Lower abdominal pain, aggravates during urination and bowel movements, urine test showed pus cells. What could it be?
Patient: Hello I had a diagnostic laparoscopy 24 days ago which found no reason for my heavy and painful periods.They also fitted a mirena coil. Since then I have been having lower abdominal/ pelvic pain which increases when I got to the toilet (both urine and bowel) Yesterday I had my urine tested and it showed pus cells so was given three day course of antibiotics and urine was sent for analysis Today I have extreme abdominal pain which was so severe this morning I contemplated calling an ambulance. It did subside but is still there periodically especially when I move or try to open my bowels what could this be? Doctor: Hello. Welcome to hcm. Pain after mirena is most commonly due to perforation and you need to immedietly visit ER and undergo ultrasound scan or laproscopy to confirm and/remove mirena. Delayed will be life threatening. Other reasons might be due to infection,pre existing uterine pathology but emergency causes should be ruled out first and treated. All the best