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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the treatment of abdominal pain and pelvic pain and soreness?

I'm a 38yo female about 175lbs. For a few months have had RLQ pain with lower abd/pelvic heaviness and soreness. Feel sick and exhaused for abut 5 months. Recently had EGD and Colonoscopy. EGD demonstrated inflamed stomach and Colonoscopy was negative. I do have poorly working GB but no real symptoms. Straightened out my diet for last 5 weeks and feel even worse. Have lost no weight at all my caloric intake about 1200cal/day. Fish, legumes, baked chicken, spinach salads with plenty of water. Any ideas what could be causing the pain? and lack of weight loss?
Tue, 9 Sep 2014
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General Surgeon 's  Response
Hi.
Read the history of RLQ pain with lower and pelvic heaviness and soreness for few months. IT is good that the colonic pathology is ruled out by the colonoscopy.
The EGD Endoscopy showing inflamed stomach that is gastritis must be secondary to the pelvic pathology.
Most probably you are having IBS- Irritable Bowel Syndrome or PID- Pelvic inflammatory Disease.
I would advise the following:
All relevant blood tests including Gold Quantiferon test for Tuberculosis, Typhoid. Urine and still tests.
A course of an antibiotic.
Gynecologist's Pervaginal examination and opinion.
A course of an antibiotic and metronodazole.
Addition of probiotics and a antispsmodic plus antianxiety tablet to soothe.
CT scan of the abdomen to rule out other problems
Diagnostic Laparoscopy if every investigation is normal.
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