This is Dr. David
this lower left abdominal pelvic pain can come from bad ovarian cysts
or could be coming from diverticulosis if small bits of hard stool or food like corn or nuts or seeds are getting trapped in your colon wall lining.
you need a pelvic ultrasound to check for ovarian cysts
and if you are constipated or have small hard bits of stool or eat corn or nuts or seeds prior to these pain episodes, you have to avoid them in your diet
and use stool softeners and laxatives to soften your stool.
I had a pelvic ultrasound which showed that the right ovary was fine except pcos which I already have
the left they couldn't view due to the bowel being in the way. My bowels are unchanged since this began. I am regular daily with no constipation or hard stools.
so it sounds more likely to be from the ovary causing the pain
would that cause the swelling my groin crease on one side is a lot more indented like I have an abdominal apron on one side it hangs over the groin crease it is very uncomfortable
and would that affect the back of left knee pain
you could have a separate issue like an groin muscle tear or a groin hernia there as well.
back of the left knee pain most likely is from a pinched nerve
like a pinched siatica nerve pain which can cause pain in the back of the left knee.
so would a hernia cause that or is it unrelated, with the raised white cell count and ESR I am concerned as this has been going on since April
a hernia can cause abdominal pain which is severe if the bowel are trapped inside of the hernia.
any sort of infection or inflammation can raise WBC counts and ESR
have you had a CT scan of the abdomen and pelvis? this would be needed.
no my gp wont do that until the gynae has done a follow up pelvic ultrasound. He is currently on leave and wants to do it himself which is further delays
that is too bad.
well, get the follow up ultrasound
and get that abdominal and pelvic CT Scan as soon as possible.
sorry to clarify, so could a hernia cause a swelling that is undefined the only ones I have seen are quite clearly a hernia
hernias can sometimes be hard to detect on physical exam.
sometimes ultrasounds can see them.
sometimes you need a CT scan to look for them.
ok. would a hernia or ovarian cyst cause the sciatic pain you were referring to in the knee? And what then is causing the abdominal swelling as it is there so its not a hernia that cannot be seen.
usually ovarian cysts have to be super super super large to press on nerves.
some ovarian cysts can produce too much androgen hormone and cause weight gain
this is called polycystic ovarian syndrome.
pinched siatic nerves in the sacrum tends to come from arthritis in the lumbar spine or sacrum.
swelling in the back of the knee can come from poor circulation in the leg
or a baker's cyst in the back of the knee
or lymphedema in the leg if the lymphatic fluid is not draining out of the leg properly.
I already have a diagnosis of pcos I said earlier but it is only one sided the swelling. ok thanks I suppose I am just going to have to wait for the ultrasound before I can proceed to CT and get answers. Just frustrating as in pain. Thanks for your time.
I hope the second ultrasound can get a better look at the ovary.
thanks me too
you might need to go on birth control pills to help regulate your hormones and help control your weight more.
let me know if you have other questions.
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I am on metformin for pcos they don't want to put me on birth control but thanks for the advice
thanks for using JustAnswer.com
you are welcome
has this helped control your weight
to prevent you from gaining too much weight?
yes it has but they put me on it more to get my hormones into a normal range which they now are
that is good.
it is thanks take care
actually an MRI scan of the pelvis and lumbar spine might be best to look at nerves in your lower back
to look for pinched nerves
better than a CT scan.
but MRI scans can be more expensive than CT
the NHS has their way of slowly progressing through the scans
from less expensive to most expensive.
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ok thanks will suggest to gp. Yes meanwhile the patient is in pain, still lucky to have the nhs so will just persevere!
hang in there.