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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Abdominal Pain, Aggravates During Urination And Bowel Movements, Urine Test Showed Pus Cells. What Could It Be?

Hello I had a diagnostic laparoscopy 24 days ago which found no reason for my heavy and painful periods.They also fitted a mirena coil. Since then I have been having lower abdominal/ pelvic pain which increases when I got to the toilet (both urine and bowel) Yesterday I had my urine tested and it showed pus cells so was given three day course of antibiotics and urine was sent for analysis Today I have extreme abdominal pain which was so severe this morning I contemplated calling an ambulance. It did subside but is still there periodically especially when I move or try to open my bowels what could this be?
Fri, 17 Aug 2012
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General & Family Physician 's  Response
Hello. Welcome to hcm.
Pain after mirena is most commonly due to perforation and you need to immedietly visit ER and undergo ultrasound scan or laproscopy to confirm and/remove mirena. Delayed will be life threatening.
Other reasons might be due to infection,pre existing uterine pathology but emergency causes should be ruled out first and treated.
All the best
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Lower Abdominal Pain, Aggravates During Urination And Bowel Movements, Urine Test Showed Pus Cells. What Could It Be?

Hello. Welcome to hcm. Pain after mirena is most commonly due to perforation and you need to immedietly visit ER and undergo ultrasound scan or laproscopy to confirm and/remove mirena. Delayed will be life threatening. Other reasons might be due to infection,pre existing uterine pathology but emergency causes should be ruled out first and treated. All the best