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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pelvic Pain And Swollen Lymph Nodes?

Hello. I am a 22 year-old female. I have had strange pelvic aches and pains for a little over a year now, but the doctors don t know why. I have a 22 month old daughter. My lymph nodes have been up in my throat (under my jaw bone) for over a month now (perhaps longer - I had almost forgotton about them as they had been like that for a while) but then around 2 weeks ago 2 glands in my leg/groin area came up too, with one side being visible and larger than the other. I am experiencing a dull ache with them too. Other than feeling a little more tired than usual I am feeling well other than being absolutely sick with worry about what my be wrong with me. I am ashamed to say that last year I caught chlamydia off of someone I slept with on one occasion and had the infection for 6 weeks (picked up on a full sexual health screen.) One treated, I retested in three months which came back negative. Not convinced, I had 3 more chlamydia tests and decided to go for a another full STD screen again, which again, came back clear. I am frightened that this person could of given me the HPV virus which is causing cancer in me. Could this be possible? What could be causing my pelvic aching and swollen lymph nodes? I also have a heavy feeling in my pelvic area too. I have been examined and have been told that my muscles are ok... I suffer from piles, and also Diastasis Recti which causes me aching in the tummy area. Please help, I feel there could be something really wrong which could take a long time to get to the bottom of. Thankyou
Wed, 20 Apr 2016
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Physical Therapist or Physiotherapist,  's  Response
hi

thank-you for providing the brief history of you.

As mentioned in the history what I am able to understand that you have 22 months old baby, diastasis rectii, pain in pelvic region, swollen lymph nodes etc.

I want to ask you a question - was the delivery normal? were you physically active before pregnancy? have you undergone physical therapy post delivery?

Now , due to the changes in the hormones there will be possibility of the lymph node swelling and also pain and aches. But this are all temporary. Your all tests are negative so you should be happy that nothing major is there.

For first, I want you to start strengthening your pelivc floor muscles, core muscles, spinal muscles, lower limb as a whole which will help you ease of pain and aches.

Also, doing general body conditioning will help improve metabolism and the swollen lymph nodes will disappear as to understand that with exercise you get good metabolism -> with good metabolism you get good hormonal balance -> with good hormonal balance your worries are down since no symptoms will be there.

On a small note, in my personal practice I see cases with such issues post pregnancy, and undergoing physcial therapy and body conditioning helps them to reduce alot of symptoms. They later have an active lifestyle.

Regards
Jay Indravadan Patel
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What Causes Pelvic Pain And Swollen Lymph Nodes?

hi thank-you for providing the brief history of you. As mentioned in the history what I am able to understand that you have 22 months old baby, diastasis rectii, pain in pelvic region, swollen lymph nodes etc. I want to ask you a question - was the delivery normal? were you physically active before pregnancy? have you undergone physical therapy post delivery? Now , due to the changes in the hormones there will be possibility of the lymph node swelling and also pain and aches. But this are all temporary. Your all tests are negative so you should be happy that nothing major is there. For first, I want you to start strengthening your pelivc floor muscles, core muscles, spinal muscles, lower limb as a whole which will help you ease of pain and aches. Also, doing general body conditioning will help improve metabolism and the swollen lymph nodes will disappear as to understand that with exercise you get good metabolism - with good metabolism you get good hormonal balance - with good hormonal balance your worries are down since no symptoms will be there. On a small note, in my personal practice I see cases with such issues post pregnancy, and undergoing physcial therapy and body conditioning helps them to reduce alot of symptoms. They later have an active lifestyle. Regards Jay Indravadan Patel