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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lower Abdominal Pain

I have terrible lower abdominal pain. When I am on my period I m perfectly fine but within a few days it starts up again. It will wake me up 4 or 5 times a night and last a good 7-10 minutes. Sometimes if I poop it relieves it, sometimes it is what starts it. It happens after masturbation as well, that is when it is at its worst. I am a virgin but im assuming it will happen during sexual intercourse. It is really affecting my day to day life and I really dont want to go see a doctor. What is wrong with my stomach? also i have some vaginal discharge and it pains.
Tue, 24 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
To recapitulate: young unmarried virgin girl with painful vaginal discharge - pains 3 days after the periods - relief or start with poop - wakes up 4 or 5 times in the night - lasts 7 to 10 minutes - worst with masturbation and now worried about pain during sex in future.

The most probable cause is severe PID- pelvic inflammatory disease / salpingitis / IBS .

I would advise you the following:
Gynecologist's opinion.
Per-rectal examination by a Gynecologist or a General Surgeon for see for pelvic tenderness.
Ultrasonography and CT scan of the abdomen
Colonoscopy
Tests of blood, urine and stool.
-Therapeutic trial of a 5 day course of an antibiotic and metronidazole.

all the tests and clinical examination will lead to a diagnosis and gives a plan for further treatment.
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Suggest Treatment For Lower Abdominal Pain

Hi. Thanks for your query. To recapitulate: young unmarried virgin girl with painful vaginal discharge - pains 3 days after the periods - relief or start with poop - wakes up 4 or 5 times in the night - lasts 7 to 10 minutes - worst with masturbation and now worried about pain during sex in future. The most probable cause is severe PID- pelvic inflammatory disease / salpingitis / IBS . I would advise you the following: Gynecologist s opinion. Per-rectal examination by a Gynecologist or a General Surgeon for see for pelvic tenderness. Ultrasonography and CT scan of the abdomen Colonoscopy Tests of blood, urine and stool. -Therapeutic trial of a 5 day course of an antibiotic and metronidazole. all the tests and clinical examination will lead to a diagnosis and gives a plan for further treatment.