[33F] With abdominal pain and spotting post-hysterectomy
Patient Description
A 33-year-old female reports experiencing sharp abdominal pain in the lower stomach and groin area for the past three days, rated as 8 out of 10 in severity. The pain has gradually worsened and is not relieved by any measures. She also reports nausea for the past two days, exacerbated by food smells, along with fatigue, headaches, lower back pain, and discomfort after using the bathroom. Additionally, she has noticed light pink spotting. The patient had a hysterectomy approximately two months ago, with a noted issue of an incompletely healed vaginal cuff during her last follow-up appointment. She has not been prescribed any medications for this. There are no fevers, chills, unusual discharge, or burning sensation during urination. Current medications include Tylenol, ibuprofen, and Pepto-Bismol. The patient has a history of appendectomy and gallbladder removal. No known allergies or chronic conditions.
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Arora's Assessment
What might be happening
Based on your symptoms and recent medical history, here are some possibilities:
- Post-Surgical Healing Issues: Since your vaginal cuff wasn't fully healed, the spotting and discomfort could be related to the healing process. It's important to monitor this closely.
- Urinary Tract Infection (UTI): The discomfort after using the bathroom and urinary symptoms could suggest a UTI, which is common after surgery.
- Gastrointestinal Issues: Nausea and stomach pain could be related to digestive issues, possibly exacerbated by stress or changes in diet post-surgery.
Typical treatments might include:
- For Healing Issues: Follow-up with your surgeon to ensure proper healing and possibly receive guidance on care.
- For UTI: A doctor may prescribe antibiotics if an infection is confirmed.
- For Gastrointestinal Issues: Dietary adjustments and medications to manage symptoms.
What you can do
- Consult Your Doctor: It's important to follow up with your healthcare provider to assess your healing and address any complications.
- Stay Hydrated: Drink plenty of water, especially if you're experiencing nausea.
- Monitor Symptoms: Keep track of any changes in your symptoms using MDandMe to journal and share with your provider.
- Rest and Nutrition: Ensure you're getting enough rest and eating a balanced diet to support healing.
What you should look out for
Seek medical attention if you experience:
- Increased pain or heavy bleeding
- Fever or chills
- Persistent or worsening symptoms
Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.
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3 mo ago
