Re: Dr. Goldfarb: RE: can dr. explain how pelvic irritation can refer as rectal pressure/pain??
From: jazzylady (anonymous@obgyn.net)
Wed, 19 Nov 2008 01:25:18 -0600 (CST)
Dr. Goldfarb,
Thank you for your reply. I went into my gyn today and had trans-vag
U/S with pelvic/rectal exam. The dr. also took a cervical sample for
culture. She did not think I had an abscess or hematoma (as I had
feared). I was on Flagyl and cipro before the removal, and the dr. who
did the removal (who was the one that originally put it in 5yrs ago)
didn't think I needed antibiotics. He said something about a "foreign
body" reaction, and that antibiotics would not work. Oh- I also have
had no fever all along... running about 97.6F.
Today I am feeling better, the pressure is lessening quite a bit.
Evidently there was a lot inflammation and bleeding in there, and he
expected me to be in quite a bit of pain. He is located out of town, so
my reg gyn was who I am following up with.
She wants me to return if the pain doesn't get better, and we will
revisit antibiotics at that time.
Thanks so much for all you Dr's do on this site. We women really
appreciate it!!!
Jazzy
At Tue, 18 Nov 2008, Dr. Herbert A. Goldfarb wrote:
>
>Message posted on Dr. Herbert A. Goldfarb behalf by: Hope Waltman,
>Fibroid and Women’s Health Forum Moderator
>
>Usually, a cerclage is inserted transvaginally. Yours was done
>intraabdominally. Your discomfort can range from a pelvic abscess to
>pelvic
>cellulitis. You need antibiotics (heavy) an endovaginal ultrasound and a
>thorough pelvic exam. Including rectal.
>
>Dr. Herbert A. Goldfarb
>New York Downtown Hospital, http://www.nohysterectomy.com
>
>Note: Opinions expressed here are for educational purposes
> only and, as such, do not constitute a physician-patient
> relationship. This information is not intended to supplant
> the need for you to consult with your physician prior to
> choosing therapeutic options and/or interventions.
> ** Private emails cannot be entertained due to time
> constraints; consequently, they will receive no response.
>
>At Sat, 15 Nov 2008, jazzylady wrote:
>>
>>Hi there,
>>
>>I am just curious about the mechanics of how various pelvic irritaions
>>can refer as rectal pressure/pain.
>>
>>I just had a permanent cerclage removed that was causing infection and
>>pain... the pressure and pain was so bad I had to stay off work lying
>>down. It was irritating both my bladder and pelvic area and rectal
>>area. I had it removed via posterior colpotomy yesterday under gen
>>anesthesia. Supposedly it was VERY aggrevated, and he had to cauterize
>>lots of granuloma tissue. He said it ws bleeding in there a lot. Today,
>>most of the pelvic pain is gone, and the cramping gone, but still feel
>>like a bowling ball in my rear (similar to BEFORE the surgery)! Also
>>having a flare-up of hemorrhoids, and I have never had hemorrhoids
>>before. Last year I had a Novasure ablation and in the week or two
>>after, had similar feelings- pelvic heaviness, rectal pressure, though
>>not half as bad as with this problem. The doctors seem to not be
>>surprised by this feeling and say oh, yes.. from the irritation.
>>
>>But I am wondering what the mechanics of this are? Is there some nerve
>>between the vagina and rectum that is inflamed or something????? How
>>long does this last??
>>
>>Thanks!!!
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