Ask a Gynecologist and Get Answers to Your Ob-Gyn Questions ASAP
Do you have any kind of lump or bulge?
No. Nothing visible at all. Aware that I've been a bit bloated for a few days, but nothing in particular.
Was on the phone to an osteopath/sports massage teacher to offer myself as a guinea pig for his training this weekend, thinking it was just muscle strain, but he mentioned the possibility of a hernia.
I've had lots of abdom. surgery (4 month ectopic) followed by another, but several years ago. The pain is like nothing I've had before. It's been a sharper pain today and I noticed it while putting pressure (walking) through my left leg (pain is on left side). Also started almost throbbing a bit while doing nothing at all
It is possible that this is a muscle strain. However, your high pain threshold and the history of onset (while doing situps) makes me concerned about other, more dangerous causes. It could be a hernia. You may or may not have a visible bulge (usually seen when trying to strain). If the area is continuously painful, it is possible that some bowel got trapped in the area (or even mesenteric fat) which can cause pain. Other causes could be ruptured ovarian cyst, mittleschmerz (pain during ovulation) and more importantly, ovarian torsion. Ovarian torsion, when the ovary twists on itself, can occur after doing sit ups (classic board question for emergency medicine). Usually ovarian torsion causes marked unlateral pain accompanied by nausea and/or vomiting, but if the ovary is twisting and untwisting the symptoms may be delayed.
Of course, you could still be pregnant with another ectopic (never say never- unless you have had a hysterectomy)
I think that you need to seek urgent medical care- especially if the symptoms are getting worse. If you develop fevers and or/vomiting, I would go to the emergency department right away.
Thanks. I don't think it's my ovaries, as I feel it when I ovulate, etc., and am sure I'd pick up on pain there - had cysts (during cycle) on them before, so think I'd recognise the pain.
However the fact that the pain is sharper is definitely a sign that somethings not quite right. I will go and get my gp to check.
Was really hoping to find out how I'd know if it was a hernia. Are there any signs other than (sometimes) a bulg/lump? Types of pain?
It depends. If the hernia spontanously reduces, the pain will go usually away. But if bowel and/or mesenteric fat become trapped, the pain will be continuous, particularly if the bowel begins to die becuase the blood flow is compromised. Then you will be very ill. This kind of pain tends to be dull. Pain from hernias can occur from other reasons- irritation of the nerves around the area can cause more of a sharp pain. As well, distortion of the tissue around the gap in the abdominal wall (which is causing the hernia in the first place) can cause pain. I have also seen patients complain of a burning and even stinging type of pain.
Please let me know what happens. Good luck!
I received it. Thank you very much. Since your doctor thinks it is a muscle strain, you can take motrin for pain (or another anti-inflammatory of your liking) and warm and cool compresses to the area.