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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain And Vaginal Infection?

I am a 21 year old female and I have been having severe pelvic pain for the past 6 weeks and abdominal pain for the past 4 months. I have been to the er several times for the pain and they can t figure it out. I have had what I believe to be some type of vaginal infection for about 4 and a half months. The pain in my pelvis has just gotten worse over the past 3 weeks. I was tested for chlymidia, gonorrhea, and tric. I believe. And those where negative although I was on amoxicillin at the time so i don t know if that would have effected the test. and I have not been sexually active since. My dr diagnosed me with a yeast infection and I was on 100 mg of dyflucan for 5 days after that I was still having symptoms and so I went back and they tested me for bv and yeast and said that test was normal. But after all this time I was still having symtoms. I have also had a 5 day round of bactrim I think for a mild bladder infection after that was gone I still had the same symptoms. And burning when I urinate. I had a ultrasound done about 3 months ago and that was normal. I had another one transvaginaly the other day and that was also normal. My dr recommended I see an obgyn so I did and she did some test for stds again still didn t find anything. I m so confused as to what is causing these symptoms. also had a ct scan of my abdomen with dye injection done about 5 weeks ago and they said that was normal. Had another one about 9 days ago Still nothing. also had a complete blood count done the same day and it was normal. am concerned that I have pid. My symptoms include lower back pain, pelvic pain, burning itching and pain inside my vagina white discharge abdominal pain and bloating, sharp pain in my abdomen and ex specially my overies. Feeling like my uterus and vagina is inflamed. I feel very nauseated. It burns when I urinate, dizzy and feel like I could black out and I turn pale and my bowls are irritated. The sharp pain in my upward . I have loss of coordination. I have pain in my upper abdomen too. Sometimes I feel I can t breath. And my chest is so tight and it hurts. Blurred vision headaches. Pain on the side of my head flu like body aches. Twitches. I m so lethargic all the time. I just feel like I need to sleep all the time. Tingling in my arm pain in my legs, my periods are so painful! They make me feel like I m going to pass out. there is pain in my hips, stiffness in my muscles and joints, is there any medications or supplements that would interfere with any of the lab test I had done. Or would coconut oil interfere cause I do eat a lot of that. I ve been having symptoms like this since I was 16 and only tried to treat it myself... Is it possible I have a resistant infection. how accurate are the test? Can yeast infections cause pid? Could a ct scan or ultrasound still tell if I had pid or damage from pid if I had endometriosis? I think the reason my obgyn ordered the second one was to see if I had any cyst. For the past week I ve been having really bad hot flashes and when I stand up my uterus feels very hard and I have no vaginal discharge and my bloating has gotten worse and I have pain down my legs. I have oral sex when I was 15 and started noticing symptoms after that and I didn t get checked out for it cause I didn t think much of it and didn t know much about stds. About a year later I started to have extremely painful periods and noticed pain and burning in my overies and uterus so I had my mom take me to my dr and she did a pelvic exam but I m not sure what she tested me for she also did an x ray and didn t see anything. I ve had reoccurring pain like that since then but I has just recently gotten really bad. I have taken several courses of antibiotics since then including z pack amoxicillin, and bactrim. For strep. And sinus infections. And staph and bladder infections. Is it possible that I could have cured any stds with those and it s still causing me problems? Or is it possible I could have made it resistant and it have turned into a superbug? How would a doc know if you had that? Would it show up on a regular screening test? I ve herd naat test are more accurate. Would my white blood cells be high if I had pid? It feels like I can t urinate most of the time. And I keep having night sweats. If I have had it for this long can it still be cured? Is something causing my overies to fail? I ve also had a couple of pelvic exams done the hurt really bad. Not mention the ultrasound hurt too. Sorry this is so long. Thank you and God bless.
Tue, 29 Nov 2016
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General & Family Physician 's  Response
hi, very happy to answer you
You have a disease called urethral pain syndrome, characterized by the presence of pain most often in the form of burns in the urethra the canal by which the urine is externalized from the bladder , reproduced by palpation. These pains that can be very intense are sometimes aggravated by bladder filling and urination. Diagnosis is not easy and usually represents a diagnosis of presumption in a woman with recurrent symptoms of cystitis, while urine cultures are systematically negative. Sometimes, a history of erythritis with chlamydiae can evoke the diagnosis. The examination of the urine sediment makes it possible to find most often a mixed flora, sometimes a microscopic haematuria alone or a discrete leukocyturie.
The urine examinations are supplemented by a cystoscopy which shows a spasticity of the urethra with inflammation, a metaplasia of the bladder trigone without any suspicious lesion of malignancy. Urodynamic examination, when practiced, may reveal a high-pressure urethra with instability of the urethro-vesical junction and pseudo-obstruction when measuring the micturition snapshot (pressure / flow curve).
The treatment and management long and tedious, in particular because of the more or less marked presence of a psychosomatic component. The prescription of repeated antibiotics is of no use except when a germ has been identified. Medium, even long-term treatment includes anticholinergics such as Detrusitol®, antispasmodics (Urispas®), alpha-blockers (mechanism of dilatation action of the smooth muscle of the urethra, like Benign prostatic hypertrophy in men) alone or in combination. It is sometimes necessary to perform iterative dilations of the urethra with local or general anesthesia. A multidisciplinary approach (urologist, psychologist, family physician, neural and pain therapist) is very useful to you.
may this information help you
best wishes
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What Causes Abdominal Pain And Vaginal Infection?

hi, very happy to answer you You have a disease called urethral pain syndrome, characterized by the presence of pain most often in the form of burns in the urethra the canal by which the urine is externalized from the bladder , reproduced by palpation. These pains that can be very intense are sometimes aggravated by bladder filling and urination. Diagnosis is not easy and usually represents a diagnosis of presumption in a woman with recurrent symptoms of cystitis, while urine cultures are systematically negative. Sometimes, a history of erythritis with chlamydiae can evoke the diagnosis. The examination of the urine sediment makes it possible to find most often a mixed flora, sometimes a microscopic haematuria alone or a discrete leukocyturie. The urine examinations are supplemented by a cystoscopy which shows a spasticity of the urethra with inflammation, a metaplasia of the bladder trigone without any suspicious lesion of malignancy. Urodynamic examination, when practiced, may reveal a high-pressure urethra with instability of the urethro-vesical junction and pseudo-obstruction when measuring the micturition snapshot (pressure / flow curve). The treatment and management long and tedious, in particular because of the more or less marked presence of a psychosomatic component. The prescription of repeated antibiotics is of no use except when a germ has been identified. Medium, even long-term treatment includes anticholinergics such as Detrusitol®, antispasmodics (Urispas®), alpha-blockers (mechanism of dilatation action of the smooth muscle of the urethra, like Benign prostatic hypertrophy in men) alone or in combination. It is sometimes necessary to perform iterative dilations of the urethra with local or general anesthesia. A multidisciplinary approach (urologist, psychologist, family physician, neural and pain therapist) is very useful to you. may this information help you best wishes