Question: 64 yr old female, good health, one C section 33 yrs ago, gall bladder removed 2005. Have had pelvic area pain for 3 months or more. Had a pelvic ultrasound in July that showed inguinal lymph nodes, 1 on left at 2.1 x 1.9x 0.6 and 3 on right all numbers 1.1 or lower. Multiple tests to determine cause of swelling and pain, all clear, including pelvic/ab CT with and w/o contrast, CBC, CA 125: blood tests 2x, colonoscopy. 2nd pelvic ultrasound in August showed 4 enlarged inguinal nodes, 2on left, 2 right. Left was 1.8 x 1.8 x 0.6 and 1.6 x 0.9 x 0.5: and right was 1.1 x 1.1 x 1.6 and 1.8 x 0.8x 0.6. Pain persisted in groin and heavy feelling in lower ab/pelvic area. Urine culture revealed UTI of enterococcus faecalis and took Macrobid. Just retested ultrasound and now have only 1 node on right, 1.4 x 1.1 x 0.6 and still 2 on left but one is bigger-1.9 x 1.8 x 0.7 and 1.0 x 1.0 x 2.7. Having sharp,pain in bladder area but no pain when urinating or increased urgency to urinate. Saw a surgeon who said. no need for FNA after 2nd ultrasound as no other symptoms. Still feel the same- no fever, chills, no weight loss, sweats, etc. GP, Gyno, Gastro Surgeon have all said they have no clue what is causing pain and swelling. Questions: 1. Lymphoma I’m told is unlikely. With the shrinking of right side nodes and movement, some shrinking in left side, would you say that is a good sign?i don’t think cancer shrinks or goes away. 2.could it be the UTI is not ompletely gone? Urine being cultured now. Pain persists in bladder but mode pain subsides. Some muscle clenching in vagina muscles but no pain other than what feels like inside pubic mound close to,skin area but inside.p,ease excuse typos, print is very small and can’t go back to proof read.

Just want d to be sure this question is actively being reviewed. I had some trouble accessing the site earlier and asked the question in a more brief form and with far less info. Please be sure to respond to this question. Thank you, XXXXXXX

Thank you so much for your response. I alternate between freaking out that I have cancer to thinking it’s nothing more than a pulled groin muscle that is causing the swelling. I have seen more doctors in the last 90 days than I have seen in my lifetime! I’m a very healthy person, or was until this thing took over! May I please leave this question open until tomorrow, when I hope to get my culture results back, and report them to you? Each specialist I’ve seen pretty much washes their hands when they clear me of any issues involving their area, so I’m being my own cruise director here. If there is no UTI I’m going to do a focused pelvic CT next. Hopefully that won’t be necessary.
I don’t want to impact your payment so if it’s better to close the question and rate you now, please let me know. Then I can just request you, I believe, and submit any follow up questions. Thank you again for your help. Best Regards, XXXXXXX

Hello!

I’ve just gotten my urine culture results back and I have a colony count of over 100,000of citrobscter freundii. I see that it is resistant to many antibiotics. I just finished a round of Macrobid for a different bacteria that was also resistant to many antibiotics. What would you recommend I take for this? It seems Cipro is an option but may be so,what resistant. I did see nitroturantoin as anoption, which is Macrobid. Is this bacteria more susceptible to it than Cipro? Honestly, how many different types of bacteria can I possibly have? I feel like a walking Petri dish! I do have a doctor that will prescribe for me but wonder d if you would be so kind as to share your opinion of the best antibiotic for this strain. Thank you so much, and I’ll close out my question after this. XXXXXXX