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Re: left side abdominal pain

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Fri, 9 Jun 2000 10:44:22 -0500 (CDT)


At Fri, 9 Jun 2000, Michelle wrote: >
>Hi. I'm 33. My Mother died of Cervical cancer. I go to my gyn yearly
>for checkups. I was originally diagnosed with Crohns' disease for 13
>years and then a severly spastic colon. THe doctor's have never really
>understood why my pain is on the left side. I sometimes experience
>sharp jabbing pains and sometime more subtle lasting longer in my left
>abdominal area. THey burn almost. Sexual intercourse is sometimes
>painful. Almost like my insides are cramping and I can't relax. I'm
>not sure if I should go to my family doctor or my gyn. Also, what is
>this ca-125 blood test, I've been hearing about? THanks.

Crohn's and spastic colon can both cause left sided abd. pain.

The ca-125 was proposed to be a screening test for ovarian cancer. It really has not worked out to be any good as such. It ihas many false positives. E.G. endometriosis can cause an elevation. The only real use it seems to have is in patients who have been diagnosed with cancer and it is elevated, then it can be followed and when it drops the patient is doing well, but if it is rising, the cancer is coming back.

RDB

--
R.Daniel Braun, MD  FACOG   FOG

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