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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cramping Pain, Frequent Urination, Reddish Tint Dark Urine. Had Miscarriages, Vaginal And Rectal Tearing. Advise ?

I have had several issues with bladder; kidney and uti infections for the past two years. Consistantly. A lot due to a traumatic event; raped both vaginal and rectal. The physical damage was extreme; a lot of lacerations vaginal tearing several stiches; also was released then after a few days found I would be in publicor at any point I didn t realize blood was running down my leg. (Very light blood; but in a very liquid form/almost water perhaps.) they sent me straight back to the ER; due to the fact that I was loosing way to much blood. I suffer from Anemia; my menstrual cycle has always been painful and extreme. Without any form of birth control i can get it for months; or not get it for several. However; my main concern is: after the rape I was pregnent; I did loose the baby (as they said it was due to my phsyical well being at the time) and bleeding. Estopic I believe. That was two years ago; (several and I mean a lot of bladder infections- four kidney infections; uti s. And painful menstrual cydles that never went back to normal even with birth control. Recently; well around two months ago I found out I was pregnent. Contacted my Gyno as well as local hospitals; knowing I currently have a bladder or urinary infection; just got over acute nuemonia; antibiotics for five months straight. And still am trying to get my (vaginal woman area normal or to the point of healthy) that I was afraid once again that me having or keeping the baby would be very crucial to my health. As i have been warned for quite some time. I dicided to get an abortion . They verified it went okay; however. Now i am more concerned than ever. Perhaps more anxiety? I m not sure; but physically. I have not had a menstrual cycle yet. A lot of pain cramping (almost feeling like I did when my kidney infection came). But I urinate a lot; (trying to drink plenty of liquids. But my urine is getting worse and worse as days go by. This is the darkest; orange smelling urine I have yett to have. As i am used to infections; this seems to be since the abortion took place and as i said my yourine is not normal. As i have looked/ it has a redish tint dark but not blood like. No blod traces. But It looks as if i have taken (the medication in which helps UTI s turns your urine orange/red.) but I havn t. I know something is wrong; I have had so many problems. The traumatic event I mentally have recovered very well; however physically horrible. (I had a nuva ring in at the time of the event; which after a year and a few months a specialist called and asked if the hospital had put a plastic piece in my overy! (it was my nuva ring from the rape.) . I am very scared; and concerned. Please let me know anything; or if it s an infection as i know it is. but also; I am prone or have been told i have endrometriosis as well. I can just feel something is not right; something feels serious; meaning that something serious is going on. Please any insight; (but please don t inform me to take a pregnancy test. loosing two babies; hard enough).
Mon, 2 Sep 2013
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Nephrologist 's  Response
Get an ultrasound of whole abdomen, specially kidneys ureter and bladder, uterus and ovaries and pelvis.
That would settle the issue of pregnancy too.
If there is no pregnancy then a CT scan of lower abdomen can also be done to see if there is an infected collection around the bladder or in pelvis.
Ultrasound and CT would also show the presence of endometriosis.
Get a urine culture too.
All these will guide the future treatment .
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Cramping Pain, Frequent Urination, Reddish Tint Dark Urine. Had Miscarriages, Vaginal And Rectal Tearing. Advise ?

Get an ultrasound of whole abdomen, specially kidneys ureter and bladder, uterus and ovaries and pelvis. That would settle the issue of pregnancy too. If there is no pregnancy then a CT scan of lower abdomen can also be done to see if there is an infected collection around the bladder or in pelvis. Ultrasound and CT would also show the presence of endometriosis. Get a urine culture too. All these will guide the future treatment .