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What Causes Sharp Pain When Suffering From PCOD?

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Posted on Mon, 27 Oct 2014
Question: Hi, I have a 19 yr old daughter that has a history of ovarian cysts. She has been for the last year getting sharp pains on her right side anytime during exercise. Its to the point of feeling like she is going to pass out. She just had two ultrasounds. No cyst. She said it was not the same pain as the ovarian cysts in the past. What should we look at next? She had a urine text for urinary tract infection that was negative.
doctor
Answered by Dr. Deepak Kishore Kaltari (40 minutes later)
Brief Answer:
additional information required

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear Ms

It would be helpful if you could provide me the following additional information for me to be able to assist you further

1. Was ovarian cyst diagnosed anytime by Ultrasound previously? Kindly let me know the exact report
When was that report

2. Since how long has she been experiencing right side pain?

3. Where is exact location of pain

4. Any other associated symptoms like nausea /vomiting or fever during pain

5. Are her menstrual cycles normal and regular?

6. Any relationship of pain to menstrual cycle


Awaiting your response


Take care

Best regards
Dr Deepak Kishore Kaltari
Consultant Surgeon
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepak Kishore Kaltari (25 minutes later)
Hi,

The ovarian cysts were both diagnosed by ultrasound and we were told they would take care of themselves. As she just had another ultrasound and they saw no other cysts then that idea is no longer viable. While looking for another cyst they also looked for signs of endrometriosis sp? There were no signs of that either.

She does have painful periods, but this is not corresponding to anytime she exercises and starts to break a sweat the pain brings her to her knees. She said it feels like she is going to pass out. She does not throw up but at that moment she feels nauseated. No fevers.

This pain has been almost a year but we were told that it may have been related to a cyst in the past. It has been 8 months had another ultrasound to rule that out. No cyst but the pains are still there.

The pain is on the right mid-abdomen.

She eats a clean diet, reduced dairy, wheat free as she had sinus issues that have been completely cleared up by changing the diet. Very little soda and junk food, not a smoker.
doctor
Answered by Dr. Deepak Kishore Kaltari (23 minutes later)
Brief Answer:
To get Doppler scan done

Detailed Answer:
Dear Ms


Pain in abdomen is unlikely to be due to ovarian cyst in the absence of recent demonstration of any ovarian cyst.
Possibility of intermittent torsion of ovary needs to be considered especially with the history of effort pain in abdomen. I would suggest you to get Doppler scan done to look for vascularity of ovary during attack of pain.

If the Doppler scan is too normal then there is no cause for concern.


Do get back to me if you need any further assistance, will be glad to assist you.


Take care

Best regards
Dr Deepak
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepak Kishore Kaltari (4 minutes later)
Does a general pract order a doppler scan? By torsion do you mean twisting of the ovary? Is it possible that it may not be related to the ovaries? Kidney stone etc? She has no other history of any other illness?

Thank you
doctor
Answered by Dr. Deepak Kishore Kaltari (10 minutes later)
Brief Answer:
Torsion is twisting of ovary

Detailed Answer:
Hi

Even if there is Stone , it would have ideally been picked up by ultrasound scan. You are right torsion means twisting of ovary around its axis.
You can discuss it with your Gp. Next step is

1. Ultrasound and Doppler scan during onset of pain to rule out any ovarian torsion or any hydroureter due to calculi


It is important to time the scan during attack of pain


Take care

Best regards
Dr Deepak
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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What Causes Sharp Pain When Suffering From PCOD?

Brief Answer: additional information required Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms It would be helpful if you could provide me the following additional information for me to be able to assist you further 1. Was ovarian cyst diagnosed anytime by Ultrasound previously? Kindly let me know the exact report When was that report 2. Since how long has she been experiencing right side pain? 3. Where is exact location of pain 4. Any other associated symptoms like nausea /vomiting or fever during pain 5. Are her menstrual cycles normal and regular? 6. Any relationship of pain to menstrual cycle Awaiting your response Take care Best regards Dr Deepak Kishore Kaltari Consultant Surgeon