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Constant abdominal pain and cramps.

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I am 33, my mom was diagnosed with breast cancer 5yrs ago and it has returned (confirmed as of two days ago), my maternal grandmother passed from uterine cancer last year and my paternal grandfather passed from cancer before my father was born. I have had regular periods ever since I started in 1992 with the exception of when I miscarried twice @ 6-7 weeks both times. I never had cramps until I became sexually active, then the degree of pain was in relation to how painful the intercourse was (ie: bad angle, lack of lubrication). I have been abstinent for the past 8 or 9 months. On Feb 6, of this year I had pain ranging from very mild to consuming for several hours on my right side about 2 inches from my hip horizontally and about the middle vertically. If I pushed in on this spot for 2-3 inches it would help as well as keeping my waist & leg bent in together. After that time passed I had no noticeable pain until my cycle on the 19th when the pain returned with cramps. At some point, I started to get twinges of pain for shorter periods of time but more often. It has gotten to the point to I count myself lucky if I have a day without the pain. For the past 22 hrs, minus the 5 hrs of sleep, I have been in near constant pain again of varying degree of said pain.I don't work and have no insurance, or I would have gone to my primary dr.The question is: how bad could this be? as in how soon should I make myself get checked out?

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Category: Family Physician-GP
 18 Doctors Online


It seems you are most likely suffering from colitis but as the pain has been present for quite some time now and considering your family history, I would recommend that you consult a physician for a thorough physical.

Colitis is inflammation of the inner lining of the colon. It may cause abdominal pain and diarrhea with or without blood. Fever may be present. It may be accompanied by nausea. As you presently do not have diarrhea, it seems like it is a subclinical infection). While many causes of colon inflammation may be self-limiting and can be treated with diet and observation, it is important to determine why inflammation has occurred, because of the potential for a more serious diagnosis. I would recommend the following-

1) Get an immediate consult with gastroenterologist and gynecologist for a through physical. The gastroenterologist might consider you for a colonoscopy and stool blood test. The gynecologist might give you a pelvic examination and a transvaginal ultrasonography.

2) Start antibiotic for eradication of the organism .Begin with Tab. Ciprofloxacin 500 mg and Tab. Ornidazole 500mg. Stay away from drinking alcohol as it may cause side effects with ornidazole. Ciprofloxacin is sometimes associated with photosensitivity, so it's advisable to use sun screen if you go out.

3) Drink plenty of fluids as you might get dehydrated and it complicates the infection. Mix a sachet of electro powder to a 150 ml of water and drink it in the mornings.

4) Eat a good balanced diet with good portion of proteins carbohydrates and vitamins. Consume diet rich in green leafy vegetables and milk.

Thank you.

Dr. John Monheit
Category: Family Physician-GP
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
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