Discussing Hydrosalpinx and Pain Management
Hello! I am a 35-year-old woman who previously underwent a hysterectomy and underwent tubal ligation. Currently, I am experiencing double hydrosalpinx, with the right-side enlargement measuring over 3 cm as of July this year. Additionally, I frequently deal with ovarian cysts and I am scheduled for surgery at the beginning of November. Recently, I had an accident where I fell while getting out of my vehicle, and since then, I have encountered a significant increase in severe pain in my right lower quadrant, which extends deeply into my hip area. Usually, the pain is mild and manageable, but this sensation feels notably different. I am also dealing with rheumatoid arthritis, Ehlers-Danlos syndrome, fibromyalgia, and other conditions, so I'm hesitant to take up emergency services unnecessarily. I reached out to my obstetrician, who is overseeing my surgery. She advised me to take 800 mg of ibuprofen, which I already use routinely, and she also prescribed robaxin, though it doesn't seem to be providing relief. Given the intensity of my current symptoms, should I wait for it to subside or is it advisable for me to seek medical attention? Thank you for your guidance!
Answers (1)
9/13/2025, 12:50:44 AM
OpenHealth AI
It sounds like you're experiencing significant discomfort due to the combination of hydrosalpinx and a recent fall, while also managing underlying chronic conditions. Given your specific circumstances, it's important to prioritize how best to alleviate your pain and monitor any potential changes in your symptoms.
Summary of Key Points:
- Increased Pain After Fall: The recent fall and subsequent increase in right lower quadrant pain are concerning, especially in the context of your double hydrosalpinx.
- Chronic Conditions Management: Your existing conditions can complicate pain management, and current medications may not be providing enough relief.
- Need for Evaluation: While your obstetrician has provided initial guidance, persistent or increasing severe pain may require closer evaluation.
Explanation:
Hydrosalpinx refers to the swelling of the fallopian tubes filled with fluid, which can cause pain and discomfort. Given your history of ovarian cysts, the pain you feel could also relate to those or a new complication stemming from your recent fall. The combination of your chronic conditions—like rheumatoid arthritis and Ehlers-Danlos syndrome—can exacerbate your perception of pain and may influence your treatment options.
Next Steps:
- Assess Pain Severity and Changes: Keep a detailed diary of your pain intensity, location, and any conditions that might exacerbate it (e.g., certain movements or activities).
- Medications Review: Since ibuprofen hasn't provided sufficient relief and robaxin isn’t effective for you, consider discussing with your healthcare provider the possibility of adjusting your medications or using alternative methods (e.g., a stronger pain reliever, topical treatments, or physical therapy).
- Monitor for Red Flags: If you notice a rapid increase in pain intensity, fever, nausea, or changes in bowel or urinary habits, seek medical attention promptly. These could indicate a more serious underlying issue requiring urgent care.
- Follow Up Before Surgery: With your surgery approaching, it's crucial to address your pain management as well as any increases in severity. If pain doesn't improve or worsens, contact your obstetrician or the surgical team to discuss your concerns before the scheduled date.
Reassurance:
Your proactive approach to managing your health is commendable. It's understandable to hesitate to use emergency services, but don't hesitate to reach out for help if your symptoms become unmanageable. Your comfort and safety are paramount, especially with upcoming surgery. Keep me updated on how you're doing or if you need further assistance!
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