Severe Lower Left Abdominal Pain - Is My Pelvic Ultrasound Normal?
I am a 32-year-old woman experiencing intense, sharp, stabbing sensations in my lower left abdomen for the past three days. These pains occur in waves approximately every thirty seconds and have been severe enough to interfere with my sleep. Additionally, I've been feeling a pronounced fullness in my stomach. I underwent an ultrasound, but the medical team didn't provide extensive details afterward. I’m curious about whether the images indicate anything concerning. I noticed there is mention of free fluid near my left ovary, which aligns with the location of my pain. For context, I currently have a Mirena coil in place.
Answers (1)
6/18/2025, 4:10:52 PM
OpenHealth AI
It sounds like you're experiencing significant discomfort and concerns about your abdominal pain and the results of your pelvic ultrasound. The symptoms you're describing, including the sharp, stabbing pain and fullness in the abdomen, are understandably distressing, especially with the mention of free fluid near your left ovary.
Key Points:
- Intense lower left abdominal pain with accompanying fullness can stem from several causes.
- The mention of free fluid on your ultrasound may indicate a potential issue that requires further evaluation, especially considering your Mirena coil.
- Your symptoms and ultrasound findings warrant careful monitoring.
Explanation: The intense, wave-like abdominal pain could be due to several reasons, such as ovarian cysts, inflammation, or issues related to the Mirena coil. Free fluid in the abdomen can be a sign of various conditions, including ovulation, an ovarian cyst, or sometimes more serious conditions like ectopic pregnancy or pelvic inflammatory disease.
It's important to consider your specific symptoms in combination with results from the ultrasound. While free fluid doesn't always mean there's something wrong, it can be relevant, especially since it aligns with your pain.
Next Steps:
- Monitor Symptoms: Keep a detailed log of your symptoms, including the intensity of pain, frequency of the waves, any changes, and any new symptoms (like fever or unusual discharge).
- Hydration and Rest: Ensure you're drinking plenty of fluids and getting the rest you need to help manage pain.
- Know When to Seek Urgent Care: If your pain worsens, if you experience severe symptoms such as fever, vomiting, or if you notice unusual bleeding, seek immediate medical attention.
- Follow-Up on Ultrasound Results: Request clarification from your healthcare provider regarding the ultrasound results, especially concerning the free fluid. Understanding what the findings mean will help address your worries and decide on any needed interventions.
- Consider Pain Management: Over-the-counter pain relief (like ibuprofen or acetaminophen) may help manage discomfort, but it's best to consult with a healthcare provider to ensure they're appropriate for you given your medical history.
Please prioritize your comfort and don't hesitate to reach out for further assistance or clarification regarding your condition and treatment options. Your health and understanding are important.
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