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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Mild Collection Of Fluid In The Pouch Of Douglas. Want To Know What Is That? Treatment?

Pls clear me ------- mild collection of fluid in the pouch of douglas .

Sex : Female ,Age : 30 , High : 5'5" , Weight : 58 Kgs.

Before 3 day's start a pain in my bally . like under my chest . Then I think it is coming from Gastric pain. Then I take antacid plus but not reduce .

After that I do ultra so no graph . then report receive comment : mild collection of fluid in the pouch of douglas .

So I want to know what is that . Also treatment need.
Tue, 7 May 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Fluid in the Douglas simply means that there is a fluid in the abdominal cavity. There might be many reasons of it. And it is impossible to tell according to your ultrasound.
Fluid in the abdomen appears due to inflammation, low protein level or due to a cancer. It can be an appendicitis, ovarian cyst, ovarian inflammation, intestines inflammation, pregnancy, ovarian cancer, pancreas cancer, stomach cancer, large intestine cancer, liver cirrhosis and many many more.
I suggest you to have some blood tests. Blood work, CRP, CA 19-9, CA 125, CEA, liver tests, proteins level, pregnancy test, urine test should be done at first. Next step is abdominal CT.

Hope this will help.
Regards.
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Mild Collection Of Fluid In The Pouch Of Douglas. Want To Know What Is That? Treatment?

Hello! Thank you for the query. Fluid in the Douglas simply means that there is a fluid in the abdominal cavity. There might be many reasons of it. And it is impossible to tell according to your ultrasound. Fluid in the abdomen appears due to inflammation, low protein level or due to a cancer. It can be an appendicitis, ovarian cyst, ovarian inflammation, intestines inflammation, pregnancy, ovarian cancer, pancreas cancer, stomach cancer, large intestine cancer, liver cirrhosis and many many more. I suggest you to have some blood tests. Blood work, CRP, CA 19-9, CA 125, CEA, liver tests, proteins level, pregnancy test, urine test should be done at first. Next step is abdominal CT. Hope this will help. Regards.