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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Abdominal Pain, Tenderness, Fever, Slight Nausea, Rectocele Diagnosed. Pelvic Floor Repair Previously Done. Advise?

Hi I started having lower abdominal pain 7 hours ago, the last hour it has got a lot worse, severe. It seems to be in the pelvic floor area radiating to the rectum. I also have tenderness in my stomach, which now looks like I am 6 months pregnant. I had a bowel motion yesterday. I also seem to have a fever and feel slightly nauseas. I have had a pelvic floor repair about 4 years ago, but have got a rectocele again, diagnosed 6 mths ago. I am very worried.....its 1.30 am here now, have 4 children in bed asleep thank you
Fri, 24 May 2013
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for posting your query.
Do you have fever/ spasmodic abdominal pain/ vomiting?
Do you have excessive flatulence/ gargling sound in abdomen?
With the available described symptoms, there could be possibility of acute gastroenteritis with hyperalgesia at rectocele site.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You should go for complete blood count, erythrocyte sedimentation rate, ultrasound imaging, and serum electrolytes, renal function test.
You should take complete antibiotic therapy, antispasmodics, probiotics, antipyretics, if needed.
Whenever a patient comes with above mentioned symptoms, then generally 1st diagnosis is gastroenteritis. If your condition won't improve with antibiotic then only non infectious cause should be suspected.
You should maintain your hydration status by taking potassium rich liquids.
Take soft diet along with yogurt and banana.
Avoid milk and all milk related products.
Take care,
Dr. Mayank Bhargava
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Lower Abdominal Pain, Tenderness, Fever, Slight Nausea, Rectocele Diagnosed. Pelvic Floor Repair Previously Done. Advise?

Hi, Thanks for posting your query. Do you have fever/ spasmodic abdominal pain/ vomiting? Do you have excessive flatulence/ gargling sound in abdomen? With the available described symptoms, there could be possibility of acute gastroenteritis with hyperalgesia at rectocele site. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should go for complete blood count, erythrocyte sedimentation rate, ultrasound imaging, and serum electrolytes, renal function test. You should take complete antibiotic therapy, antispasmodics, probiotics, antipyretics, if needed. Whenever a patient comes with above mentioned symptoms, then generally 1st diagnosis is gastroenteritis. If your condition won t improve with antibiotic then only non infectious cause should be suspected. You should maintain your hydration status by taking potassium rich liquids. Take soft diet along with yogurt and banana. Avoid milk and all milk related products. Take care, Dr. Mayank Bhargava