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Pelvic pain moving upwards

Resolved Question:

I went to the doctor for pelvic pain - mostly on the left side. I had also had unusual throbbing and ovarian pain the week before. A urine pregnancy test after 5 weeks since last intercourse was negative. Negative for STDs. I did have a Vaginal Bacterial Infection and they gave me medicine for that.

However, several days later, the pain has migrated upwards. It is moving around the the entire left abdomen and pelvic region.

Sometimes it feels like burning. I am also very gassy. And have some nausea.

What are the most likely causes?

Thank you.


Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 28 Doctors Online

Hello,

Thank you for consulting docorspring.com

From the symptoms you have mentioned you are probably having urinary tract infection (with or without a PID- Pelvic inflammatory disease) . You have also mentioned that you had vaginal bacterial infection which could have spread to the urethra from there it could have ascended to bladder, ureters and kidney. This must be the reason for your pelvic pain. This is most common among sexually active women. E. Coli is the most common organism and staphylococcus and gut organisms also cause cystitis.

Recurrent rate of UTI is high among women. So you should completely get it treated. Antibiotics like norfloxacin, nitrofurantoin twice daily for a week can help you. But as you have already had medicines for your vaginal bacterial infection, I suggest you to seek your GPs help to get your urine sample analyzed and for urine culture and sensitivity. By doing urine culture and sensitivity, you can find which antibiotic drug is sensitive and have your antibiotic accordingly.

Antibiotic therapy is the mainstay.

Drink plenty of water.
Fill your bladder without fear of urge to urinate to flush away bacteria from your bladder. Clean your genital area often with slight cold water. If you have any further doubts you can freely ask through ask a doctor service in doctorspring.com.

We are happy to help you.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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