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Problems about endometriosis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Currently in hospital. Doctors cannot figure what is wrong with me. My CT scan shows that my appendix and bladder may be rubbing, however other opinions disagree. Last night they were going to remove my appendix, however after several consults have decided against it. I have never been in so much pain. I have pain in my vagina and bladder area. They have given me several round of morphine which hardly masks the pain. Several weeks ago, i went to an urgent care for a UTI in which I was given antibotics. The same doctor gave me several rounds of antibiotics, until I finally got an appointment with my family doctor. She tested my urine which came back positive for UTI as well as puss found in urine. What contradicts what she states, is that the culture came back sterile. How can you have puss, however cultures be sterile at the same time. What is wrong with me and why is this pain so intense.
Doctor :   let me read your query
User :   Hello Doctor.
Doctor :   I may need a few minutes
User :   No Problem
Doctor :   ok
Doctor :   Now can u mention your symptoms at the present and how did they start ?
User :   They started about 4 or 5 weeks ago when I thought i had a UTI. I also have a severe cramping pain between my anus and vagina. Ive' had this for a while and the pain is so extreme
User :   i have blood in my urine as well
Doctor :   mention your age and your Last LMP , whether they are regular , any pain during menses ?
User :   my age is 24, my LMP was in October
User :   I just receive the depo shot last month and i am not sexual active
User :   I have no been sexual active for at least 5 months now.
User :   Before i recieved the depo shot I was regular
User :   and pain was min. during my menses
User :   I've already recieved a CT, a bladder ultrasound, a cervix ultrasound, blood tests, and urine tests
Doctor :   ok
User :   they are stating everything is coming back negative, but that cannot be. On a scale 1 - 10 on pain it's beyond a 10
User :   and i'm ready to transfer out of this hospital if they dont' figure something out soon
Doctor :   post usage of depo, menses can become irregular or stop as well
User :   It's hurts very bad to pee
User :   Post depo, my menses stopped.
User :   I have never taken pain meds before coming here
Doctor :   You can try cran berry juice to help the pain and cramps
User :   aside from advil for occasional headaches
User :   i've already done the cranberry juice, tablets, etc. i had to be rushed to the hospital last night because I couldn't walk the pain was so intense and I was taken to the hospital in an ambulance.
Doctor :   has any USg PELVIS been done ?
User :   what is a USg Pelvis?
Doctor :   ultrasound
User :   OBGYN examined my cervix last night which bled. They said it shoudlnt' have bled like that.
User :   Yes, they performed a pelvis ultrasound
Doctor :   what were the findings ?
User :   normal
User :   nothing
User :   nada, but the pain and blood presents otherwise
User :   there has got to be soemthing that they are not seeing
Doctor :   so fat may i know which antibiotics u have been on ?
User :   cipro
User :   for 4 weeks
User :   cipro for the first 3 weeks and another antibiotic for the last week. I cannot remember thename of that one. I believe it also started with a C
Doctor :   severe abdominal pain, cramps in the pelvic organs, irregular bleeding, could be also signs of emdometriosis
User :   Would they have been able to see that in the US or CT?
Doctor :   endometriosis
Doctor :   yes that should be seen on the USG and the CT
Doctor :   but in the initial stages it may not be seen
User :   they did not use contrast for the CT. just FYI
Doctor :   ok
User :   are the initial stages of eendomtrosis painful?
Doctor :   Yes
Doctor :   severe crampy pain is seen in endometriosis
Doctor :   it could also be confused with appendicitis as it can produce similar findings on the CT
User :   What are the other symptoms of endometrosis and what is the treatment?
Doctor :   endometriosis needs hormonal treatment to correct the hormonal imbalance
Doctor :   also the definitive diagnosis is by laparoscopy
User :   they have not performed a laparoscopy
User :   is this something I should suggest to the doctor?
Doctor :   You can consult your gynae, regarding the chances of endometriosis, so that it can be ruled out
Doctor :   yes , that should be done
User :   are there other possibilities if it is not endometriosis?
Doctor :   Do u have any symptoms like constipation, diarhea, fever, loss of weight , etc ?
User :   I have three doctors working on my and none of them can seem to figure this out.
Doctor :   any blood in stools , ?
User :   Constipation yes, loss of weight (slight because I cannot eat due to nausea)
User :   No blood in stools
Doctor :   any discoloration of stools, change in appetite ?
User :   temp ranges form 96 to 99
Doctor :   Do u have to strain when you have your bowel movements ?
User :   stools do not seem different, appetite has decreased
User :   i do have to strain to make BM
Doctor :   Do u feel pain when you have pass your bowels ?
User :   yes, pain in my pelvic aera.
User :   *area
User :   intense
Doctor :   presence of constipation, straining as well, and severe pain, could also be due to anal fissures
User :   what are those?
User :   would they cause blood in my urine?
Doctor :   this can present as infections in the anal area, with longitudinal ulcers in the anal canal
Doctor :   yes they can cause infections in the urinary tract as well as blood
Doctor :   but they can be diagnosed by a anal examination easily
Doctor :   by a proctoscope
Doctor :   Your symptoms could also be due to inflammatory bowel disorders, which also can present in this fashion
Doctor :   but a CT scan can help to find it out ,
User :   I just hope they figure this out soon. it's too much
Doctor :   disscuss these issues with your doctor and he can do the necessary steps to help u out
User :   Should they perform a contrast CT?
User :   I will discuss these issues with my doctor.
User :   thank you very much for you help.
Doctor :   not needed as of now
Doctor :   You are welcome
User :   I don't think I have any further questions
Doctor :   ok,
User :   Thank you very much Doctor.
Doctor :   I hope your doctors can help you in all possible ways
User :   thank you
Doctor :   and you get to health back
Doctor :   thank you and have a good day
User :   you too
Doctor :   take care
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