Womens Health

You may need a sigmoid to look at the rectum and colon. The uterine bleeding will also need some work-up unless it goes away with one or two cycles of hormone suppression.

The doctor may want to do a pelvic ultrasound but if your exam is normal, that could be put off until the rectum and colon are evaluated.

Burning sensation in lower pelvis

At 21 weeks pregnancy I went into preterm labor and sometime during the delivery the baby's head became stuck due to its size. It took a long time to deliver the baby due to this problem and the baby was stillborn.

Ever since my postpartum check-up I have had a burning sensation in the lower pelvic area around the bladder area and inside my vaginal area. I have been treated with Cipro® and Bactrim® with no improvement.

I saw a urologist who saw no problems on scope of the bladder and an IVP test for stones was negative. Yesterday I went back to my obstetrician and she said it would not be unusual for me to have bladder spasms due to the difficult delivery.

She said my uterus is just too tender for 7 wks after delivery and is very confident I have a low grade infection. She gave me a shot and new antibiotics doxycycline and did a uterine biopsy (report not back) and examination.

My symptoms are no better after several days. The doctor told me to take Xanax® and this does seem to lesson the pain. If I had an infection wouldn't the antibiotics clear it up by now? What could be going on and what should I do now?

Most of the time antibiotics clear up an infection but not always. This second course may help. An alternative explanation to the pain is muscle or ligament or bony damage or swelling without infection.

Perhaps an MRI could help determine this. This is an instance where the doctor's exam and knowledge of what went on at delivery will be the primary factors in determining what studies or treatment to do next.

Strep viridans infection

My friend had a E-coli urinary tract infection and took Cipro® for 2-3 weeks. Then a second urine culture in a Soy Broth Culture grew out STREP VIRIDANS.

What is this exactly, and how is it treated. How does a person get this type of bacteria? Also I have heard that the bladder has many layers, and that as each layer gets treated for the bacteria, the next layer may have another type of bacteria, and that is why individuals sometimes need to be on antibiotics for 3-7 months? Is there any place I can get information on this?

Strep viridans is usually from the respiratory tract. It is unusual in the urinary tract although it can occur, possibly by blood borne sepsis from lung infection (pneumonia) or heart valve or heart infections such as (endocarditis).

Your friend should be checked for these serious infections. Another source of this bacteria in the urinary tract could be from oral-genital sexual relations.

I'm not aware of bacteria in different layers of the bladder but some bacteria may be resistant or nonsusceptible to the antibiotics being used or the patient becomes reinfected after treatment because the source of infection is not eliminated or with a new bacteria.

Table of Contents
1. Urinary tract problems
2. Burning sensation
3. Vaginal strep
4. Rare: strep viridans
5. E. Coli
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