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My wife had a HSG Test done w/ x-rays 4 days ago. Last night she was complaining about a sharp pain in the lower left quadrant of her lower abdomen. She said it was very painful and was not going away or becoming less intense. By the time for today came, she was complaining about the pain, it being 5/5 at times. She described this pain as a sharp stabbing constant pain. However, now the pain is radiating around the lower left of her abdomen to her lower left back. The area is very tender and the pain spikes even when slightly pushed on in both the areas, abdomen and lower back. Is this a common side-effect of having the HSG Test? Especially if both of her tubes are blocked and she has been diagnosed with Endometriosis. Please help me figure this out so I know whether or not she needs to be seen at a hospital.

PAST HISTORY : Endometriosis, Hypertension, both Fallopian Tubes are Blocked,

2 Answers

Dr. Puneet Madan answered : 12 years ago

Hi,

HSG test can lead to salpangitis or endometritis,which can cause lower abdominal pain,fever,stomach bloating,vaginal bleeding(may be slight bleeding for 2-3 days).

She can have a pain killer like dicyclomine hydrochloride 10 mg or mefenamic acid 250 mg) and tablet tds,pantoprazole 40mg bd for abdomen pain. If bleeding is light nothing needs to be done,else if bleeding or pain is too much then you may consult a doctor.

You may also use hot and cold water sponges she may feels relived by that also,she should have plenty of water and have a light meal

Does she feel any pain during micturition ?

Feel free to ask further questions.

Patient asked followup Question: 12 years ago

Does she feel any pain during micturition? No but lately she has had to go often even if she just has one glass of water she has to urinate about 3-4 times. and often times nothing comes out even with to urge to pee. also today her temp has climbed to a 101.4*F Temp.

Dr. Puneet Madan answered : 12 years ago

Hi,

By telling that she also has fever,one thing is confirmed that she has an infection. Now if she has problem in her micturition too then either the infection is in her urinary tract or the pelvis which will have to be seen first and then an antibiotic can be started. So you have to consult your doctor now.

Feel free to ask further question.

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