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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Swollen Lymph Nodes. All Tests Done And Big Medical History. CAn It Be Interstitial Cyctitis?

Persistent pelvic pain concentrated on right side, swollen lymph nodes -nickle size-in groin for more than 4 months increasing in size. Some lymph nodes on left side now swollen. throbbing pain right groin/flank increases with pressure (pain stays at 3-4..distracting but not intolerable), temp does not exceed 1 degree over normal. Still have Appendix.
History: Had partial hysterectomy in Feb 12, history of benign cyst on ovary. History of Pyelonephritis and urinary tract infections. Last one treated in Dec 12. 2 C section deliveries, no failed pregnancies, 1 surgery for adhesions, gall bladder removed. Current urinary quick test negative. Family history of ovarian and breast cancer.
Have been to the GYN that did the partial Hysterectomy...who referred me to a Urologist who says maybe it is interstitial cyctitis....but the paid is so concentrated on right side... it does not seem logical.
What do you think?
Fri, 26 Apr 2013
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General Surgeon 's  Response
Hi ! From the data you have submitted, it seems that ovaries were not removed during partial hysterectomy. With a family history of ovarian and breast cancer, I would advise you to seek the advice of your gynaecologist for getting an ultrasound and CT scan of your abdomen to exclude any ovarian pathology.
Simple appendicitis will not likely give rise to such swollen lymph nodes on both sides of groin.
Well cystitis and urinary tract infection could be associated , but do not explain the swollen lymph nodes.
If need be and advised by your doctor, you can go for a serial CA 125 level test in your blood. I suggest not to delay and seek appropriate second specialist opinion . Wish you an early recovery. Good luck.
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General & Family Physician Dr. Muhammad Ishfaq Habib's  Response
Hi

Welcome to HCM

The right sided pain is most commonly due to appendicitis which is an emergency and does not lasts for such much time. The other possible option can be urinary tract infection or renal infection or ovarian cysts. The lymph nodes gets enlarged with infections. An ultrasound of renal system along with pelvis will be very much helpful. You can use non-steroidal anti inflammatory drugs for pain relief.

Thanks
Regards
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Lymph nodes - increasing in size - is an ominous sign
Go for CT scan of abdomen and pelvis...

Take care
Wishing speedy recovery
God bless
Good luck
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Have Swollen Lymph Nodes. All Tests Done And Big Medical History. CAn It Be Interstitial Cyctitis?

Hi ! From the data you have submitted, it seems that ovaries were not removed during partial hysterectomy. With a family history of ovarian and breast cancer, I would advise you to seek the advice of your gynaecologist for getting an ultrasound and CT scan of your abdomen to exclude any ovarian pathology. Simple appendicitis will not likely give rise to such swollen lymph nodes on both sides of groin. Well cystitis and urinary tract infection could be associated , but do not explain the swollen lymph nodes. If need be and advised by your doctor, you can go for a serial CA 125 level test in your blood. I suggest not to delay and seek appropriate second specialist opinion . Wish you an early recovery. Good luck.