Gastroenterology/watchful waiting


Hi, I am 32 year old male having severe right lower back pain since one day. Immediately I took ultrasound of abdomen, findings showed "very minimal right hydroureteronephrosis" and there is also other finding which shocked me. The finding showed as follows: "The appendex visualized at 11 'oclock position with a maximum diameter of 6.4 mm with thickening of walls and minimal periappendicular edema- ? recurrent." This finding shocked me since I don't have any stomach pain. I consulted 2 different doctors and they have given 2 different advises. One doctor suggested that my appendix is in bad condition so we need to do appendectomy immediately. And I took second opinion where the other doctor suggested that it is not acute condition since I am not having any pain related to appendix, so he suggested if there is any pain severely then only we can go for appendectomy.

I am confused whom to follow. Please advise what is exact diagnosis and treatment.

Hi Shyam

Medical terminology may shock everyone that does not have medical background. There are no absolutely healthy persons. With progress of medicine, especially, visual tests, doctors may find various abnormalities in their patients without any symptoms. Smart doctors use watchful waiting to see the changes.

You have three different conditions:
  Lover back pain (real)
  Minimal right hydroureteronephrosis (no symptoms, finding by ultrasound test by chance)
  Chronic condition in your appendix without symptoms

Your destiny depends upon specialty and personal experience of your doctors. Relax, do not read medical information on Internet. You will be in the huge hypochondriac stress. Stress can kill. Treat just lower back pain, it is real. Live your life. Doctor will check you periodically.

Have good health

Peter Melamed, Ph.D


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Peter Melamed, PhD


I can answer all questions about digestive health, especially in focus on the non-drug, non-surgery treatment. It includes healing diet, acupuncture, herbal medicine, nutritional supplementation, healing mineral water, abdominal massage, and cleansing techniques. All these practices are widely used by gastroenterologists all over the world.


This is my everyday job at Biotherapy Alternative Medicine Clinic in San Francisco. I have decades of the experience of working as an MD in ICU, outpatient department and privet practice. I have helped many of my patients with the chronic digestive disorders by using the non-drug, non-knife approach for the 20 years.

I published many articles on internet about gastrointestinal disorders. 1. Peter Melamed, Ph.D., Felix Melamed, LAc, MSTCM. EBook Healthy Pancreas, Healthy You. Publisher Biotherapy, Inc, September 2014 2. Peter Melamed, Felix Melamed. Chronic Metabolic Acidosis Destroys Pancreas. JOP. J Pancreas (Online) 2014 Nov 28; 15(6): 552-560 3. Peter Melamed, Felix Melamed. Short Review of Our Work - "Chronic Metabolic Acidosis Destroys Pancreas" with Focus on the Functional Exocrine Pancreatic Disorders JOP. J Pancreas (Online) 2015 Jul 08; 16(4):365-368 4. Peter Melamed, PhD, and Felix Melamed, MS. Acidity Kills the Pancreas. Townsend Letter, the Examiner of Alternative Medicine. August/September 2015, p. 74-80 5. Peter Melamed, Felix Melamed. The Role of the Metabolic Acidosis in the Development of Chronic Pancreatitis. SM Group (USA) Chronic Pancreatitis: Recent Advances. 2015, Aug 10

MD, Ph.D. in the medical science and also LicAc, RN

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