Medical Questions? Ask a Doctor Online!
sorry for your troubles
the blood work gives no clues to the cause of your pain and discomfort
it is essentially normal
you have a single gallstone in the gall bladder, it's pretty large and you will likely need to get your gall bladder surgically removed at some point, but nothing in the ultrasound suggests this needs to happen right away
rest of ultrasound is notable for an ovarian cyst on the left
which could, possibly explain your discomfort as it is quite a large cyst
in fact, the small amount of intraperitoneal fluid on the right
could be physiological (normal) or could indicate the cyst may have ruptured
and this would indeed cause discomfort, probably for a few days
and since your last menstrual cycle was two weeks ago this would make sense
your doctor will want to know about the single large gallstone and the right ovarian cyst for the purposes of follow up
yes, pcds means 'cul de sac', its an anatomical location
the ultrasound can not tell if fluid is due to a leaking or ruptured cyst
that's for the clinician taking care of you
if your pain was relatively quick in onset this is at least a good bet
and pcos is not diagnosed solely by ultrasound... usually the cysts with pcos are on both ovaries
as mentioned. small amounts of fluid in the cul de sac can simply be normal for women
and as to the fluid being on the righ instead of the left
it can move around, so if you slept on your right side this could explain that, but that's an educated guess
the cyst is probably not large enough to cause those symptoms
frequent urination and abdominal discomfort and even diarrhea can be from stress to be sure
if your urinalysis was clean then this is almost certainly not a urinary infection
you state 'i have a functional left ovarian cyst'
so this has been looked at in the past am i correct?
i also am an ER doctor and there is nothing in this information that leads me to any amount of worry about you at all
does your primary care doctor do your annual pap smear exams and female health maintenance?
is there any history of pelvic cancer of any sort in your family?
that's very good indeed
understanding that you are hyper-vigilant about your health i think the following would be reasonable to pursue with your doctor
1. you will need to speak with him about your single gallstone. it would be a good thing to get referred to a surgeon to set up an elective gall bladder surgery. this will avoid the probability that you will have a gall bladder problem in the future such as cholecystitis.... stand by for a reference
you will want to speak with your physician about this ovarian cyst
ovarian cysts come and go and are related to your mentrual cycle
i would think it reasonable at least to get a second ultrasound sometime in the next few months to get a second look at this cyst for the purposes of follow up
your research is correct
as mentioned, in women, small amounts of free fluid in the cul de sac can be normal, and it can represent a leak from the cyst or bleeding from the cyst
rarely does this need anything other than follow up
you are most welcome
do you have any final questions for me?