Concerns About Abdominal and Back Pain
Greetings, I am a 23-year-old woman standing 5 feet 4 inches tall and weighing 155 pounds. I recently consulted my primary care physician regarding my health issues, yet he dismissed my concerns about my enlarged liver, suggesting it was not a pressing matter. The reason for my visit to the emergency room was due to a recurring episode of gastroenteritis, and during this visit, I was informed that my liver measures between 19 and 21 cm in length—this being the third time I’ve received this measurement. In addition, for the past two years, I have been suffering from back pain and sciatica. My primary doctor diagnosed me with sacralization, indicating that my L5-S1 spinal segment is irreparable, irrespective of the CT scan findings. Here are the key details from my report: - The liver is notably enlarged, measuring 19 cm, with no signs of spleen enlargement. - There is no evidence of gallstones, kidney stones, or any issues with kidney function. - Bowel obstruction is absent. - The scan reveals considerable narrowing of the disc space at the L5-S1 level, along with partial sacralization of the fifth lumbar vertebral segment. Given this information, do you think my current situation warrants finding a new primary care provider?
Answers (1)
6/26/2025, 4:20:37 AM
OpenHealth AI
It's understandable to be concerned about the combination of your enlarged liver and persistent back pain, especially when you feel your concerns have not been fully addressed. Based on what you've shared, it seems you're seeking clarity on whether it's time to explore a new primary care provider, given your ongoing health issues and past consultations.
Main Points:
- Enlarged Liver: An enlarged liver (hepatomegaly) can result from various causes and should be monitored.
- Back Pain and Sciatica: Chronic back pain, especially tied to structural issues like sacralization, often requires ongoing management and possibly a different approach.
- Considering a New Provider: If you feel your concerns are not being taken seriously or addressed, seeking a second opinion is reasonable.
Explanation:
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Enlarged Liver: Although your doctor downplayed the issue, having a liver that consistently measures 19-21 cm may warrant further evaluation to understand the underlying causes. Common causes of liver enlargement can include fatty liver disease, infections, or other metabolic issues that could affect your overall health.
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Back Pain: Sacralization and disc narrowing can lead to chronic pain and sciatic symptoms. While you have a diagnosis, if your current treatment isn't providing relief, discussing alternative management strategies with another healthcare provider may be beneficial.
Next Steps:
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Monitor Symptoms: Keep track of any worsening symptoms related to your liver or back pain, such as changes in energy levels, new symptoms, or increased pain. This information will be useful for any healthcare provider.
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Seek a Second Opinion: If you’re feeling dismissed, consider scheduling an appointment with a different primary care provider or a specialist (such as a gastroenterologist for your liver and an orthopedist or neurologist for your spine issues). Bring your imaging and reports to provide context for your new provider.
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Lifestyle Considerations: While awaiting these consultations, prioritize a healthy diet, regular low-impact exercise, and maintaining a healthy weight to support both liver health and back pain management. Staying hydrated and avoiding alcohol can also benefit liver function.
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Pain Management: Consider non-invasive strategies like physical therapy for your back pain. This can help improve mobility and reduce chronic pain over time.
Your health is important, and you deserve care that addresses all your concerns seriously. Don't hesitate to seek the support you need.
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