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What Causes Left Lower Quadrant Pain?
Question: I have major pain on the LLQ one doctor said it was a cyst we looked at the image and it showed cyst and fibroids but the i went back to emerg as i am in a lot of pain and they said the previous DR was wrong with me yet i saw them and it hurts like last time i had a cyst, but it has never lasted this long. Anything else they might be missing? I have had a diagnosis of adomoyosis and now they are changing there mind about that i get all the different answers but know one knows what is what very frustrating
Brief Answer:
Focal adenomyosis can be confused with fibroid, transvaginal scan suggested
Detailed Answer:
Hi xxxxxxxxx1975,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The diagnosis of cyst and fibroids has probably been made from the ultrasound scan. A cyst is a thin walled fluid containing structure and is clearly seen on the scan. Fibroids are benign tumors of the wall of uterus and can be visualized on ultrasound scans in most occasions.
2. Adenomyosis is a condition where there is abnormal tissue within the wall of the uterus. Adenomyosis which is focal can be confused with fibroids and sometimes differentiation is difficult. A transvaginal ultrasound might help to differentiate between focal adenomyosis and fibroids.
3. It is important to know when the ultrasound scan shows a cyst. If it was more than 3 months back then it is probably that a cyst was present on the earlier scan which has resolved right now.
4. A large cyst on left side will always cause pain and small cysts cause intermittent pain. Fibroids cause mild pain and increased bleeding during periods. Adenomyosis causes too much pain during periods.
5. After carefully reading your query, I understand that there is a confusion between the presence of fibroids and adenomyosis. It is suggested that you request for a transvaginal ultrasound scan to have a better assessment of the uterus wall and confirm the diagnosis.
6. Rarely, a significant LLQ pain can also result from gastrointestinal disorders or lymph nodes. If your ultrasound scan is not completely conclusive then a CT scan abdomen and pelvis might help in investigating other causes.
7. Please send my your ultrasound reports if you wish to have a detailed discussion.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
Focal adenomyosis can be confused with fibroid, transvaginal scan suggested
Detailed Answer:
Hi xxxxxxxxx1975,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The diagnosis of cyst and fibroids has probably been made from the ultrasound scan. A cyst is a thin walled fluid containing structure and is clearly seen on the scan. Fibroids are benign tumors of the wall of uterus and can be visualized on ultrasound scans in most occasions.
2. Adenomyosis is a condition where there is abnormal tissue within the wall of the uterus. Adenomyosis which is focal can be confused with fibroids and sometimes differentiation is difficult. A transvaginal ultrasound might help to differentiate between focal adenomyosis and fibroids.
3. It is important to know when the ultrasound scan shows a cyst. If it was more than 3 months back then it is probably that a cyst was present on the earlier scan which has resolved right now.
4. A large cyst on left side will always cause pain and small cysts cause intermittent pain. Fibroids cause mild pain and increased bleeding during periods. Adenomyosis causes too much pain during periods.
5. After carefully reading your query, I understand that there is a confusion between the presence of fibroids and adenomyosis. It is suggested that you request for a transvaginal ultrasound scan to have a better assessment of the uterus wall and confirm the diagnosis.
6. Rarely, a significant LLQ pain can also result from gastrointestinal disorders or lymph nodes. If your ultrasound scan is not completely conclusive then a CT scan abdomen and pelvis might help in investigating other causes.
7. Please send my your ultrasound reports if you wish to have a detailed discussion.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I had an internal ultrasound where three different doctors have told me different things. I guess i was just hoping some one would maybe able to tell me why i having pain on the mid-also left side of pain. Think at MRI or CT scan which is better. I just keeping getting all these different answers.
Brief Answer:
MRI scan is better to visualize pelvic organs
Detailed Answer:
Hi xxxxxxxxxxxx1975,
Thanks for writing back with an update.
1. I understand the confusion from the different opinions which have been provided to you. Ultrasound scan is an operator dependent investigation and results can differ, however a cyst is usually universally visualized. There are occasions when some structures are not seen on transvaginal scan but are better seen on transabdominal scan. This is due to location and field of view during the scan and a cyst which is high placed can be missed.
2. The MRI scan is better because of the tissue contrast seen and will allow to see the pelvic organs clearly. Therefore you can request your doctor and fix up an appointment for a MRI scan to know in detail about your pelvic organs.
3. Left mid abdominal pain is usually from conditions of the bowel or kidney. I suppose you might have got an abdominal ultrasound scan done earlier and would like to know if there is any history of kidney or bowel conditions.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
MRI scan is better to visualize pelvic organs
Detailed Answer:
Hi xxxxxxxxxxxx1975,
Thanks for writing back with an update.
1. I understand the confusion from the different opinions which have been provided to you. Ultrasound scan is an operator dependent investigation and results can differ, however a cyst is usually universally visualized. There are occasions when some structures are not seen on transvaginal scan but are better seen on transabdominal scan. This is due to location and field of view during the scan and a cyst which is high placed can be missed.
2. The MRI scan is better because of the tissue contrast seen and will allow to see the pelvic organs clearly. Therefore you can request your doctor and fix up an appointment for a MRI scan to know in detail about your pelvic organs.
3. Left mid abdominal pain is usually from conditions of the bowel or kidney. I suppose you might have got an abdominal ultrasound scan done earlier and would like to know if there is any history of kidney or bowel conditions.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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