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What Causes Back Pain, Nausea, Muscle Weakness And Fatigue?

Posted on Sat, 20 Jan 2018

Question: Hi, My wife has a myrena in; it's been in for two and a half years. In this time, she has experienced some bleeding from time to time, but more recently she has had orange/red coloured urine, accompanied by back pain, nausea, weakness, and fatigue; would this be related to having the Myrena in? She also gets chills/sweats. Quite concerned. The other day, she hit her stomach on something, and she had bleeding from her vagina for fifteen minutes afterwards. Any help would be cool. Do we start with an FBC, or UTI test?

Answered by Dr. Deepti Verma (2 hours later)

Brief Answer:
Urine infection or urinary stones

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.
Irregular bleeding is common after Mirena insertion.
However, blood in urine is unlikely due to Mirena.
Urinary tract infection or any other renal pathology can lead to such symptoms.
I will suggest her to get urine examination, ultrasound of the kidneys, ureter and bladder to confirm the diagnosis and get further treatment accordingly.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepti Verma (6 hours later)

oh. what about her history of cysts?

Answered by Dr. Deepti Verma (3 hours later)

Brief Answer:
Please mention

Detailed Answer:
Hi dear,
Please mention the number, side and size of the cyst so that I can explain you further.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Deepti Verma (28 minutes later)

I think it was last three centimetres, and on the left hand side, on the ovary

Answered by Dr. Deepti Verma (14 hours later)

Brief Answer:
Functional cyst

Detailed Answer:
Hi dear,
Such cysts are functional and usually resolve in 2-3 menstrual cycles.
The cyst is unlikely to cause the symptoms which she is having.
Urine infection seems more likely.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepti Verma (2 days later)

mate, she went to doctors and got assessed for an hour and a half. only suppose 2 be half hour appointment. did four urine; all negative. found abnormal cells in Urine. no cyst, no UTI. kept asking if she had family who died of ovarian or bowel cancer. 3 day urine test needed, and xrays. I'm so worried. what does abnormal mean in urine. please help

Answered by Dr. Deepti Verma (10 hours later)

Brief Answer:
Malignancy needs to be ruled out

Detailed Answer:
hi dear, abnormal cells in urine can be infectious cells or cells of malignancy.
Three days urine sample is examined to confirm the diagnosis.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepti Verma (1 hour later)

so four tests she took with abmormal cells could be infection?

Answered by Dr. Deepti Verma (18 hours later)

Brief Answer:
Please upload the report

Detailed Answer:
Hi dear,
Please upload the report so that I can explain you in detail.
Regards
Dr Deepti Verma

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D