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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Back Ache, Nausea, Headache. Diagnosed With UTI. Reason For Having Rectum Pain?

Hi, I had a laparoscopy on 8th Feb ( ovarian cyst aspirated). 5 days later I became really unwell with stomach and back ache, nausea, headache, chills and pain in my rectum . Went to a&e where I was diagnosed with a UTI and wound infection at site incision. I was prescribed 2 antibiotics and sent home. Following day I had a bowel movement and had some rectal bleeding with severe pain/pressure in my back passage. Returned to a&e and told it was heamorroids and an anal fissure (even though I was not constipated). Back ache became worse travelling up higher so I went to my GP who advised me to go back to the hospital as the UTI had probably travelled to my kidney and now my wound was oozing and inflamed. I felt extremely unwell at this point. On my 3rd return to a&e I was admitted to hospital, hooked up to 3 IV antibiotics and a scheduled for a scan. Following day I had a transvaginal scan which showed a collection of fluid in the Pouch of Douglas 6 x 2cm (which explained for the pain/pressure in my back passage). 2 days later results of my wound swab showed that the bug was sensitive to 2 of the antibiotics and so they had to be changed. The UTI has cleared and my wound is healing (albeit it slowly) it has dried and formed a crust and is not sore or red. However, a follow up scan (today) showed the collection of fluid was still there but had shrunk slightly (4 x 2cm). I still have slight discomfort in my rectum but a couple of ibuprofen tabs help with it. I have been sent home today with a further 4 days of 3 antibiotics (Flagyl, Fluclox and Clyndamiccin) told the fluid doesn t need to be drained and it will clear up itself. No follow up scan suggested. Should I be concerned? Thank you for your advice.
Sat, 7 Sep 2013
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General & Family Physician 's  Response
Hi, as there are the signs of healing it means that there is possibility of clearence of organisms from the fluid in the pouch of douglos, so you can wait for some more time to get it cleared. You should take the tablets till the doctor says it is cleared by local examination. Thank you.
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Having Back Ache, Nausea, Headache. Diagnosed With UTI. Reason For Having Rectum Pain?

Hi, as there are the signs of healing it means that there is possibility of clearence of organisms from the fluid in the pouch of douglos, so you can wait for some more time to get it cleared. You should take the tablets till the doctor says it is cleared by local examination. Thank you.