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minniemau5's avatar

Went to the ER, now I'm confused?

Asked by minniemau5 (432points) June 11th, 2011

I asked a question earlier about whether or not to go to the emergency room for my severe abdominal pain. I took all of your advice and went (thank you!).

After over 7 hours there, and after an abdominal, pelvic and trans-vaginal ultrasound, the doctors sent me home because they don’t really know what’s causing my pain. The doctor who looked over my ultrasound said my appendix looks okay, but there’s a small amount of fluid, which could be water or blood, in my abdomen/pelvis. He said this may or may not be caused by an ovarian cyst. He said come back in if you’re still in pain in a few days.

….. real helpful.

I am still in pain. Mind you, it’s not as severe as it has been. Any ideas on what could be causing the “fluid”? I am making an appointment to follow up with my family doctor.

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24 Answers

creative1's avatar

Next step I would call your Gynocologist, they would know more about a cyst on the ovary and if you should worry or not.

marinelife's avatar

I think you need to follow up with your family doctor.

minniemau5's avatar

I don’t even have a gynecologist to be honest, I just turned 18. :/

cazzie's avatar

Ovarian cyst are usually first noticed because of difficult periods.

I once had an egg miss my felopian tube and land in my general abdominal area. My immune system attacked it and it hurt, especially during intercourse, for about 2 and a bit months. I didn´t have an ultrasound though, but I imagine it would have looked like a little festering sack of fluid.

SpatzieLover's avatar

You can go back to your family doctor with the info you received from the ER and have him/her refer you to a gynecologist. If you are in pain tomorrow, call the emergency service for your doctor and schedule an appointment ASAP.

It could be that you have endometriosis which may produce cysts…and those cysts may be felt even when you don’t have your period. Both my mom & my sister have lived with endo, and the pain is real.

cazzie's avatar

Again… Endometriosis is indicated more by horrible periods rather than intermittent pains in the abdomen. I can´t remember if @minniemau5 mentioned anything about her periods.

SpatzieLover's avatar

@cazzie True. However, my sister’s first indications of having endo (at @minniemau5‘s age) were IBS like symptoms.

minniemau5's avatar

@cazzie No, I didn’t… I really didn’t think the pain had anything to do with my reproductive organs. But anyway, my periods have always been completely regular. And @SpatzieLover , just curious, how old was your sister when diagnosed?

SpatzieLover's avatar

She was 17 or 18 as I recall.

minniemau5's avatar

Actually, (for some reason this just occurred to me now)... I had high-dose radiation to my entire abdomen and pelvis when I was 5 and if I can remember correctly, my oncologists told me a few years ago that I might have problems with them later in life.

SpatzieLover's avatar

@minniemau5 Write down all pertinent symptoms you have had, and write down what your oncologists told you…take all of this info to your doctor. I would also share a pain rating for each day that you’ve had pain so he/she has some gauge of all of this.

marinelife's avatar

Let us know what happens with the doctor.

Dutchess_III's avatar

I just have to ask what “severe” is. Could it be a bad case of gas?

SpatzieLover's avatar

@Dutchess_III This has been ongoing for @minniemau5 since Thursday AM.

ETpro's avatar

@minniemau5 I’d see the family practice doctor first. Depending on what it appears to be causing the pain, he may refer you to an internist, gastroenterologist or a gynecologist. Since the results of the ER exam were inconclusive, it seem premature to be to second guess what sort of specialist to see.

Rarebear's avatar

I’m afraid you’re not going to get advice on here or any other internet site. In fact, it’s dangerous to try to do so. Just follow up with your physicians.

keobooks's avatar

Do get it checked out again ASAP. I had a friend who had something similar happen 10 years ago, and was sent home with no diagnosis. She went back in a few days later in very serious pain and it turned out that she had a smouldering appendix. She lost one of her ovaries. She had it for over a week or so altogether before she finally got it figured out. She’d put off going to the doctor in the first place for a few days and then waited a few days.

It could be anything else mentioned here, but because of what she went through, I’d go see someone else if it doesn’t get any better.

JLeslie's avatar

The ER only cares that your don’t die, or have severe injury, on their watch. They many times are not going to diagnose you if it is some sort of specialized diagnosis. I don’t understand why an ovarian cyst would cause fluid in your abdomen? I am not even sure I know what that means. Fluid where exactly? I would go see a gynocologist, and then if they are clueless move on from there. Although, you said you don’t have one, and it can be difficult to get in fast as a new patient, except the hospital doctor might be able to refer. Otherwise you might have to see your regular doctor so they can get you in with a GYN fast. Unless of course your Internist/GP figure it out. The GYN will have sonogram equipment right there in the office if they want to look see again, the GP won’t most likely.

JLeslie's avatar

I just read your other question, but not all of the answers, and it sounded like gall bladder problems, but a sonogram at the ER would have found gall stones most likely. They scanned you on your skin right below your right breast?

cazzie's avatar

You need to see your doctor and tell them about the radiation treatment you had as a child. In fact, they should see that whole history about what you were treated for and how you were treated. This is why seeing a regular doctor is so important. They need to know your medical history so they can better diagnose and treat you. I take it you didn´t mention this to the doctor you saw in the ER?

JLeslie's avatar

Actually, @cazzie is right. Sometimes radiation can cause some arterial damage from what I understand, and who knows what else, so your medical history is very important when you see the next doctor. You might call the oncology center, explain what has happend, get your medical records from them so you have them with you when you see another doctor. It might be totally unrelated, but it is important to let your doctors know.

Mariah's avatar

I don’t have any ideas, but best of luck to you.

Dutchess_III's avatar

Perhaps this was your Dr. at the ER? I read in the Wichita paper that a Dr. was arrested for a hit and run that killed a guy. The good Dr. drove THREE MILES with the body on the hood of his mini van!

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