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Suggest Remedy For Pain In Abdomen

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Posted on Wed, 18 Nov 2015
Question: Have pain on the left side of my lower abdomen so I went for a abdominal-pelvic scan. the result shows I have multiple fibroid. I do not want to go for surgery/operation. what do I do?
doctor
Answered by Dr. Sree Gouri SR (33 minutes later)
Brief Answer:
Depends on symptoms

Detailed Answer:
Hi,
Thanks for the query.
I understand your concern.
Presence of multiple fibroids themselves is not indication for surgery.
Surgery to be considered, if:
-Fibroids are causing symptoms like excessive or prolonged menstrual bleeding, severe pain during menstruation etc.
-Large size fibroids causing compression over surrounding structures like bladder and bowel.
-Treatment options of fibroids also depends on age of the woman, family completed or not etc .

As you are having only two small size fibroids, if you are not having severe dysmenorrhea or menorrhagia, surgery may not be needed at present.

You can follow measures like:
-Taking antispasmodic drugs to pain. -If pain subsides, you can continue with regular followup ultrasound examinations in every six months. If fibroids are not increasing in size, symptomatic treatment is enough.
Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sree Gouri SR (22 minutes later)
my last period ended on friday 23rd, had severe MP on Thursday I had to take 2 cataflam pills. Have pelvic pain plus mild abdominal pain now there's mild bleeding.
doctor
Answered by Dr. Sree Gouri SR (27 minutes later)
Brief Answer:
Antifibrinolytic and antispasmodic drugs

Detailed Answer:
Hi,
As you want to avoid surgery, with your doctor's advice you can use antispasmodic and antifibrinolytic drugs like mefanamic acid and tranexamic acid to control pain and bleeding during periods.
If you can manage with these tablets, you can continue with follow up ultrasound examinations as told previously.
If symptoms become severe gradually or size of the fibroids increase, surgery may need to be considered.
Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sree Gouri SR (2 days later)
Hello. I checked online for this medication, d side effect of the 2 drugs are risk high and am nt comfortable with it.
My question today is can fabroid cause a smelly discharge/vagina? D smelly is like early stage of something decaying?
doctor
Answered by Dr. Sree Gouri SR (2 hours later)
Brief Answer:
Possibly pelvic infection.

Detailed Answer:
Hi,
Usually these drugs do not lead to much complications in general practice. Any how better to use the drugs comfortable to you.
Fibroid itself may not lead to discharge.
Pelvic infection can lead to vaginal discharge, foul smell etc.
If pelvic infection involves uterus that can affect the endometrium and rarely fibroid.
But as your ultrasound is showing empty uterus with normal endometrium, the possibility of uterine infection is less.
By clinical examination the possibility of vaginal infection can be identified and treated. Vaginal swab culture and sensitivity can help in identifying the possible causative agent and its sensitivity to drugs and treatment can be planned accordingly.
Take care.
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. Prasad
doctor
Answered by
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Dr. Sree Gouri SR

OBGYN

Practicing since :2006

Answered : 5839 Questions

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Suggest Remedy For Pain In Abdomen

Brief Answer: Depends on symptoms Detailed Answer: Hi, Thanks for the query. I understand your concern. Presence of multiple fibroids themselves is not indication for surgery. Surgery to be considered, if: -Fibroids are causing symptoms like excessive or prolonged menstrual bleeding, severe pain during menstruation etc. -Large size fibroids causing compression over surrounding structures like bladder and bowel. -Treatment options of fibroids also depends on age of the woman, family completed or not etc . As you are having only two small size fibroids, if you are not having severe dysmenorrhea or menorrhagia, surgery may not be needed at present. You can follow measures like: -Taking antispasmodic drugs to pain. -If pain subsides, you can continue with regular followup ultrasound examinations in every six months. If fibroids are not increasing in size, symptomatic treatment is enough. Take care.