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Suggest Treatment For Pain In The Abdomen
Question: Dear Sir / Madam,
47 Years Female presented with complaints of pain in abdomen with Menorrhagia, USG findings are suggestive of - Uterus is anteverted and measures 74*51*61 mm. Myometrium shows inhomogenous echopattern-multiple hypoechoic lesions seen in myometrium likely to be fibroids. Largest measures 22.4*21.7mm. Others measures 19.2*11mm, 11*8.5 mm, 13.7*7.9 mm. Endometrium measures 5.2 mm and is displaced. Both Ovaries normal, No adnexal mass seen.
Patient is having history of IUCD insitu for last 8 years.
Kindly suggest confirmed cause of pain in abdomen & menorrhagia in view of above noted USG findings.
47 Years Female presented with complaints of pain in abdomen with Menorrhagia, USG findings are suggestive of - Uterus is anteverted and measures 74*51*61 mm. Myometrium shows inhomogenous echopattern-multiple hypoechoic lesions seen in myometrium likely to be fibroids. Largest measures 22.4*21.7mm. Others measures 19.2*11mm, 11*8.5 mm, 13.7*7.9 mm. Endometrium measures 5.2 mm and is displaced. Both Ovaries normal, No adnexal mass seen.
Patient is having history of IUCD insitu for last 8 years.
Kindly suggest confirmed cause of pain in abdomen & menorrhagia in view of above noted USG findings.
Brief Answer:
Fibroid is likely reason
Detailed Answer:
Hi,
I understand your concerns.
Fibroid is the most likely cause of menorrhagia and pain abdomen in this patient.
Remove the IUCD and start tranexamic acid. If the menorrhagia continues, better to do Laparoscopic myomectomy ( fibroid removal). Myomectomy will also cause decrease in pain abdomen.
Let me know if you need anymore help.
Regards
Fibroid is likely reason
Detailed Answer:
Hi,
I understand your concerns.
Fibroid is the most likely cause of menorrhagia and pain abdomen in this patient.
Remove the IUCD and start tranexamic acid. If the menorrhagia continues, better to do Laparoscopic myomectomy ( fibroid removal). Myomectomy will also cause decrease in pain abdomen.
Let me know if you need anymore help.
Regards
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Dear Madam,
Thank you for your reply.
Patient was treated with IUCD removal under GA followed by IV Fluid with
Inj Monocef 1 gm IV 12 Hrly,
Inj Amikacin 500 mg IV 12 Hrly
Inj Emigo 1 amp IV 8 Hrly
Inj Rantac 1 amp IV 12 hrly with Oral tab on discharge as
Tab Pantodac 40 BD, Nimraz O BD, Tab Dynapar Spas TDS.
Kindly suggest whether above treatment is done to treat Fibroid uterus ?. or its just a treatment to remove the IUCD in situ.
What would be the conservative treatment to be administered to treat Fibroid Uterus in above scenerio.
Thank you for your reply.
Patient was treated with IUCD removal under GA followed by IV Fluid with
Inj Monocef 1 gm IV 12 Hrly,
Inj Amikacin 500 mg IV 12 Hrly
Inj Emigo 1 amp IV 8 Hrly
Inj Rantac 1 amp IV 12 hrly with Oral tab on discharge as
Tab Pantodac 40 BD, Nimraz O BD, Tab Dynapar Spas TDS.
Kindly suggest whether above treatment is done to treat Fibroid uterus ?. or its just a treatment to remove the IUCD in situ.
What would be the conservative treatment to be administered to treat Fibroid Uterus in above scenerio.
Brief Answer:
Fibroid is not treated
Detailed Answer:
Hi,
I guess you are a doctor who is trying to treat a patient with menorrhagia.
Above treatment you have mentioned was prophylactic antibiotic administration with antacid and pain killers for removal of IUCD only.
This treatment for fibroid is mainly surgical and not medical. Meanwhile you can give pt. Tranexamic acid (brand name Pause MF) 500 MG 3 times a day for 5 days.
If not controlled you can give injection proluton Depot 500 mg stat. Alternatively you can put patient on progesterone protocol.
Let me know if you need anymore help.
Regards
Fibroid is not treated
Detailed Answer:
Hi,
I guess you are a doctor who is trying to treat a patient with menorrhagia.
Above treatment you have mentioned was prophylactic antibiotic administration with antacid and pain killers for removal of IUCD only.
This treatment for fibroid is mainly surgical and not medical. Meanwhile you can give pt. Tranexamic acid (brand name Pause MF) 500 MG 3 times a day for 5 days.
If not controlled you can give injection proluton Depot 500 mg stat. Alternatively you can put patient on progesterone protocol.
Let me know if you need anymore help.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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