Suggest remedy for painful lump in pubic area
Patient: Hi, I am 32 weeks pregnant and have had significant pubic pain for the last couple of weeks that I attributed to pubic symphysis diastasis.  In the past 2 days the pain has gotten significantly worse and is now excruciatingly tender to palpation on the left side.  Tonight I noticed a hard lump on the left side of my mons pubis that is incredibly painful.  I have not had any other systemic symptoms, vomiting, fever etc.  Any ideas? Doctor: Hi.Thanks for your query.The pain in this area with a swelling on one side can be due to an abscess or symphysis diastasis as you rightly thought about.The only way to get a proper diagnosis is by clinical examination by an Orthopedic Surgeon, and/ or MRI ( MRI is safe in pregnancy).The treatment will depend upon the diagnosis.IF an abscess - needs a nice course of pregnancy-safe antibiotics and anti-inflammatory medicines.If diastsis- anti-inflammatory may be sufficient.Gynecologist's opinion about an early caeserian section can also be sought if the problem is severe.