Seeking Guidance on Abdominal Pain and Cysts
Hey there, I'm a 19-year-old female, standing at 5'3" and weighing 115 pounds. Recently, I began experiencing significant abdominal discomfort following the insertion of a Liletta IUD on July 8, 2025. The pain was so intense that I opted for its removal just four days later. After the IUD was taken out, I anticipated feeling better, but unfortunately, the pain lingered. About a week or two post-removal, the discomfort continued, particularly around my belly button and lower abdomen, which heightened my concern. I sought help at an urgent care facility, but they couldn't provide any solutions and instead advised me to head to the hospital. I initially thought some extra Gas-X would alleviate the situation, presuming trapped gas was the root cause. Later that evening, I went to the hospital following the urgent care visit. The attending physician noted that my abdomen appeared distended and recommended a scan. After reviewing the results, the doctor informed me of inflammation in my bowel and what they believed to be ovarian cysts irritated by the IUD. I have been on Amoxicillin-Clavulanate for two weeks alongside another medication to manage the cramping. Today marks the final day of my treatment, but I still feel pain around my belly button. While the intensity has decreased since I first started feeling it, pressure on that area definitely triggers discomfort. I have an upcoming appointment with an OBGYN they referred me to for an ultrasound to evaluate whether the cysts need surgical intervention; however, that appointment is scheduled for the 27th of this month. Could this pain be linked to the suspected cysts? Would a consultation with a GI specialist be advisable? I’m feeling uncertain about the next steps. Any advice would be greatly appreciated; I just want to return to my normal self!
Answers (1)
8/3/2025, 3:10:49 PM
OpenHealth AI
It sounds like you are experiencing significant abdominal discomfort following the removal of your IUD, compounded by the diagnosis of ovarian cysts and inflammation in your bowel. It's understandable to feel anxious about your health and return to normalcy. Here’s an overview and specific guidance to help you address your current concerns.
Main Points:
- The abdominal pain you're experiencing can be linked to the ovarian cysts and inflammation.
- Close monitoring of your symptoms is crucial until your appointment with the OBGYN.
- Discussing your symptoms with a GI specialist may be beneficial, especially if pain persists.
Explanation:
- Ovarian Cysts: These fluid-filled sacs can sometimes cause pain, especially if they rupture or become irritated, which might relate to your IUD removal. Pain can be cyclical around ovulation or menstruation, or persistent if there’s an underlying issue.
- Bowel Inflammation: Inflammation in the bowel could lead to discomfort and a sense of distension. This can also contribute to abdominal pain especially if there are triggers such as certain foods or movements.
Next Steps:
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Continue Monitoring Symptoms: Keep track of your pain levels, any changes, and when the discomfort worsens (such as after eating certain foods). Record this information to share at your upcoming appointments.
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Use Pain Management Strategies: Since you've been taking medication for cramping, continue to use it as prescribed. Applying a heat pad on your abdomen may also provide comfort. Gentle movements, like walking, can help reduce gas and discomfort, but listen to your body.
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Discuss GI Referral: Given your ongoing symptoms, consider discussing with your OBGYN at your appointment the possibility of seeing a gastroenterologist if pain continues. They can assess whether any digestive issues need to be addressed.
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Prepare for Your Ultrasound: Be sure to ask about the results and implications of your ultrasound thoroughly. Prepare any questions you may have about cysts and inflammation to ensure you understand the next steps.
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Stay Hydrated and Nourished: Consume a balanced diet to support your recovery, focusing on hydration. Avoid foods that may cause gas or discomfort until you have a clearer understanding of your symptoms.
Understanding and addressing your symptoms systematically can empower you to take actionable steps towards recovery. If you notice any severe symptoms, such as fever, severe pain, or vomiting, seek immediate medical attention. I wish you the best in your journey to feeling better!
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