Hi doctor, I have had small cysts in the past that would come and go during childbearing or menstruating years. I also have IgA deficiency, chronic inflammatory arthritis, autoimmune hypothyroid and low WBC count. My present condition is, for past several weeks I have been having pain in the lower left area of abdomen that goes into my left lower back and on the side of left hip or front at times. I also get pain into the lower pelvic area and sensations in my bladder like it is being kicked like when I was pregnant. I have decreased appetite, abdominal bloating and swelling on the left side of my abdomen. It is quite uncomfortable to have a bowel movement and I have increased constipation. Most of the time I have very little appetite and when I do eat I get full very quickly. I also have nausea on and off and at times it is so bad I feel as though I am going to vomit, but I have not. Three months back, I had sigmoidectomy for chronic diverticulitis. After two months that is last week due to the above symptomology, I had a CT and flexible sigmoidoscopy done as my treating doctors felt there could be a narrowing of the colon formed during the healing process. Both test were good, no problems or obvious issues (other than constipation) seen. Now I am on Prozac, Synthroid, Hydroxychloroquine, Methotrexate, Folic acid, Prevacid and Flonase. However, the pain and other symptoms have continued and actually worsened since. I am now thinking it is a cyst on my left ovary. How concerned do I need to be? And how soon should I see a doctor? I have attached my reports for your reference. Kindly guide.
Hello. The symptoms and an abdominal lump in the left lower abdomen with constipation and bladder symptoms with bloating and decreased appetite do indicate a possibility of a large adrenal mass which could be a developing and growing ovarian cyst or mass, which should be ruled out with an urgent ultrasound pelvis scan. As the possibility of a colonic stricture obstruction has been ruled out three months back, a sudden increase in the size of abdominal lump with pressure symptoms do indicate a possible fast growing mass or cyst. This can be a late manifestation of post sigmoidectomy stricture which was not evident then, but the possibility of an ovarian mass or an ovarian tumor cannot be ruled out. I suggest an urgent ultrasound pelvis scan and hence, please seek an early appointment with your gynecologist. Please follow up to discuss the progress. Revert back after the investigation to an obstetrician and gynaecologist online -->