What Causes Severe Spasms In The Lower Pelvic Area?

Posted on Thu, 30 Mar 2017

Question: I have been experiencing cramping spasms in my lower pelvic area for the past month. The pain is quite strong and I am in constant discomfort. Can you tell me what might be going on?.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Please give detailed history.

Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Female/70 - cramping spasms in lower pelvic area - one month - pain is strong - constant discomfort - not visited a Doctor - taking probiotics and aspirin for pain ...

Please give additional information for me to assist your better:
Are there any associated bowel symptoms like bloating, nausea, vomiting, loose stools or constipation/hard stools, mucus/blood in stool?
Any urinary symptoms like frequency, burning, urgency, incontinence or so?
Any referred pain to the back?
Any history of other medical problems or surgery in past?
Any other information that you would like to share to help me assit you better.

Awaiting.
With Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (21 minutes later)

I was given a course of antibiotics, Augmentin, for a sinus infection after which I was diagnosed with a UTI and given a course of Bactrim to treat it. During that time the spasms began. I completed antibiotics as directed. my stools are normal, however there is pain associated with needing to defecate. I have some urgency to urinate, and after having done so there is pain that radiates up into my chest, sort of a rolling pain. I have some burning and some frequency, especially during the night. my back does not seem to be involved at this point. I have not had this sort of problem before and had not experienced a UTI in many years.

Answered by Dr. T Chandrakant (25 minutes later)

Brief Answer:
Persistent UTI, needs further evaluation.

Detailed Answer:
Thanks for your feedback.
The additional history is suggestive that you are still suffering from UTI in spite antibiotics.
I would advise you the following:
Gynecologist's opinion and examination to see if there is any uterine prolapse that has caused cystocele causing and persisting with symptoms.
An opinion of a Urologist; tests of blood and urine: routine, microscopy, culture and sensitivity to guide for further course of an antibiotic.
Ultrasound of the whole abdomen, particularly genito-urinary system.
All these things would give the most proper diagnosis and give the proper plan for further curative treatment.

I hope this answer helsp you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (14 minutes later)

Thank you. I have an appointment for mid-month with a Gynecologist. The triage nurse with whom I spoke when making the appointment was remarkably unimpressed with my symptoms as described.

Answered by Dr. T Chandrakant (5 hours later)

Brief Answer:
Increase intake of oral fluids

Detailed Answer:
Nice to know.
A proper examination and supportive investigations will get you the correct diagnosis so that a proper management can be undertaken.
Till then, take plenty of oral fluids, antispasmodics and no aspirin please.
Take care.
Please give feedback.
With regards.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar