Brief Answer: Things are not looking promising Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about what your aunt is going through. Further information would be needed to accurately comment on what her chances are and the risk of severe complications related to this. The truth is that the chemotherapy has suppressed the immune system to such levels that fighting even the least infection would be very difficult. From all the information you have provided, am concerned that your aunt may not be able to make it out of this very severe disease state or would suffer major organ damages if she were to survive. However, how well and timely the doctors respond to this would play a major role. But being honest, her chances are not looking very good of surviving and coming out without major complications. I understand how difficult it is for you to watch a loved one go through all this. I also understand how plain and straight forward my response is but, I do not want you to have so many hopes that it would be okay when that is not what I really feel or think would happen. I wish and hope that all plays out well for her to be able to fight her way out of this and stay free of any major complications. I hope this helps. I wish her well and do feel free to ask for clarification and more information if need be. Thanks for using our services. Courage to you and her loved ones as you all figure out ways to stay positive and support her in this very demanding moment. Dr. Ditah, MD.

---

Brief Answer: Please, can you talk to the customer service!! Detailed Answer: Hi and thanks for this follow up precision. I am so sorry for this mix up but cannot figure what you need at this time? Do you mean the question talking about chemo and cancer is not yours? Can you send a mail to the customer service asking them to upload your question as intended. I a confused and do not know what your question is. What is found on the other page is your medical history and not the question and I cannot answer a past medical history. They would be ready to correct this mistake and I will follow up with the correct question when it comes in. Thanks. Dr. Ditah, MD.

---

Brief Answer: Sorry fo rthe mix up Detailed Answer: Thanks for this follow up. I hope the problem is this talking of abdominal pain. From the information you have provided, I think something is definitely not going right with you. Unfortunately, your symptoms cannot be explained by a single disease. My approach to this would be to do a good clinical exam and an exhaustive investigation looking at the genital organs, digestive organs and urinary organs which are the main structures found in the pelvis. Any abnormality would open more doors for further investigations to pinpoint the problem and propose adequate solutions to this. If no problem is identified, then managing you pain symptoms and considering the prospects of a possible irritable bowel syndrome should be considered. There are various ways to address pain depending on what the perceived origin is. This would guide what medications can be prescribed to help you overcome this. In all, get a good clinical examination, laboratory and imaging studies. If a problem is identified, it should be managed accordingly. If nothing is identified, then irritable bowel syndrome and good pain management should be considered. I hope this helps. Am sorry for the mix up and cannot explain how this happened and I've never encountered this before. Talk to the customer service so that they may provide more free options to follow up on this as a mistake made the first two chances to be squandered without any really helpful respond to your query. Thanks. Dr. Ditah, MD.

---

Brief Answer: Unlikely to be cancer Detailed Answer: Hi and than you so much for following up with me. It is very difficult when numerous exams do not show any glaring abnormality that can be easily managed. It is rather unfortunate that things have to be this way. What were the readings of the previous pap smears? What type of abnormality did they show? In any case, unless cancer of the cervix becomes very invasive and evident to the naked eyes, it would be very rare for pain related symptoms radiating to the hip and other parts of the body sets in. I am leaning more towards the fact that this pain may be related to the surgeries that you have undergone. Surgery may result in formation of adhesions that bind free moving structures together causing pain during otherwise painless movements. This is because, with structures glued together, involuntary pain free movements become difficult and causes painf. In extreme cases, surgery may be required to free these structures through a procedure called adhesiolysis(undoing adhesions). I will recommend that your doctors manage your pain appropriately. Using drugs commensurate to your level of pain and ensure that you lead a pain free life as effort to identify a cause and address have not been any fruitful. I hope this helps. I wish you well. Feel free to ask for more information or clarification if need be. Thanks. Dr. Ditah, MD.

---