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Have Foul Smell. Had Multiple UTI. Had 11 Inches Of Large Intestine Removed. Having Severe Abdominal Pain During Periods. Remedy?

Posted on Fri, 27 Sep 2013

Question: I am 38 Yes old, have an iud in place for the past 3 years, had 11inches of my large intestine removed over 5 years ago due to a rupture from diverticulitus. About 7 months ago my urine started having a very foul smell, I've had multiple uti's in the past but have been checked and I haven't had one for over a year. Recently during my period I had a horrible pain in my lower abdominal, it felt like it was behind my uterus in my colon area. I thought my iud had moved and was tearing into my colon. Saw a Dr, they did an ultra sound and it wasn't my iud. They didn't look for anything else during the ultrasound, had a full exam and STD testing and the Dr couldn't explain it and wasn't too concerned. It was an urgent care clinic, so I'm not sure they wanted to really find out. Please help, What could be wrong with me?

Answered by Dr. Srikanth Reddy (2 hours later)

Brief Answer:
Details needed

Detailed Answer:
Hello,
Thanks for using health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
However I would require a couple of more details to help you in answering your query in a better justified way.
1) How frequently does the pain appear?
2) Is there any pain right now?
3) Were there any refluxes (acid)?
4) Is your abdomen tender?
5) Any nausea/vomiting / fever?

Hope to hear from you at your earliest convenience.
Regards and wish you good health,

Dr. Srikanth Reddy MD

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Srikanth Reddy (38 minutes later)

the pain only happens occasionally, no I'm not having pain right now, it's not constant. no nausea, vomiting, fever or tenderness. I've noticed it before when I need to have a bowel movement. this is kind of descriptive but I feel like my bowel movement creates even more pressure and I can feel it moving through my colon, and I'll get sharp pains on the back side of my uterus. 2 months ago when I thought my iud tore I was in severe pain, and could hardly sit or stand or move.

Answered by Dr. Srikanth Reddy (8 hours later)

Brief Answer:
Need a CT scan abdomen

Detailed Answer:
Hello,
Thanks for the add on information.
There could me many causes for the condition you described but the commonest assumption is Adhesions. Adhesions form after intra abdominal operation and then it leads to the kind of pain that you are describing. It increases during the bowel movement. Its difficult to diagnose adhesion on USG and you may require a CT scan abdomen.
Another possibility is a renal or ureteric calculi and the USG needs to be done when the bladder is full. Ployps may also lead to this kind of pain.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy

Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Srikanth Reddy (5 minutes later)

What about the foul smelling urine? is this also a symptom of What your describing? it's terrible and I'm completely embarrassed by it! not a sweet smell, or ammonia smell, just rank.

Answered by Dr. Srikanth Reddy (3 hours later)

Brief Answer:
Need to evaluate urine sample

Detailed Answer:
Hello,
Thanks for the follow-up query.
There are many reasons for the foul smelling urine. Commonest among them is the infection. Infections cause this kind of odor and are easily diagnosed by doing a culture and sensitivity of the urine sample.
Diabetes XXXXXXX also cause this symptom and you need to get a random blood sugar done.
Also some medicines can cause such kind of odor. If you are taking some medicines regularly then you should consider them as a cause.
Hope that helps
regards
Dr. Srikanth Reddy

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar