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What are the signs and symptoms of pelvic inflammatory disease?

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Posted on Sat, 7 May 2016
Question: I have lower abdominal ache/burning and a feeling of needing to urinate often/pressure on my bladder. I had a urine test which was clear. My gyno said everything was normal with a pelvic exam. However, the pelvic exam was painful/burning. My Pap smear results (also STD test results) will be back in two weeks. I am leaving the country tomorrow. I will not be home for a week. My question is this. I think it could be PID. Assuming it is PID, am I safe to wait a week or two to have another apt with a doctor? Assuming it is not PID, same question.
doctor
Answered by Dr. Rakhi Tayal (18 minutes later)
Brief Answer:
You can wait for two weeks.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The ache and burning urination with a sterile urine culture can be due to a renal stone, increased intake of acidic foods and decreased fluid intake. This can be a nerve related pain also. The painful pelvic examination is suggestive of PID. None of these is an acute problem that cannot wait for another two weeks. You can take over the counter mild pain killers and increase the intake of cranberry juice till then.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Rakhi Tayal (34 minutes later)
Could the bladder pressure/burning be a symptom of a PID? It is almost constant. However, not so severe that I cannot forget about it if I get mentally involved with a task. I should mention these symptoms starts suddenly three weeks ago. I HAD burning upon cessation of urinating at that time, however, the antibiotics seemed to have cleared that up. However, I still have a slight external burning sensation at the urethra opening. A warm bath alleviates all symptoms for a while.

One other question: I was diagnosed with endometriosis about 20 years ago. Other than severe pain which can be alleviated with ibuprofen during my menstrual cycle, I have had no other symptoms. My Gyno suggested the possibility of endometriosis en planted in my bladder. You mentioned nerve related pain. Could those possibilities be similar? How likely of a scenario is nerve pain or endometriosis? Is there any fix for either?
doctor
Answered by Dr. Rakhi Tayal (3 hours later)
Brief Answer:
Details below.

Detailed Answer:
Hello.
Thanks for writing again.
Bladder pressure or burning is less likely to be due to PID. Since a hot compress gives a relief then it is suggestive of a muscle spasm in the area not an infection.
The possibility of endometriosis is there.
Nerve related pain happen due to a nerve root compression or irritation. Both can be the cause of pain that you have. The symptomatic relief is possible in nerve pain but endometriosis may need a surgical treatment.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 13884 Questions

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What are the signs and symptoms of pelvic inflammatory disease?

Brief Answer: You can wait for two weeks. Detailed Answer: Hello, Thanks for trusting us with your health concern. The ache and burning urination with a sterile urine culture can be due to a renal stone, increased intake of acidic foods and decreased fluid intake. This can be a nerve related pain also. The painful pelvic examination is suggestive of PID. None of these is an acute problem that cannot wait for another two weeks. You can take over the counter mild pain killers and increase the intake of cranberry juice till then. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal