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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Back Pain And Spotting After A Tubal Ligation?

hi my name is marie,my ?is for the past year my cicale has been normale every 31 day s but they last 3 to 4 day s i did have an tubeale done almost 7 years ago but know i m consern because i had a period in may on the 17 and ended on the 18 this m is the same thing but the only diff is i m spotting but there s no blood in my clothing or in my urin just when i wipe i m having lower back pain and if i m moving or standing for a small period of time my stomic tighten s what should i do
Tue, 24 Dec 2019
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General & Family Physician 's  Response
Hi,

Based on the history you have shared, you need to have an ultrasound pelvis and a gynecologist review as it can be a sign of pelvic inflammatory disease or infection.

However, with a history of tubal ligation in past, in the mechanical cause of decreased blood flow with pain should be assessed.

Fresh hormonal profile to rule out any hormonal cause and inflammatory markers for any signs of infection should be done as it may need antibiotics in that case.

Meanwhile, OTC analgesics like acetaminophen or Ibuprofen alongwith anti spasmodic like drotavarine can be helpful for symptomatic relief.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Saddiq Ulabidin, General & Family Physician
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What Causes Lower Back Pain And Spotting After A Tubal Ligation?

Hi, Based on the history you have shared, you need to have an ultrasound pelvis and a gynecologist review as it can be a sign of pelvic inflammatory disease or infection. However, with a history of tubal ligation in past, in the mechanical cause of decreased blood flow with pain should be assessed. Fresh hormonal profile to rule out any hormonal cause and inflammatory markers for any signs of infection should be done as it may need antibiotics in that case. Meanwhile, OTC analgesics like acetaminophen or Ibuprofen alongwith anti spasmodic like drotavarine can be helpful for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Saddiq Ulabidin, General & Family Physician