WOMENS-HEALTH Messages for December, 1999: Re: chronic pelvic pain/lower back pain

Re: chronic pelvic pain/lower back pain

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 5 Dec 1999 15:41:02 -0600 (CST)

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In reply to: treefrog: "chronic pelvic pain/lower back pain"

At Sat, 4 Dec 1999, treefrog wrote: >
>I have had problems with pelvic pain and severe lower back pain for a
>few years now. The pain is on my lower left quadrant, and is like
>horrid menstrual cramps, but not just at the time of my period. It
>always comes with the severe lower back pain, a pain that is not
>muscular in nature, and which my primary doc says is not structural
>either. Sometimes the pain is so bad my left thigh hurts too.
>
>I have also had bowel problems, which I was told is IBS after having a
>colonoscopy a few years back. Sometimes I have bladder pain....not pain
>with urination, but a nagging pain right at my pubic bone. A real
>mishmash of symptoms. My periods have also gotten worse....they are
>irregualr, but last 4-5 days, with 2 of those days being very heavy
>bleeding.....soaking super tampons AND pads frequently. Cramps are so
>bad, I have to lie with a heating pad to take the edge off. I take
>Naprosyn or Advil (800mg) for the pain I described above, with little
>avail.
>
>I've had 2 ultrasounds which showed nothing. Last year I tried 3 months
>of birth conrol pills with no luck. Last week, I finally had a lap, to
>check for endo. She didn't find anything there, either. I was starting
>to think the pain must really be all in my head, till 2 days ago I
>started to gets that old pain back. Now I know it's real, because if it
>was in my head, it would have gone away since they didn't find anything,
>follow me? The pain is so bad, I have no idea what else it could
>be...BTW, I've had cultures and my urine, and checked for STDs, both
>negative. What else could be causing my pain? What should my next step
>be? And where can I go for support?
>
>Thank you and sorry this is so long....

I truly have no idea what is going on but it's a process of elimination. The possibilities are - gyn, musculoskeletal, bowel, urologic. IF gyn and urol have been eliminated, we have bowel and musculoskeletal. IBS can be pretty bad, but if it's been eliminated, it has to be musculoskeletal. IF it ahsn't been eliminated, get a more definitive workup.

Good luck.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**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 no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: tained piece of placenta"
Previous message: Harvey S. Marchbein, M.D.: "Re: GRANULATION TISSUE"
In reply to: treefrog: "chronic pelvic pain/lower back pain"

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