Question 1

what is douglas pouch and what does it mean if it contains fluids?

Accepted Answer

Pouch of Douglas: Is the peritoneal fold between the back wall of the uterus and front wall of rectum in women.  It is the most dependent portion of the peritoneal cavity.  When pelvic organs are inflamed or an ovarian cyst ruptures or bleeds, the reactive fluid, cyst fluid, or blood can collect here.

Question 2

how long fluid in douglas pouch remain after ovulation?

Accepted Answer

Probably 2 weeks: This is just a guess, but the fluid that is present from ovulation (release of an egg) is very minimal and probably gets reabsorbed very quickly.  This is confused by a small amount of blood that comes from the tubes during menstruation and also appears as fluid in the pelvis.

Question 3

if there is free fluid in douglas pouch can i tell when exactly ovulation occurred? how long it stay after ovulation?

Accepted Answer

Not reliable: Fluid in the culture de sac can suggest ovulation but i would rely on it. It can disappear quickly and be caused by other things.

Question 4

to b able to conceive , i did tvus fluid in douglas pouch, when shall do intercourse?before or after i find fluid in douglas pouch

Accepted Answer

Don't know: It's pretty common for there to be a little bit of free fluid in every woman's pouch of douglas as it were.  The lining of the abdomen, the peritoneum, produces fluid to lubricate all of the internal organs and naturally this fluid accumulates in the pelvis because were upright most of the time.  Unless there was a lot of fluid, evidence of ovarian cyst rupture i wouldn't necessarily be worried.

Question 5

i've got pain in my lower right abdomen. ct scan shows free fluid in douglas pouch on right side. what could this mean?

Accepted Answer

Emergency..: If you have abdominal pain and had CT. Free fluid in lower part of pelvis( Douglas pouch) is never normal. It could be ruptured tubal pregnancy, appendix or other acute abdomen emergency. Please, call MD. who order CT or go to emergency if ongoing pain .

Question 6

constant severe right sided lower abdo pain and nausea. ct scan showed normal appendix. fluid on right side of douglas pouch seen and diverticula. dx?

Accepted Answer

Not enough info: Causes of recurrent abdominal discomfort as described may be identified by first addressing signs/symptoms so as to localize the organ involved: in women: vaginal discharge or bleeding, alteration in periods, pregnancy risk? Fever, nausea, vomiting, altered stool pattern, blood with stool, tenderness, distension? Painful urination, blood in urine? Recent trauma, herniation? Stressors? Other risks?

Question 7

mild thickening transverse colon,diverticula of sigmoid and mild free fluid douglas pouch. on ct. could this explain my appendicitis like sx?

Accepted Answer

Can be of more help: ...if we understand how you define "appendicitis like symptoms" please.

Question 8

normal appendix on ct scan for right lower abdo pain, nausea, temp. free fluid douglas pouch and thickening transverse colon. possible causes?

Accepted Answer

Enterocolitis?: Thickened colon is usually sign of inflamed or infected bowel such as Enterocolitis. Your doctor can do blood tests, stool sampling , other imaging to exclude or confirm this diagnosis. Sometimes endoscopy is utilized. Medical therapy, antibiotics and antiinflammatory drugs , may be used.

Question 9

slightly elevated white blood cell count, previous lower left abdominal tenderness, now bloating and rectal pain around douglas' pouch.  acute atypical appedicitis? young er doc says no, i am worried.

Accepted Answer

So: Appendicitis pain fever develop. Left side could be sign of proctitis, or diverticulitis. Go see gi.

Question 10

what does it mean to have fluid around the cul de sac in males?

Accepted Answer

Probably nothing: The area you describe lies between the rectum and the bladder. A urologist is really the one to ask but it is at the lowest potion of the peritoneum. perhaps a few mililiters of fluid would naturally occur there.

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Doctor answers about:

Douglas pouch

A member asked:

What is douglas pouch and what does it mean if it contains fluids?

A member asked:

How long fluid in douglas pouch remain after ovulation?

A member asked:

If there is free fluid in douglas pouch can i tell when exactly ovulation occurred? how long it stay after ovulation?

A member asked:

To b able to conceive , i did tvus fluid in douglas pouch, when shall do intercourse?before or after i find fluid in douglas pouch

A member asked:

I've got pain in my lower right abdomen. ct scan shows free fluid in douglas pouch on right side. what could this mean?

A member asked:

Constant severe right sided lower abdo pain and nausea. ct scan showed normal appendix. fluid on right side of douglas pouch seen and diverticula. dx?

A member asked:

Mild thickening transverse colon,diverticula of sigmoid and mild free fluid douglas pouch. on ct. could this explain my appendicitis like sx?

A member asked:

Normal appendix on ct scan for right lower abdo pain, nausea, temp. free fluid douglas pouch and thickening transverse colon. possible causes?

A member asked:

Slightly elevated white blood cell count, previous lower left abdominal tenderness, now bloating and rectal pain around douglas' pouch. acute atypical appedicitis? young er doc says no, i am worried.

A member asked:

What does it mean to have fluid around the cul de sac in males?

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