Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Suggest Treatment For Pain In Lower Abdomen And Night Sweats
Hi, I am experiencing pain and discomfort below navel in abdomen, this has been going on for several weeks and may coincide with coming off HRT after 20 years. I also have terrible night sweats which I assume is menopausal but it happens also when I pass urine. The last few days I have also noticed blood after passing a stool (fresh bright colour) which may well be a separate issue. I am due to have major spinal surgery-with support rods over seven lumbar vertebrae and also had cervical surgery last March. I am worried to proceed with the surgery until I am sure the symptoms I am experiencing at present (including groin pain when walking) is linked to my spine for sure and not a separate issue. Would you suggest I ask my surgeon or GP for a CT scan before going ahead with surgery. I am very confused as to what to do as should have had the surgery some time ago but feel so uncertain- having these new symptoms and keep postponing.
Thu, 25 Jun 2020
Hello,
* As per my clinical experience, the pain lower abdomen with urinary discomfort indicate possible urinary infection with cystitis.
* The night sweats may be part of estrogen deficiency from weaning off hormone replacement therapy after 20 years.
* The fresh blood in stool after defecation do suggest posterior anal fissure in majority of the cases following severe constipation episode.
My guidelines for primary relief
- dietary precautions to have more of fiber content and bulk forming laxative if hard stool
- anti spasmodic medication as dicyclomine or drotaverine with mefenamic acid
- possible hormone replacement for night sweats
- local application of xylocaine jelly over anal region
- sitz bath twice a day
* Discuss the need of basic lab tests, ultrasound of the abdomen and pelvis with your doc during next scheduled visit.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr. Bhagyesh V. Patel
* As per my clinical experience, the pain lower abdomen with urinary discomfort indicate possible urinary infection with cystitis.
* The night sweats may be part of estrogen deficiency from weaning off hormone replacement therapy after 20 years.
* The fresh blood in stool after defecation do suggest posterior anal fissure in majority of the cases following severe constipation episode.
My guidelines for primary relief
- dietary precautions to have more of fiber content and bulk forming laxative if hard stool
- anti spasmodic medication as dicyclomine or drotaverine with mefenamic acid
- possible hormone replacement for night sweats
- local application of xylocaine jelly over anal region
- sitz bath twice a day
* Discuss the need of basic lab tests, ultrasound of the abdomen and pelvis with your doc during next scheduled visit.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr. Bhagyesh V. Patel
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....