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What Causes Intermittent Pelvic Pain And Low Grade Fever?
Two days ago in the late afternoon I started having intermittent low pelvic pain. I had a low grade fever that evening and the pain gradually got worse. The next morning the pain continued and my stomach felt very tender to touch, more so on the right side. I saw a local PA and he didn t know what it was but decided to give me Cipro 500mg daily and see if I was any better. I am 47 and post-menopausal and only have my right ovary due to a 10cm cyst that twisted my tube and ovary on the left side (15yrs ago). I do have an ovarian cyst around 4-5cm (last ultrasound was almost a year ago). My fever went up to about 101 last night, and I felt the pain/tender discomfort with any movement but was able to get relief when laying still. I took my second dose of Cipro this morning. My fever has been low grade today and the pain is better but still a lot of tenderness. If it s an infected appendix will the antiobiotic take care of it? My UTI test came back good so that has been ruled out.
Tue, 7 Aug 2018
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Pelvic pain with fever in a woman raises the possibility of either a pelvic inflammatory disease (PID) or inflammation of the antibiotic or infection of the urinary tract including bladder. It is good to hear that this was ruled out. Have you had any blood tests done. It can give indication of whether the inflammatory markers are raised. Having a pelvic scan will help rule out any problems with the remaining ovary or uterus. Ciprofloxacillin is good for urinary infections but by itself, it will not sufficiently cover for PID. Acute appendicitis does get relieved with a conservative management of rest to bowel, antibiotics and pain relief. The blood test results can give some supportive information for this diagnosis. If the pain and fever persist more than 24-48 hours of this treatment, please have yourself reviewed by a doctor who can look for signs of acute appendix and plan the right course of management that may include surgery, if necessary.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Shinas Hussain
I have reviewed your query and here is my advice.
Pelvic pain with fever in a woman raises the possibility of either a pelvic inflammatory disease (PID) or inflammation of the antibiotic or infection of the urinary tract including bladder. It is good to hear that this was ruled out. Have you had any blood tests done. It can give indication of whether the inflammatory markers are raised. Having a pelvic scan will help rule out any problems with the remaining ovary or uterus. Ciprofloxacillin is good for urinary infections but by itself, it will not sufficiently cover for PID. Acute appendicitis does get relieved with a conservative management of rest to bowel, antibiotics and pain relief. The blood test results can give some supportive information for this diagnosis. If the pain and fever persist more than 24-48 hours of this treatment, please have yourself reviewed by a doctor who can look for signs of acute appendix and plan the right course of management that may include surgery, if necessary.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Shinas Hussain
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