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Hi, Iast Month I Got Sudden Severe Pain In Me

Posted on Wed, 17 Feb 2021

Question: Hi, Iast month i got sudden severe pain in me left pelvic area which instantly caused vomiting. Since then the severe pain has disappeared but if I push in on my pelvoc area on both sides near ovary location it is very tendor.

Answered by Dr. Sameer Kumar (15 minutes later)

Brief Answer:
? PID

Detailed Answer:
Helo,
Thanks for the query,
It would be best if you can get an ultrasound pelvis done to rule out pelvic inflammation. The presence of bilateral pelvic tenderness is most often associated with pelvic infection and co - associated with leucorrhoea or white discharge per vaginum.
Please follow up with an ultrasound pelvis report and also a per speculum examination done by a gynaecologist.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sameer Kumar (27 minutes later)

Would the treatment of 1mg azithromycin and amoxicillin 500mg 3 times for 1 week clear me of any chlamydia and gonorrhea in the vent i had a false negative? What is the likly hood of a false negative 10 days after exposure. Could the issue be from ovqriqn cyst? Or would i not have tenderness in both ovaries from this?

Follow up: Dr. Sameer Kumar (10 minutes later)

Does PID usuy come on with sever sympthoms and vomiting or would it be more gradual. No discharge of any kind no fever.

Answered by Dr. Sameer Kumar (3 hours later)

Brief Answer:
follow up

Detailed Answer:
Hello,
If you have no vaginal discharge and have already taken the course of azithromycin and amoxycillin once and have not been sexually active after the course then likelihood that you do not have PID, but if you have been sexually active , then it would be best to rule it out by an ultrasound pelvis which would anyways be mandatory in your case with typical bilateral pelvic pain.

Also , then chances of ovarian cyst or masses cannot be ruled out and can only be cleared with an ultrasound pelvis. So get it done and you may follow up with reports.
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sameer Kumar (1 hour later)

Thanks I do have a ultrasound scheduled but qm trying to calm myself down as there is a wait time. 1 more question. I had a cbc test conpleted and it showed no signs of elevated white blood cells would this also indicate no PID or would PID not effect white blood cell count?

Answered by Dr. Sameer Kumar (10 hours later)

Brief Answer:
follow up

Detailed Answer:
Hello,
Ideally wbc should actually rise during PID infection , but if its normal , then chances of pregnancy are low. however, the evident pain in abdomen needs to be investigated for the cause and hence usg is mandatory.
Regards

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Kampana