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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ovarian Cysts And Enlarged Liver

I am 32 years old, about 4'11 and weigh 152 lb. I have a Congenital heart defect (TGA or TGV) which I was born with and was corrected while I was a baby. Since, then I had a child of my own and went into heart failure shortly after delivering her (almost 2 years ago), since them I have been on medication for my heart (lasix, aldactone & coreg) are the med's I am currently on, however, I was on others but luckily, have been "weaned" off by my cardiologist. Also, I have started a birth control pill in the beginning of this year after the IUD failed me. I am NOT to get pregnant again because of my heart issue. I went in to see my PCP a couple of days ago because I have been having pain on my lower right side (ovary area), She sent me for a CT Scan of my apendix and ovaries and turns out that I have an Ovarian cyst on my right ovary (I do get these sometimes, right before starting my menstration). While looking at that region, it was discovered on the CT that the liver is enlarged and is heterogeneous in appearance. Also, all of my blood work was perfect except for my Bilirubin Direct which shows 0.3 (Hi). I am not an alcoholic or drug abuser ever. Not sure what to make of this...I am scared and worried!! Thank you!
Mon, 4 Sep 2017
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General Surgeon 's  Response
Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can.
Ovarian cysts are common and may be single, multiple or may occur as a part of polycystic ovarian syndrome.
At this point there is no need to be worried but further steps are required to ruled out malignancy completely. It means that CT scan or diagnostic laparoscopy should be done to evaluate it more accurately.
Generally, cysts should be managed surgically i cysts are larger than 5cm, bleeding cysts, torsioned or ruptured and it means that cysts became complicated and may cause specific pain.
Also, if there is polycystic syndrome as underlying cause then hormonal therapy is indicated. Pain is usually placed deep in pelvis on affected side and may be associated with nausea and fever.
I am sure that this will be just a benign cyst at the end but these further steps are required to ease your minds.
I hope I have answered you query. If you have any further questions you can contact us in every time
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Suggest Treatment For Ovarian Cysts And Enlarged Liver

Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can. Ovarian cysts are common and may be single, multiple or may occur as a part of polycystic ovarian syndrome. At this point there is no need to be worried but further steps are required to ruled out malignancy completely. It means that CT scan or diagnostic laparoscopy should be done to evaluate it more accurately. Generally, cysts should be managed surgically i cysts are larger than 5cm, bleeding cysts, torsioned or ruptured and it means that cysts became complicated and may cause specific pain. Also, if there is polycystic syndrome as underlying cause then hormonal therapy is indicated. Pain is usually placed deep in pelvis on affected side and may be associated with nausea and fever. I am sure that this will be just a benign cyst at the end but these further steps are required to ease your minds. I hope I have answered you query. If you have any further questions you can contact us in every time