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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Painful Lump In Pubic Area

Hi, I am 32 weeks pregnant and have had significant pubic pain for the last couple of weeks that I attributed to pubic symphysis diastasis. In the past 2 days the pain has gotten significantly worse and is now excruciatingly tender to palpation on the left side. Tonight I noticed a hard lump on the left side of my mons pubis that is incredibly painful. I have not had any other systemic symptoms, vomiting, fever etc. Any ideas?
Tue, 17 Jun 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query.
The pain in this area with a swelling on one side can be due to an abscess or symphysis diastasis as you rightly thought about.

The only way to get a proper diagnosis is by clinical examination by an Orthopedic Surgeon, and/ or MRI ( MRI is safe in pregnancy).
The treatment will depend upon the diagnosis.
IF an abscess - needs a nice course of pregnancy-safe antibiotics and anti-inflammatory medicines.
If diastsis- anti-inflammatory may be sufficient.
Gynecologist's opinion about an early caeserian section can also be sought if the problem is severe.
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Suggest Remedy For Painful Lump In Pubic Area

Hi. Thanks for your query. The pain in this area with a swelling on one side can be due to an abscess or symphysis diastasis as you rightly thought about. The only way to get a proper diagnosis is by clinical examination by an Orthopedic Surgeon, and/ or MRI ( MRI is safe in pregnancy). The treatment will depend upon the diagnosis. IF an abscess - needs a nice course of pregnancy-safe antibiotics and anti-inflammatory medicines. If diastsis- anti-inflammatory may be sufficient. Gynecologist s opinion about an early caeserian section can also be sought if the problem is severe.