[52F] With acute pelvic and back pain
Patient Description
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Arora's Assessment
What might be happening
Based on the information you have provided, here are some possible explanations for your symptoms:
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Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It can cause pelvic pain and may lead to numbness or tingling if there is significant inflammation. Treatment typically involves antibiotics.
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Ovarian Cyst: A fluid-filled sac on an ovary can cause pelvic pain, especially if it ruptures or causes the ovary to twist (torsion). Treatment may include pain management and, in some cases, surgery.
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Sciatica: Given your history of bulging discs, it's possible that nerve compression in your lower back is causing referred pain to your pelvic area and numbness. Treatment often includes physical therapy, pain management, and sometimes surgical intervention.
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Urinary Tract Infection (UTI): Although you haven't reported changes in urinary habits, some UTIs can present with pelvic pain. Treatment typically involves antibiotics.
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Musculoskeletal Issues: Strain or injury to muscles, ligaments, or joints in the pelvic or lower back area can cause pain and numbness. Treatment often includes rest, physical therapy, and pain management.
What you can do
While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:
- Pain Management: Continue taking the prescribed Flexeril and Ketorolac as directed by your healthcare provider. These medications can help manage pain and muscle spasms.
- Rest: Avoid activities that may exacerbate your pain. Gentle stretching and light activities may help, but avoid heavy lifting or strenuous exercise.
- Heat Therapy: Applying a warm compress or heating pad to the affected area can help alleviate pain and muscle tension.
- Hydration and Nutrition: Ensure you stay hydrated and maintain a balanced diet to support overall health and recovery.
- Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and get insights. This information can be valuable for your healthcare provider.
What you should look out for
Seek medical attention more urgently if you experience any of the following:
- Severe or worsening pain: If your pain becomes unbearable or significantly worsens.
- Fever or chills: These could indicate an infection that requires prompt treatment.
- Changes in urinary or bowel habits: Painful urination, blood in urine, constipation, or diarrhea.
- Weakness or numbness in legs: This could indicate nerve involvement that needs immediate attention.
- Unexplained vaginal bleeding: Any unusual bleeding should be evaluated by a healthcare provider.
Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any further questions or need additional support, feel free to reach out.
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6 mo ago