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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Acute Pain In Lower Abdomen Chills And Fever. Prescribed Ciprofloxacin, Lot Of Fleeces Built Up. Is Pelvic Pain Due UTI?

Hi, i recently had an acute lower abdominal pain (right below the navel) last week together with chills and low-grade fever. I went to the doctor and he did a urinalysis and found it to be infected.He therefore prescribed ciprofloxacin . And told me that if this does not work then it could be a full blown pelvic inflammatory disease and I need to come back for further blood tests. The pain has reduced with the prescribed antibiotics. However, I still feel an uncomfortable feeling in the pelvic area. As though I have a lot of faeces built up. And my bowel movements has gotten a lot more in a day. So now im beginning to wonder if the pelvic pain was because of a urinary infection/ PID or is it a colo-rectal problem. How should I go about this?
Wed, 29 May 2013
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Internal Medicine Specialist,  's  Response
Hi

Thanks for asking.

Urinary tract infections are some times difficult to treat, a usual five days course of antibiotics may not work for every patient.if you feel that there is still pain in the area, next logical step will be to do urine analysis and possibly culture of the mid stream sample to look for the infection.

Pelvic inflamatory disease is usually asymptomatic , can present with little pain and discomfort.this should only be considered if the urine culture is sterile and there are no pus cells in the urine complete examination.

Mild change in bowel movements can happen with both of these conditions, so try to rule out these possibilities first.

Thanks.
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Acute Pain In Lower Abdomen Chills And Fever. Prescribed Ciprofloxacin, Lot Of Fleeces Built Up. Is Pelvic Pain Due UTI?

Hi Thanks for asking. Urinary tract infections are some times difficult to treat, a usual five days course of antibiotics may not work for every patient.if you feel that there is still pain in the area, next logical step will be to do urine analysis and possibly culture of the mid stream sample to look for the infection. Pelvic inflamatory disease is usually asymptomatic , can present with little pain and discomfort.this should only be considered if the urine culture is sterile and there are no pus cells in the urine complete examination. Mild change in bowel movements can happen with both of these conditions, so try to rule out these possibilities first. Thanks.