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What Does This Ultrasound Report Indicate?

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Posted on Thu, 23 Feb 2017
Question: hi i was suffering from pelvic pain 24/7 for the past 2 months since december precisely and on 6 XXXXXXX i visited my gynaecologist nd was misdiagonosed wid constipation and infection for which i was given ofloxcin and ornidazole nd gasosid..suffered for another 20 days wid pelvic pain thinking its a constipation and got the ultrasound done which indiacted:
1. minimal free fluid in pod
2. renal calculus >4mm
3.ovarian cyst~18mm involving right ovary without any internal septations/ echoes within-- could b phsiological.
i fail to understand wats d reason for my pelvic pain
have i done lot of damage to my reproductive organs??
wil i b able to conceive again
my period dates are 24-27 XXXXXXX nd i got ultrasound on 31 XXXXXXX .. plz help
doctor
Answered by Dr. Purushottam Neurgaonkar (28 minutes later)
Brief Answer:
Spasm relievers. Prenatal vitamins. Healthy lifestyle.

Detailed Answer:
Hi there,
Dear XXXXXXX
Dr. Purushottam here. I have understood your concern. I will suggest you the best possible treatment options.

First of all do not panic.
Please calm down.

At the outset I would like to assure you that the treatment taken so far has no damaging effects on your reproductive system.

What I could guess from your history is that you had your pain mainly due the calculus or some mild kind of pelvic infection.
As such my guess is from your history only.

In anyway the combination antibiotics taken already is helpful in treating pelvic infection also.
Your ovarian cyst appears functional only. You can repeat sonography after your next menses to see if the cyst has regressed or is persistent.
For colic or twist like pain , use of DIcyclomine or Hyoscine tablet will be of help. You need to seek prescription support from your treating doctor for the spasm relieving medicines.

As you are planning to conceive in the future, please opt for a healthy lifestyle.
I will suggest you to drink plenty of water 2 to 2.5 liters per day.
Have a healthy diet and regular exercise regimen.
Please meditate regularly.
Engage in creative activities.
Strat on Folic acid, Vitamin B12 supplements at least 3 months before you plan the pregnancy.

I hope this answer helps you.
Thanks.
dr. Purushottam Neurgaonkar
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Purushottam Neurgaonkar (19 minutes later)
sir
i am at my witts end... wat antibiotics shd i take?? is my husband at risk too... since my periods ended 3-4 days back so minimafluid in pod isnt due to ovulation it is pelvic infection disease... m i too late too get rid of it... ?can it turn into a long term chronic pelvic pain.?.. plz helpwhrn will dis pelvic pain stop?
doctor
Answered by Dr. Purushottam Neurgaonkar (12 minutes later)
Brief Answer:
Do not worry. No risk to you and husband. Seek urologist opinion.

Detailed Answer:
Hi there,

thanks for appreciating the answer and reverting back.

As on now you need not take any antibiotic, if you have already taken that course .
Secondly, minimal free fluid immediately after menses is quite a normal finding.
Pelvic infection is a clinical finding if per vaginal examination reveals painful movements of uterus or pain on ether side of the uterus.

If there is no documented pelvic infection , you need not worry about yourself, your ability to get pregnant or about any risk to your husband.

Please get prescription from treating doctor for analgesic and anti spasm medicines to be used as needed for the pain.

Please consult urologist , to seek help for issue of renal tract stone.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Purushottam Neurgaonkar (9 hours later)
sir
plz check my ultrasound report as i have messaged you
it says-there is A~4 mmcalculus is seen inovlving middle calyceal system of left kidney without any caliectasis..
could dat be the cause of pelvic pain

i forgot to mention i hav ongoin constipation which i control by isafbhul nd laxatives nd more fibre and also lower back problem from the past two years..i have stopped wearing heels
doctor
Answered by Dr. Purushottam Neurgaonkar (7 hours later)
Brief Answer:
Analgesic, antispasmodic as needed. Diet , posture change.

Detailed Answer:
Hi there,
Thanks for appreciating the answer and reverting back.
Thanks for providing additional information.

I have gone through your USG reports.

It looks like a small non obstruction calculus. Please keep drinking plenty of water. Use if analgesic and antispasmodic medicines as needed.
Lower Back and pelvic pain can be attributed to renal stone.

Please adopt correct posture, use proper footwear. have a physiotherapists advice for exercises for lower back pain

Drinking plenty of water, having fruits, salads and vegetables in daily diet will help out to prevent constipation.

I hope this answer helps you.
Please DO rate this answer.
Thanks.
Dr. Purushottam Neurgaonkar
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Purushottam Neurgaonkar

OBGYN

Practicing since :1992

Answered : 2236 Questions

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What Does This Ultrasound Report Indicate?

Brief Answer: Spasm relievers. Prenatal vitamins. Healthy lifestyle. Detailed Answer: Hi there, Dear XXXXXXX Dr. Purushottam here. I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. Please calm down. At the outset I would like to assure you that the treatment taken so far has no damaging effects on your reproductive system. What I could guess from your history is that you had your pain mainly due the calculus or some mild kind of pelvic infection. As such my guess is from your history only. In anyway the combination antibiotics taken already is helpful in treating pelvic infection also. Your ovarian cyst appears functional only. You can repeat sonography after your next menses to see if the cyst has regressed or is persistent. For colic or twist like pain , use of DIcyclomine or Hyoscine tablet will be of help. You need to seek prescription support from your treating doctor for the spasm relieving medicines. As you are planning to conceive in the future, please opt for a healthy lifestyle. I will suggest you to drink plenty of water 2 to 2.5 liters per day. Have a healthy diet and regular exercise regimen. Please meditate regularly. Engage in creative activities. Strat on Folic acid, Vitamin B12 supplements at least 3 months before you plan the pregnancy. I hope this answer helps you. Thanks. dr. Purushottam Neurgaonkar