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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Causing Dull Cramping In Lower Abdomen Along With Throbbing Sensation In Groin?

I am a female, 44 years old. For the past 5-6 days I have been having almost constant dull cramping in the lower abdomen area (no particular side) . I also occasionally have a throbbing sensation in the groin area. I have been to my ob-gyn and had a pelvic exam and had urine tested for infections. The doctor could not find anything wrong. He did not do an ultrasound or send me for further screening. My IUD Mirena is due to be removed (over 5 years) in the next couple of weeks and has been in since 2009 (over 5 years). Any ideas as to what this could be...I am concerned. My ob-gyn thinks I need to see a gastrointestinal doctor. Thanks.
Thu, 10 Apr 2014
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General Surgeon,  's  Response
Hi ! Good afternoon. I am Dr Shareef answering your query.

From your history, it seems that the IUD Mirena is the culprit in your pain in lower abdomen. As you are already due to remove it soon, you might be relieved completely after its removal. If I were your treating doctor, I would have removed it alongwith a vaginal swab culture sensitivity test, and would prescribe a broad spectrum antibiotic covering both aerobic and anaerobic organisms. This would relieve your symptoms. As presently you do not have any gastro intestinal symptoms, I would defer referral to any gastroenterologist
for the time being.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.

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What Is Causing Dull Cramping In Lower Abdomen Along With Throbbing Sensation In Groin?

Hi ! Good afternoon. I am Dr Shareef answering your query. From your history, it seems that the IUD Mirena is the culprit in your pain in lower abdomen. As you are already due to remove it soon, you might be relieved completely after its removal. If I were your treating doctor, I would have removed it alongwith a vaginal swab culture sensitivity test, and would prescribe a broad spectrum antibiotic covering both aerobic and anaerobic organisms. This would relieve your symptoms. As presently you do not have any gastro intestinal symptoms, I would defer referral to any gastroenterologist for the time being. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.