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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Pain In Abdomen?

i've been experiencing abdominal pain for over 2 weeks now. i was diagnosed with a bladder infection and took my prescription. a week later, i still had pain and was given a different antibiotic. that night i experienced severe abdominal pain, predominantly on the left side for 1.5 hrs before it passed. 2 days later, i was still having pain so i went back to the dr. my urine came out clean and he suggested that perhaps i had an ovarian cyst that burst. my pain subsided finally about 2 days ago, but my husband and i had sex this morning and i experienced deep pelvic pain during sex. this was followed by bleeding approximately 2 hours later. im not sure if this is the beginning of my period or not, but i wasnt expecting it until next week. FYI, i have the Mirena IUD placed right now.

                                                                 
posted on Thu, 13 Mar 2014
Twitter Fri, 16 Jan 2015 Answered on
Twitter Sat, 17 Jan 2015 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.
The history of pain in the abdomen - treatment- reduction in symptoms but then recurrence of pain and then deep pelvic pain during sex is indicative of multiple problems at the same time.
This may be a mixed infection of the urinary tract as well as the of PID, meaning Pelvic Inflammatory Disease.

I would advise you the following:
To undergo all the tests of blood, urine and stool.
Ultrasonography of the abdomen including trans-vaginal USG and
Examination by a gynecologist to ascertain the cause.

Proper diagnosis will lead to a proper treatment.
If there is still no complete relief after the next course of antibiotics, metronidazole and anti-fungal medicines, I would advise you to undergo CT scan of the whole abdomen and colonoscopy.
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What Causes Persistent Pain In Abdomen?

Hi. Thanks for your query and an elucidate history. The history of pain in the abdomen - treatment- reduction in symptoms but then recurrence of pain and then deep pelvic pain during sex is indicative of multiple problems at the same time. This may be a mixed infection of the urinary tract as well as the of PID, meaning Pelvic Inflammatory Disease. I would advise you the following: To undergo all the tests of blood, urine and stool. Ultrasonography of the abdomen including trans-vaginal USG and Examination by a gynecologist to ascertain the cause. Proper diagnosis will lead to a proper treatment. If there is still no complete relief after the next course of antibiotics, metronidazole and anti-fungal medicines, I would advise you to undergo CT scan of the whole abdomen and colonoscopy.