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What Causes Persistent Constipation And Abdominal Bloating?
Question: Age:46
Sex:Female
Height: 165cm
Weight: 58 kg (Notice weight gained from 52 kg to 58 kg in the last 12 months)
Marital Status: Never married, do not have any kids. No sex experience (due to religion).
Occupation: IT systems analyst
Monthly period: every 28 days, usually it comes on time, only once in a while it is early/late by one day. Each period lasts for approx. 5 days. The amount is normal except on 2nd day which has a bit more blood.
My last period: Started on 17th May and ended on 22nd May.
My next period: Expected to start on 13th or 14th of Jun (ie. 3 or 4 days from today)
Health issue:
* bloating (my tummy is big as if I am 4-month pregnant);
* easily feel full after meal;
* constipation (having poo once every 4 days with Type2 or Type3 pool according to Bristol Stool Chart,
* feeling occasionally dull pain & pressure inside lower abdomen sometimes on the left, sometimes in middle, sometimes on the right. such feeling occurs a few times a day, each time last for less than 1 second. Sometimes I may not notice the dull pain / slight pressure in it unless I pay attention to it. I am sure the pain/pressure comes from inside and not outside of my tummy.
* does not feel any pain during pelvic exam by
doctor
See uploaded report of transabdominal ultrasound.
Please refer to the details of report.
Follow-up Tests
I saw one gynaecologist today who suggested me to have CA-125 blood test and CT scan.
I would like to know your advice on what other tests required before determining what type of surgery & treatment I need? What about transvaginal ultrasound or MRI scan?
And for CA-125 blood test, should I wait until my next period is over?
Sex:Female
Height: 165cm
Weight: 58 kg (Notice weight gained from 52 kg to 58 kg in the last 12 months)
Marital Status: Never married, do not have any kids. No sex experience (due to religion).
Occupation: IT systems analyst
Monthly period: every 28 days, usually it comes on time, only once in a while it is early/late by one day. Each period lasts for approx. 5 days. The amount is normal except on 2nd day which has a bit more blood.
My last period: Started on 17th May and ended on 22nd May.
My next period: Expected to start on 13th or 14th of Jun (ie. 3 or 4 days from today)
Health issue:
* bloating (my tummy is big as if I am 4-month pregnant);
* easily feel full after meal;
* constipation (having poo once every 4 days with Type2 or Type3 pool according to Bristol Stool Chart,
* feeling occasionally dull pain & pressure inside lower abdomen sometimes on the left, sometimes in middle, sometimes on the right. such feeling occurs a few times a day, each time last for less than 1 second. Sometimes I may not notice the dull pain / slight pressure in it unless I pay attention to it. I am sure the pain/pressure comes from inside and not outside of my tummy.
* does not feel any pain during pelvic exam by
doctor
See uploaded report of transabdominal ultrasound.
Please refer to the details of report.
Follow-up Tests
I saw one gynaecologist today who suggested me to have CA-125 blood test and CT scan.
I would like to know your advice on what other tests required before determining what type of surgery & treatment I need? What about transvaginal ultrasound or MRI scan?
And for CA-125 blood test, should I wait until my next period is over?
Just a note that my period starts today ie 11th XXXXXXX
Brief Answer:
Get Ct scan and blood test done.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
I have seen the attached report. You have multiple small scattered uterine fibroids that are not very big in size. Such fibroids are usually benign and harmless and may cause heavy bleeding like you are having during your periods. All cases do not need a surgery unless it causes a heavy bleeding or other symptoms that compromise the quality of life. In your case it is best to get a CT scan done to know the exact size of the fibroids and if the periods are regular and you do not plan to have a baby then can be kept for further follow up scans every six months. If the fibroids are not increasing in size and bleeding is well controlled then surgery can be avoided till menopause after which the fibroids are likely to shrink in size. CA-125 test will help in ruling out any malignancy.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Get Ct scan and blood test done.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
I have seen the attached report. You have multiple small scattered uterine fibroids that are not very big in size. Such fibroids are usually benign and harmless and may cause heavy bleeding like you are having during your periods. All cases do not need a surgery unless it causes a heavy bleeding or other symptoms that compromise the quality of life. In your case it is best to get a CT scan done to know the exact size of the fibroids and if the periods are regular and you do not plan to have a baby then can be kept for further follow up scans every six months. If the fibroids are not increasing in size and bleeding is well controlled then surgery can be avoided till menopause after which the fibroids are likely to shrink in size. CA-125 test will help in ruling out any malignancy.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your reply. Any advice on ovaries?
Brief Answer:
No abnormality detected in ovaries.
Detailed Answer:
Hello.
Thanks for writing again.
The ovaries are normal and there is no detectable abnormality in ovaries in the scan. So no need to worry.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
No abnormality detected in ovaries.
Detailed Answer:
Hello.
Thanks for writing again.
The ovaries are normal and there is no detectable abnormality in ovaries in the scan. So no need to worry.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
But according to the report, it doesn't indicate the ovaries are normal. Can you check again??
Brief Answer:
The report does not suggest any ovarian abnormality.
Detailed Answer:
The report indicates that the ovaries are covered with intestinal loops but no abnormal mass in the area of ovaries - adnexa is seen. There is no free fluid in the abdomen. All these are suggestive of normal ovaries.
Regards.
The report does not suggest any ovarian abnormality.
Detailed Answer:
The report indicates that the ovaries are covered with intestinal loops but no abnormal mass in the area of ovaries - adnexa is seen. There is no free fluid in the abdomen. All these are suggestive of normal ovaries.
Regards.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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