What Causes Constant Urge To Urinate And Lower Abdominal Spasms?
Diverticulosis vs uterine fibroid
Detailed Answer:
Hi! Welcome to health care magic.
Your symptoms like frequent urinary urge and sense of fullness in lower abdomen seems more likely to fit in the pressure symptoms caused by fibroid.
Your query regarding whether to get an ultrasonogram in next visit is relevant, as it has been 6 months since last detailed work up and if it is causing the symptoms you mentioned, it might have been increasing in size and in that case a surgical excision might be needed.
As far as, diverticulosis is concerned, in absence of fibroid size increase that can be evaluated further but in abscence of symptoms of alternating Bowel habbits or blood in stool only spasms are less likely to fit in without these accompanying symptoms. But to be sure, a colonoscopy can be next step of evaluation if fibroid are still too small to cause the pressure symptoms.
Final verdict can be given after new scans and blood tests for malabsorption symptoms or any evidence of microscopic loss of blood in stools.
Hoping you a speedy recovery. If you dont have any more questions, please close the discussion. Regards.
Repeat the ultrasound and discus for surgical options
Detailed Answer:
Hi! Thanks for the followup details and keeping me in the loop.
Actually repeating ultrasound to compare size increase would be a good strategy. It will gives some idea that whether and when to go for the surgery.
Other options involve different techniques if surgeries but bottom line is to remove the uterus if family is complete and no further desire to conceive exist. These techniques involve laproscopic surgeries with different approaches varrying between transvaginal to transabdominal approaches.
The abscence of per vaginal excessive bleeding is a good sign but still the pressure symptoms does evoke the need of surgical removal of uterus.
Hope this has answered your query. Hoping you a speedy recovery. Regards.