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What Causes Pain On Lower Left Side Of Abdomen With History Of Multiple Fibroids?

Posted on Sat, 28 Mar 2015

Question: Hi Doctor, my name XXXXXX , 58 yr I just have a CT Scan Abdomen. And the result is that: - There is possible small gallbladder polyp, extremely enlarged fibroid uterus with IUD in situ. Multiple small renal cysts. anglomyolipoma upper pole right kidney measuring less than 5 mm.. do I need go through Hysterotomic? thank you doctor I need your advice.

Answered by Dr. Aarti Abraham (20 minutes later)

Brief Answer:
There can be various options other than a hysterectomy, need details.

Detailed Answer:
Hello XXXXXXX
Thanks for writing to us with your health concern.
Can you please tell me a few more things ?
Why did you have a CT scan of the abdomen ?
The small gallbladder polyp needs no treatment.
The IUD should be removed if you are menopausal now.
The kidney issues too can be ignored.
The real concern here is the fibroid.
How big is it?
Where is it situated ?
Is it causing you any complaints - pain, heaviness, bleeding, heavy periods etc ?
Are you menopausal ?
Could you please upload the CT scan report, so that I can guide you in a better way.
Generally, fibroids can be managed in several ways before a hysterectomy is planned.
I need to know the details to tell you the exact steps.
All the best
Looking forward to hearing from you.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Aarti Abraham (5 hours later)

Dear DR XXXXXXX XXXXXXX

Please accept my CT scan report, thank you.
XXXXXX

Answered by Dr. Aarti Abraham (9 minutes later)

Brief Answer:
Rest of the questions ?

Detailed Answer:
Dear XXXXXXX
Thank you for the report.
NOw could you please answer the rest of the questions I asked ?
They are equally important before deciding whether you need a surgery.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Aarti Abraham (1 hour later)

Dear Dr XXXXXXX XXXXXXX I already submit my explanation separate with my report.
But I repeat again:
I already have history with multiple fibroid before. I did the CT Scan because I always have painful at the lower side left ( I feel come and out) and discomfort and some time I like feel vomit. In 2007 my gynecologist suggest 2 option because at that time I have a lot of bleeding 1. Hysterectomy 2. Used IUD.
I choice second option until today. My menstruation stop after that.
Hopely it help to answer my question. Looking forward your advise.
Thank you.
XXXXXXX

Answered by Dr. Aarti Abraham (32 minutes later)

Brief Answer:
Go for hysterectomy only if pain is unbearable

Detailed Answer:
Dear XXXXXXX
Thank you for the clinical history.

I did not receive any separate explanation with your report, hence I asked you again. Hope you do not mind.

See , bleeding is not a problem. So if there is a lot of pain, then you need to treat the fibroids. I have seen the report, and for so many fibroids, and big ones, surgery is the only option. So yes, if the pain is severe and unbearable, you can have the hysterectomy. Otherwise, there is no need for it.

You can reach me directly anytime using the following direct link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Aarti Abraham (9 hours later)

Dear Dr XXXXXXX XXXXXXX

Thank you so much for your advice, It's help me a lot.
Sorry another question:
In my case do you thing that My IUD should be removed?
Is fibroid can influence the problem for pass urine ?
Thanks again.
XXXXXX

Answered by Dr. Aarti Abraham (5 hours later)

Brief Answer:
first hormone levels should be checked

Detailed Answer:
Thank you for your kind words, dear XXXXXXX
If you decide to have the hysterectomy, the IUD should be removed.
Else, first hormone levels should be checked ( FSH, LH , Estradiol ) to confirm that you have reached menopause, and then , if that is the case, the IUD should be removed.
Yes, the fibroid can cause pressure on the bladder and urethra, leading to urinary problems.
Take care.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Aarti Abraham (2 hours later)

Dear Dr Aarty XXXXXXX

Thanks again I am very happy with your explanation and very quick feedback even my English very poor but you understand what I mean.
So next step I would like to check my hormone levels.

Thank you,
XXXXXX

Answered by Dr. Aarti Abraham (0 minute later)

Brief Answer:
Take care, thank you.

Detailed Answer:
You are a very kind and gracious person, thank you again for your kind words.
Yes, please check your hormone levels.
If they indicate that menopause has been reached, then the IUD can be safely removed without the risk of further bleeding.
YOu have the direct link, you can contact me anytime using that link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
I wish you a very good night.
Take care of yourself.
Prayers for your well being !

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Aarti Abraham (21 minutes later)

Dear Dr Aarty XXXXXXX

Thank you for your prayed, It's very bless.
I will keep in touch.
Thank you, God Bless you
XXXXXXX

Answered by Dr. Aarti Abraham (13 minutes later)

Brief Answer:
God bless you too.

Detailed Answer:
God bless you too, XXXXXXX

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. Pradeep Vitta