Re: Abdominal/pelvic pain
From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 16 Aug 2000 23:20:22 -0500 (CDT)
I THINK THAT ROBIN HAS ADDRESSED THE ISSUES AS I WOULD. I ESSENTIALLY
AGREE WITH ALL HER POINTS...
LYNN
At Wed, 16 Aug 2000, Robin wrote:
>
>At Wed, 16 Aug 2000, Betty wrote:
>>
>>To whom it may concern:
>>I have been getting a pain for almost 2 years now. Its the exact same
>>routine each month. It begins with me cycle and continues for two
>>weeks.
>
>Are you saying it begins with your period and goes for another two
>weeks, or it starts during the middle and ends with your period? Just
>trying to understand for sure.
>
>>It feels like someone is jabbing a pencil into my pelvic area.
>>(always on my right side) It is often accompanied by loose stools, my
>>period and gas.
>
>Have you seen a GI Specialist for this? Could be IBS, could be
>prostaglandins that are released. But maybe talk with your GYN about
>seeing a GI if you haven't done that already.
>
>>I have had ultrasounds and a laposcopy done. I am told
>>I have a 2cm fibroid in the back of my uterus, an ovarian cyst and both
>>of by Fallopian tubes are swollen and coagulated. I still have doubts
>>that, thats the cuase of my pain.
>
>The fibroid is almost an inch (2.54cm=1 inch). As for an Ovarian cyst,
>some are not abnormal. Although, when they can cause pain during
>ovulation when the egg is released. I'm not a Dr., but I would think
>the swelling of the tubes could theoretically cause pain, but I don't
>know, so don't go by me. What does your Dr. say? When they did the
>laparoscopy did they mention adhesions? Although, surgery can cause
>adhesions, so maybe that is something you are now dealing with, that you
>might not have been dealing with before.
>
>>With my symptoms given is their any other possibility. My doctor says I
>>need to have it all removed and take hormone pills. I am still young
>>and fear this.
>
>What are his reasons for wanting to take it all out? I was just handed
>this option yesterday, but after talking with others, and talking with
>my OBGYN, I've decided this is not the option for me right now. I too
>am young (33, almost 34, but I sometimes feel 90!), and there are many
>things that I have considered in making my decision. It isn't an easy
>decision, and until you are ready, it isn't one to make until you are
>completely sure.
>
>>He has also suggested to rule out any other possibilities to have an IVP
>>and barivary enamia air contrast???? test?
>
>I know of many that have had Barium Enema's done. This will show if
>there are any abnormalities with your bowels. The IVP will show if
>there are any abnormalities with your Urinary Tract. Some go through a
>Colonoscopy for the Colon, which is what I have had done in the past
>(not for the Endometriosis that I have, but due to strong family history
>of Colon CA...so doing a BE was not something that they needed).
>>
>>Thanks so much for any advices given.
>
>I'm not a Dr., but I do hope that this has helped until one of the Docs
>can answer.
>
>--
>Robin
>
--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana
**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.
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