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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Reason For Severe Abdominal Pain And Swelling In The Leg During Periods ?

I am 38 years of age and female I have sereve menstral bleeding and clotting and severe abdominal pain also on right side of leg with severe swelling I have had this on going for months now and had ultra sounds xrays and ct of abdominal area and nothing has shown up only thing that has show is a slightly elevated white cell count, other medical conditions is under active thirod and 45 to 50 pounds over weight. please i need help cause i have been trying to get answer for a year now
Mon, 30 Apr 2012
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OBGYN 's  Response
Hi Traynsford,
Thanks for writing in.
I hope you are getting treatment for under active thyroid. This may be responsible for your heavy periods & being overweight. Normalizing your thyroid function is possible with medicine alone & is likely to help solve these two problems.
Coming to your pain. Your pain as you have mentioned, is there for months & is sever. In addition no clue was found after imaging investigations right? In this regard my suggestion is you should see a specialist gynecologist who can perform a Laparoscopy test on you. As this is an investigation recommended in your case (i.e. after negative imaging & after no satisfactory response to ordinary pain killers).
In cases like yours this test is likely to provide some clue to the cause of your chronic pain. After that a specific treatment can be offered to you.
I am unable to understand the nature of swelling you are talking about, Is it a generalized swelling or localized to just one leg? You may contact me directly with your answer as both types of swelling have different causes.
I hope you get well soon.
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HIV AIDS Specialist Dr. Sankaranantham Murugan's  Response
Hai,
Your menorrhagic problem may not be related to your swelling of leg. Your unilateral leg swelling may be due to Filariasis, a worm infestation, mostly associated with frequent episodes of fever and rigor. It can be confirmed with peripheral night blood smear examination. Other possibilities may be thrombophlebitis, deep vein thrombosis, varicose veins of leg, lastly tuberculous lymph adenitis, and cancerous condition are to be ruled out. Tb, cancers may be associated with menstrual irregularities if uterine endometrium got affected. These are all can be ruled out with a thorough examination by an efficient Physician or a Surgeon. So consult a well qualified and experienced doctor and get solved your problem and get well soon. Dr SM
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What Is The Reason For Severe Abdominal Pain And Swelling In The Leg During Periods ?

Hi Traynsford, Thanks for writing in. I hope you are getting treatment for under active thyroid. This may be responsible for your heavy periods & being overweight. Normalizing your thyroid function is possible with medicine alone & is likely to help solve these two problems. Coming to your pain. Your pain as you have mentioned, is there for months & is sever. In addition no clue was found after imaging investigations right? In this regard my suggestion is you should see a specialist gynecologist who can perform a Laparoscopy test on you. As this is an investigation recommended in your case (i.e. after negative imaging & after no satisfactory response to ordinary pain killers). In cases like yours this test is likely to provide some clue to the cause of your chronic pain. After that a specific treatment can be offered to you. I am unable to understand the nature of swelling you are talking about, Is it a generalized swelling or localized to just one leg? You may contact me directly with your answer as both types of swelling have different causes. I hope you get well soon.