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Complete health check up details, intense pain before and during menses - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2569 Questions
Doctor :   hi
User :   Hello Doctor
Doctor :   Dr. XXXXXXXX here
Doctor :   please proceed with your health query
User :   my name is XXX
User :   doctor i have couple of queries
User :   ill start one by one
User :   i wanted my parents to get complete health check up done
Doctor :   ok
User :   the reason being, recently my mom's 1st cousin passed away by cancer
Doctor :   ok.
Doctor :   what cancer was detected?
User :   & my dad's own brothers have passed away because of heart attack
Doctor :   ok.
User :   in the past 3-4 yrs my parents, especially my mom has lost lot of weight
Doctor :   ok. was the loss of weight gradual or fast? how much weight she has lost in last 1 years time?
User :   she almost looks like a sckeliton covered wit skin...m really scared
User :   uterus cancer
Doctor :   what cancer was detected for your mom's cousin?
Doctor :   do you mean to say that uterus cancer was detected for your mom's cousin?
User :   yeah n after few operations, doctors gave up n she just passed away last month
Doctor :   ok.
Doctor :   now with recommendations: User :   i just want to be clear with my parents health
Doctor :   first for your mom: 1) complete health check up with all blood tests along with tumor marker tests for ruling out uterus, ovarian and cervical cancer
Doctor :   mom will also need a PAP smear test done
Doctor :   2) she will need a chest x-ray along with complete examination to rule out any serious causes
User :   doctor by the time my aunty was bed ridden, the cancer had spread her entire body. i.e lungs, liver, kidney
Doctor :   now for your dad: 1) he will also need a complete health check-up done along with blood test, chest x-ray, ECG, and heart risk markers (lipoprotien test).
User :   is there any complete package of checkup? like "Master health check-up"
User :   because u will not remember all these tests names
Doctor :   if the cancer gets detected in your mom with the tumor markers, then a whole body PET scan is advised for mom
Doctor :   yes, there are packages available to test
Doctor :   it is called as master health check-up and a special package in XXXXXXcomprising of all blood tests (65 tests)
Doctor :   it will include all tests necessary
Doctor :   tumor marker tests are different, they have to be tested separately.
User :   in which hospital is it available?
Doctor :   the master health check can be done in any multispeciality hospital.
Doctor :   where are you located? where are your parents located?
User :   i am located in bangalore
User :   my parents are based in XXX(XXX
Doctor :   WWW.WWWW.WW
Doctor :   visit this link to locate multispeciality hospital inXXX
User :   oh ok
Doctor :   you can call them here for the checkup
Doctor :   and send them back once everything is clear
Doctor :   they can come for follow-up here or do it there when stable
User :   so i need to ask for Master health checkup + tumor marker tests right?
Doctor :   yes for you mother
User :   for dad just master health checkup is fine?
Doctor :   and for father the same but with cardiac risk marker tests and ECG
User :   ok
Doctor :   have you followed what I have said?
User :   yes i think so...
Doctor :   is there anything else i can help you with?
Doctor :   your parents can continue their follow-up in XXX
Doctor :   WWW.WWWW.WW
Doctor :   visit this link to locate multispeciality hospital in XXX
User :   u said the common thing for both is Master health checkup + tumor marker tests for mom & cardiac risk marker tests and ECG for dad
Doctor :   yes exactly
Doctor :   further investigations and treatment needs will depend on these test results and examination results
User :   my mom says she is going through the phase of menopause...n dats y she is loosing her weight
User :   will dat be a reason?
Doctor :   no, it does lead to some weight loss but not extreme weight loss
Doctor :   plus there is history of cancer in family so she should be careful
User :   yeah right
User :   will that cancer also be found in me?
User :   now that even i am related to my aunty
Doctor :   if it is found to be in mom, then it could be passed on to you due to genes
User :   oh ok
Doctor :   so if you are 30 years or more, then even yout tumor markers test and PAP smear is advised
User :   doctor how much will these tests cost me?
Doctor :   PAP smear to be repeated every year
Doctor :   and also the tumor marker tests every 3 years if your mom is found to have cancer.
User :   approx what could be the cost of all these tests?
Doctor :   the test are a bit costly, the entire package of all these for each would cost you around 2500-5000 depending on where you get these done
Doctor :   the master checkup alone would be around 1500-2000/- INR
Doctor :   is there anything else I can help you with?
User :   oh ok
User :   yes doctor
User :   now coming to me: i have severe pain during my periods...
Doctor :   ok. please describe the pain in detail.
Doctor :   since when you are having these pains?
User :   i generally get my periods 5 days before the date....
User :   m having this pain since 1st time i was mature
User :   since then its going on
Doctor :   do they feel like cramps? are they present during periods during passing motion and urine during period time?
Doctor :   please rate the intensity of pain on scale of 1-10, with 10 being highest pain.
User :   how exactly do u describe cramps?
User :   i would rate it as 8 on this scale
User :   its very high
Doctor :   they are painful bouts of pain, associated with grinding, spasm like pain due to contraction of uterus
User :   i cant do any work during that time
User :   yeah...its exactly like that way
Doctor :   ok, then this indicates that it is severe
User :   ill have heavy bleeding
Doctor :   i would recommend examination by a gynecologist and hormonal level tests, along with ultrasound scan
User :   i take pain killers
User :   before 1 painkiller would do
Doctor :   to look for any hormonal problems and to see for any ovarian and uterine changes
User :   but now 1 pill wont be sufficient
User :   i take 2 pills in a day...
Doctor :   the symptoms that you are having sugest possibility of fibroids, ovarian cysts, adenomyosis or endometriosis.
Doctor :   so the above tests will help in identifying what the cause is
User :   i need lot of energy during those days, sonetime ill fall unconsious....due to pain, as all my energy will be sucked out
Doctor :   have you had check-up done for these problems?
User :   never
Doctor :   were any investigations done for finding the cause for the for pain?
User :   no doctor....i never bothered to visit any doctor till date
Doctor :   since your symptoms are severe, i would advise you not to delay anymore
Doctor :   go ahead with these tests as son as possible
User :   recently i got i cant afford to sleep for 2days as my work responsibilities have increased
Doctor :   it will help you to overcome the pain
Doctor :   stress will aggravate your problems
Doctor :   try to practice relaxation
User :   the recent additions to this pains are
User :   i am getting the pain 5 days before the due date
User :   i feel really impatient
User :   irritated
Doctor :   yes, then it would probably indicate adenomyosis, endometriosis or ovarian cysts
Doctor :   as time passes these wil get worse
User :   i keep shouting at all around me
Doctor :   early diagnosis and treatment will halt progression and cure it
Doctor :   else it will keep on spreading leading to increase in pain intensity and duration
User :   for example: if i had got my periods on 1st last month
Doctor :   and affect your work life and personal life
User :   this month ill get it on 25th + from 20 onwards ill have the pain
Doctor :   yes i can understand what you are trying to tell,
User :   so in a month ill only be fine for 15days
Doctor :   if the diagnosis is delayed and treatment is delayed, then there will be a time when you will have pain for entire month
User :   reast all days ill have this pain & irritation
Doctor :   hence I suggest you not to delay your visit to gynecologist
Doctor :   and not to delay with the investigations suggested
Doctor :   have you followed what I have said?
User :   ok
User :   i am little hesitated with going to gyni
User :   i dont know why
User :   i feel little odd
Doctor :   you should not hesitate to go for gyne checkup
Doctor :   it will be to help you, not to harm you
Doctor :   so be positive and focussed on finding out teh cause for your peoblems
User :   hmmm ok
Doctor :   such that adequate steps can be taken to help you overcome it
Doctor :   is there anything else you would like to ask me?
User :   yes doctor, not sure how to ask.i also have lot of pain over there doctor
User :   i dont understand why
Doctor :   where is the pain located?
Doctor :   when is the pain more?
User :   just below the stomach
Doctor :   do you mean to say that pain is located in your private parts/vagina?
User :   the lower stomach
User :   yes even at private parts
Doctor :   is the pain associated with intercourse?
Doctor :   does it pain after intercourse?
User :   i cant go for pains that badly
Doctor :   is the pain more at start or during the intercourse?
User :   at start itself
Doctor :   is there any fouls smell or discharge associated?
User :   ya sometimes there is foul smell
Doctor :   the pain with intercourse could be due to tight vagina or PID (pelvic inflammatory disease) along with further possibility of fibroids, ovarian cysts, adenomyosis or endometriosis
Doctor :   for the smell and discharge, a vaginal smear is advised
Doctor :   if infection is found , then both you and your husband will need to take treatment simultaneously
User :   so in total how many types of tests shud i get it done?
Doctor :   and avoid unprotected intercourse during treatment to avoid chances of re-infection
User :   ok
Doctor :   i will summarise: for you, you will need a gyne examination along with blood tests, hormonal analysis, ultrasound scan and vaginal smear test
Doctor :   further treatment will be decided based on the investigation results.
User :   ok
Doctor :   is there anything else you would like to ask me?
User :   & this would cost me another XXX?
Doctor :   it should be around XXXin total for you
User :   ok
User :   nothing else doctor
Doctor :   depending on whether it is a private clinic or hospital
User :   ok
User :   for me only a gyne wud do?
Doctor :   thanks for consulting me. bye for now. do get back to me in case you have further queries
Doctor :   yes
User :   ok thanks a lot
User :   byeee
Doctor :   bye for now
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