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Chronic Lower Left Quadrant Pain
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Ziggy on September 11, 2015 at 5:29 amI recently read Dr. Towfigh’s NY Times article concerning hernias in women. I am 52 years old and have been living with lower left quadrant pain for years. I have been to several doctors and have been diagnosed with IBS, ovarian cyst (now gone), endometriosis, small fibroids, possible diverticulitis. I had a colonoscopy two years ago which show tiny bit of diverticulitis but gastroenterologist said it shouldn’t cause this much pain. I had a total hysterectomy (kept ovaries) 9 months ago. I had some pain relief for a week but while I was recuperating from the surgery, I stupidly used my left leg to close a window behind my bathtub and felt like I strained a muscle. My gynecologist examined me a few weeks later and said the pain is probably from the surgery. I haven’t seen him since January. In August, I went to my interest and she thought possible hernia. She ordered an MRI—which was negative. The pain is constant. I run about 12-16 miles a week. Pain is worse in mornings and bedtime. Twisting and bending hurts. In addition, I have degenerative disc disease —as does everyone else I know! Could this be a hernia?
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Chaunce1234 replied 10 years, 6 months ago 4 Members · 3 Replies -
3 Replies
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drtowfighModeratorSeptember 14, 2015 at 4:39 amChronic Lower Left Quadrant Pain
Hernias in women can be painful with minimal bulging or other exam findings. The pain is usually just above the groin crease. It can radiate around to the back, down the front of the leg, into the labia or vagina, and sometimes up toward the belly button. The pain is typically activity-related, such as with bending, straining, prolonged standing, coughing/laughing, prolonged sitting. It may be worse during your menses.
A truly negative MRI is usually a good bet you don’t have a hernia. The MRI must be of your pelvis and with addition bear-down (valsalva) views.
If it’s debilitating, I agree with Dr Earle that it may be worth it to have a surgical exploration or get a second consult from a hernia specialist especially one interested in hernias among women. Where do you live? We can help you find one.
If not life-altering, then carry on with your life, including exercise, and time will demonstrate if this is a hernia.
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Chaunce1234MemberSeptember 13, 2015 at 12:28 amChronic Lower Left Quadrant Pain
If the pain is in the groin or pelvis, rather than higher up, it certainly could be a hernia. You also have to consider the severity, and limitations of your activity because of the pain. It’s not dangerous, which should be a relief. If it’s bad enough, and your willing to undergo a laparoscopic groin exploration/hernia repair because nothing else could be done, it’s reasonable. The “negative” MRI may actually have a small hernia that was missed. In any case, you will have to decide how bad the problem is, and how far you will go in terms of attempting pain relief. Particularly if that means another operation. Hope this helps!
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