

my family life is not so good when I am not feeling well and plan to start FODMAP diet soon.

This is my diagnosis from October 26, 2021 to Present

Diverticulosis of large intestine without perforation or abscess without bleeding

Unspecified hydronephrosis

Atrophy of kidney (terminal) Kidney stones removed 65/35% up to 65/40%

Periumbilical pain 

CT scan of the abdomen and pelvis with IV contrast Clinical indication

Periumbilical pain Comparison:

None Technique: Axial CT images of the abdomen and pelvis were obtained following IV administration of 100 cc Omnipaque 350, and reconstructed in axial, sagittal, and coronal planes with 2.5 mm thick slices.

Radiation dose: 847.37 mGy-cm Dose reduction techniques include automated exposure control and adjustment of kV and mA for the patient's body weight.

Findings: The lung bases are clear. The liver and spleen are unremarkable.

There is a splenule inferior to the spleen.

There is a 7 mm focus of fat distally in the pancreatic body.

The pancreas is otherwise unremarkable.

The adrenal glands are unremarkable.

There are nonobstructing stones in the left kidney which measure 1 cm and 0.7 cm respectively.

There is left renal atrophy and scarring.

A scar is noted in the posterior aspect of the right kidney.

There is moderate left hydronephrosis; however, no hydroureter.

No discrete obstructing lesion is identified in the left UPJ.

There is atherosclerotic vascular calcification abdominal aorta.

There is no free fluid in the pelvis.

There are phleboliths in the pelvis.

There is a 5.5 x 1.7 x 6.0 cm fat-containing hernia extending through the inferior aspect of the rectus abdominous muscles in the midline.

There is diverticulosis in the colon without surrounding fat stranding to suggest acute diverticulitis.

No abnormally dilated bowel loops are present.

The appendix is not seen; however, no inflammatory changes are identified in the right lower quadrant to suggest acute appendicitis.

There is no free intraperitoneal air.

There is an enlarged periportal lymph node which measures 1 cm in short axis dimension.

There is a borderline enlarged 2.7 cm periportal lymph node.

Bone mineralization is diffusely decreased.

There are degenerative changes in degenerative changes in the hips, sacroiliac joints, and spine.

Impression:

1. Nonobstructing left renal stones.

2. Moderate left hydronephrosis; however, no hydroureter.  No discrete obstructing lesion is noted at the left UPJ; however, CT angiogram would provide a better means of evaluation.

3. Left renal atrophy and scarring.

4. Colonic diverticulosis without acute diverticulitis.

5. Midline fat-containing ventral hernia. 

[Renee kerckhove]

 Cool mama

gratitude helps

do try the FODMAP diet.  Has been very helpful for me about what foods I can or cannot handle.