Hi Reena,
Thanks for your query.
The commonest causes of little fluid in the narrow pouch (called Pouch of Douglas) between the rectum and uterus. A small amount of free fluid in the Pouch of Douglas is completely normal, and may just be an indicator of where a woman is in her menstrual cycle. The Pouch of Douglas typically holds a bit of fluid immediately after ovulation monthly. This fluid dissipates on its own as a woman continues on her cycle, and reappears during the next month's cycle.
However, an infection of the
peritoneal cavity can also cause fluid to build up in the pouch of Douglas. Infection is usually due to
gonorrhea, fungal and trichomonal organisms.
Common causes of fluid in the pouch are :-
* irritable bowel syndrome
* ovarian cysts
* Pelvic inflammatory disease
I personally feel that Taxim or, preferably
Azithromycin should be given along with anti-fungal (such as
Fluconazole) + anti-amebic drug, such as
metronidazole,
tinidazole or
secnidazole.
Consult your doctor and apprise him of my opinion. I am certain that he agree with me, order required tests, and- based on the reports- will prescribe suitable treatment as advised.
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Fond regards and have a nice day
Dr. Rakesh Karanwal