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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do I Need Stool Softener For Constipation While Suffering From Ovarian Cyst?

hi Iam about to undergo tahbso in a week, is it normal to hesitate, im still 41 y.o. and i had ruptured ovarian cyst last year the day prior to my laparoscopic cystectomy, but 3 weeks ago i did not know it came back until i had sudden sharp pain in my lower abdomen and rapidly radiate to my back, at that time they suspect ruptured ovarian cyst again and ultrasound came back i have bilateral ovarian cyst again, the right side is bigger with a solid form in it, though the size reduced after repeat ultrasound because when i told my doctor that i still have mild pain but intermittent, i have pain during sex, prolong setting and constant setting and sudden standing causes discomfort, i feel like something pushing out in my vagina, i have constipation and even if i take stool softener on a small portion comes out, but the lower back pain is constant though i have lower back pain already due to back injury and i just associate the pain to that. the size of my cyst 1st ultrasound was (r) 5.8cm complex w/ 3.1 solid form inside, (l) 4.1cm, 2nd ultrasound size is (r) 3.8x4.0x3.7cm w/ solid component (l) 3.7x4.2x4.1 hemorrhagic. do i have to undergo surgery next week or wait more, is it necessary to undergo tahbso for me? please help i need advice
Tue, 26 Feb 2019
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General Surgeon 's  Response
Hi,

Noted your history well and understood the concerns.
Yes, stool softener and if required a laxative is needed while suffering from Ovarian cysts if there are hard stools or constipation.
The answer to your other questions:
Since there is a solid component in the ovarian cyst there are more chances of cancer and that has to be removed as soon as possible and sent for histopathology tests.
TAH-BSO is needed in the anticipation of cancer hence you need to undergo the surgery as advised by your Doctors.
The Back ache may be due to internal abdominal and pelvic pathology or can be a local problem and can be confirmed by an examination by an Orthopedic Surgeon if required and with tests like MRI. Get treated according to the cause found.
Go ahead with Surgery.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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Do I Need Stool Softener For Constipation While Suffering From Ovarian Cyst?

Hi, Noted your history well and understood the concerns. Yes, stool softener and if required a laxative is needed while suffering from Ovarian cysts if there are hard stools or constipation. The answer to your other questions: Since there is a solid component in the ovarian cyst there are more chances of cancer and that has to be removed as soon as possible and sent for histopathology tests. TAH-BSO is needed in the anticipation of cancer hence you need to undergo the surgery as advised by your Doctors. The Back ache may be due to internal abdominal and pelvic pathology or can be a local problem and can be confirmed by an examination by an Orthopedic Surgeon if required and with tests like MRI. Get treated according to the cause found. Go ahead with Surgery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon