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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Painful Lump In Pubic Area

Hi, I am 32 weeks pregnant and have had significant pubic pain for the last couple of weeks that I attributed to pubic symphysis diastasis. In the past 2 days the pain has gotten significantly worse and is now excruciatingly tender to palpation on the left side. Tonight I noticed a hard lump on the left side of my mons pubis that is incredibly painful. I have not had any other systemic symptoms, vomiting, fever etc. Any ideas?
posted on Fri, 14 Mar 2014
Twitter Tue, 17 Jun 2014 Answered on
Twitter Tue, 17 Jun 2014 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thanks for your query.
The pain in this area with a swelling on one side can be due to an abscess or symphysis diastasis as you rightly thought about.

The only way to get a proper diagnosis is by clinical examination by an Orthopedic Surgeon, and/ or MRI ( MRI is safe in pregnancy).
The treatment will depend upon the diagnosis.
IF an abscess - needs a nice course of pregnancy-safe antibiotics and anti-inflammatory medicines.
If diastsis- anti-inflammatory may be sufficient.
Gynecologist's opinion about an early caeserian section can also be sought if the problem is severe.
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Suggest Remedy For Painful Lump In Pubic Area

Hi. Thanks for your query. The pain in this area with a swelling on one side can be due to an abscess or symphysis diastasis as you rightly thought about. The only way to get a proper diagnosis is by clinical examination by an Orthopedic Surgeon, and/ or MRI ( MRI is safe in pregnancy). The treatment will depend upon the diagnosis. IF an abscess - needs a nice course of pregnancy-safe antibiotics and anti-inflammatory medicines. If diastsis- anti-inflammatory may be sufficient. Gynecologist s opinion about an early caeserian section can also be sought if the problem is severe.