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Hi, The Last Couple Of Days Ive Had Some Severe
Question: hi, The last couple of days ive had some severe pain. its been in the lower abdomen area, like severe period cramping but much worse. its been dulled a little (not much) by panadol and advil, but it feels like my lower abdomen is being ripped appart. ive had some spotting a week before.. and some constipation. (since then the constipation is all gone) but its very hard to walk, i had some nausea too. just wondering what this could be and what tests or things u reccomend? thank you
Brief Answer:
X-ray and Ultrasonography to start with.
Detailed Answer:
Hi.
Thanks for your query.
Noted the history well and understood the concerns.
Such a severe pain in lower abdomen that it is making walking difficult, feeling like lower abdomen is being ripped apart, no constipation now, and some spotting a week before may be due to one of the following reasons:
Twisted ovarian cyst.
Volvulus
PID that is pelvic inflammatory disease.
Any vascular problem with lower abdominal contents like intestine and so on.
I would advise you the following in such a situation:
Rush to ER for clinical evaluation, examination and investigations:
X-ray of abdomen in standing position and ultrasonography of abdomen can be indicative of what the problem may be.
This added on by the proper clinical examination can give the need for further investigations like CT scan of abdomen and as needed.
This will give the plan of proper management as per the findings.
I hope this answers your query and helps in decision making.
Please give followup.
Wishing you all the best.
Dr T Chandrakant.
General Surgeon.
X-ray and Ultrasonography to start with.
Detailed Answer:
Hi.
Thanks for your query.
Noted the history well and understood the concerns.
Such a severe pain in lower abdomen that it is making walking difficult, feeling like lower abdomen is being ripped apart, no constipation now, and some spotting a week before may be due to one of the following reasons:
Twisted ovarian cyst.
Volvulus
PID that is pelvic inflammatory disease.
Any vascular problem with lower abdominal contents like intestine and so on.
I would advise you the following in such a situation:
Rush to ER for clinical evaluation, examination and investigations:
X-ray of abdomen in standing position and ultrasonography of abdomen can be indicative of what the problem may be.
This added on by the proper clinical examination can give the need for further investigations like CT scan of abdomen and as needed.
This will give the plan of proper management as per the findings.
I hope this answers your query and helps in decision making.
Please give followup.
Wishing you all the best.
Dr T Chandrakant.
General Surgeon.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Thanks for your appreciation.
Detailed Answer:
You are most welcome.
Awaiting the results.
Dr T Chandrakant
Thanks for your appreciation.
Detailed Answer:
You are most welcome.
Awaiting the results.
Dr T Chandrakant
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you so much for your quick answer. ill be sure to do as instructed, and let you know how i go. thank you again
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