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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Cure For Abdominal & Rectal Pain

i had surgery done 5 months ago for scar tissue and adhesion removal. my gynecologist just found a cyst on my right ovary. i'm still having problems, when my husband and i have sex i get severe cervical pain and afterward i get abdominal cramps severe enough i get light headed, also i get abdominal pain and rectal pain before and during a bowel movement, i also get abdominal pain during urination. i'm 26 years old. what could it be?
Tue, 30 Dec 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.

Understood the history well.
You have an obvious reason for pain - the adhesions and scar must have reformed.
But the history of Dyspareunia, meaning painful sex indicated ther is some active inflammatory process still going on in the pelvis called PID- Pelvic Inflammatory Disease.
Cystitis and Procto-colitis are the additional problems causing the pain in abdomen and rectum before and during bowel movements as also during urination.
Ovarian cyst can cause problem only if it enlarges fast or gets twisted.
I would advise you the following::
-Contrast enhanced CT scan of the abdomen.
-Enteroclysis
-Colonoscopy
-exploratory Laparoscopy or Laparotomy which will be of diagnostic and therapeutic value.

A proper course of an antibiotic, metronidazole, probiotic may help a bit or more.
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Suggest Cure For Abdominal & Rectal Pain

Hi. Thanks for your query and an elucidate history. Understood the history well. You have an obvious reason for pain - the adhesions and scar must have reformed. But the history of Dyspareunia, meaning painful sex indicated ther is some active inflammatory process still going on in the pelvis called PID- Pelvic Inflammatory Disease. Cystitis and Procto-colitis are the additional problems causing the pain in abdomen and rectum before and during bowel movements as also during urination. Ovarian cyst can cause problem only if it enlarges fast or gets twisted. I would advise you the following:: -Contrast enhanced CT scan of the abdomen. -Enteroclysis -Colonoscopy -exploratory Laparoscopy or Laparotomy which will be of diagnostic and therapeutic value. A proper course of an antibiotic, metronidazole, probiotic may help a bit or more.