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Doctor insights on: Fluid Douglas

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40 years, ultrasound detect minimal fluid douglas and large number of epithelial in urine, I have pain in the pelvic and back for 2 months, What is?

40 years, ultrasound detect minimal fluid douglas and large number of epithelial in urine, I have pain in the pelvic and back for 2 months, What is?

TooLittle& Confusing: Information: Ultrasound of what? "minimal fluid douglas" does not make sense. Epithelial cells in urine from urethra is normal; large number likely just reflects not an optimally collected "mid-stream clean-catch" sample which would have ↓ed the epithelial cell concentration seen. Pelvic & back pain may not have anything to do with these observations; just part of common differential evaluation. ...Read more

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NORMAL appendix on CT scan for right lower abdo pain, nausea, temp. Free fluid Douglas pouch and thickening transverse colon. Possible causes?

NORMAL appendix on CT scan for right lower abdo pain, nausea, temp. Free fluid Douglas pouch and thickening transverse colon. Possible causes?

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. ...Read more

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How long fluid in douglas pouch remain after ovulation?

How long fluid in douglas pouch remain after ovulation?

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. ...Read more

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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

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

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. ...Read more

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I try to conceive, folliculometry (cd 17) 17mm, then (cd 20) irregular follicle, fluid in douglas pouch, which days I shall do intercouse to get pregnant?

I try to conceive, folliculometry (cd 17) 17mm, then (cd 20) irregular follicle, fluid in douglas pouch, which days I shall do intercouse to get pregnant?

Simply 11-17: Try day 11 to 17 of your period. Can check daily temp to pin point ovulation day further..........More cost effective. See that the partner has the same desire..... ...Read more

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I've got pain in my Lower right abdomen. CT scan shows free fluid in Douglas pouch on right side. What could this mean?

I've got pain in my Lower right abdomen. CT scan shows free fluid in Douglas pouch on right side. What could this mean?

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. ...Read more

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Ultrasound states I have complex fluid in the pouch of douglas, fluid in pelvis & possibly a hydrosalpinx. Trying to conceive. Should I be worried?

Ultrasound states I have complex fluid in the pouch of douglas, fluid in pelvis & possibly a hydrosalpinx. Trying to conceive. Should I be worried?

Those findings: Are not specific, but could indicate pelvic pathology such as infection/pelvic inflammatory disease or endometriosis. Talk to your doctor about what it might represent in your particular clinical situation. ...Read more

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Possibility of having pid+ douglas fluid accumulation post total hysterectomy? How the bacterias spread in the pelvis? Is it through the vaginal stitch?

Possibility of having pid+ douglas fluid accumulation post total hysterectomy? How the bacterias spread in the pelvis? Is it through the vaginal stitch?

Can't happen: You can not have pid because there is no pathway for a sexually-transmitted infection from the penis to travel up into the pelvic cavity after hysterectomy. You could have a pelvic abscess or an infection from another source but not pid. ...Read more

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Could an ovarian cyst cause 2 weeks nausea, mild fever, right sided abdo pain going into hip and groin. CT showed NORMAL appendix. Fluid in pouch Douglas?

Could an ovarian cyst cause 2 weeks nausea, mild fever, right sided abdo pain going into hip and groin. CT showed NORMAL appendix. Fluid in pouch Douglas?

Irritation: The fluid from the ovarian cyst, upon rupture, can irritate the lining and can cause your symptoms mentioned above. You may need an ultrasound to follow up on the size of the cyst and to determine further interventions. ...Read more

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Endometrial is 8.1mm. Right ovary volume 7.4cc, left 3.15cc. Physiological amount of fluid in pouch of douglas. Is this normal? Pain near bellybutton

Acceptable findings: You appear to gave recently received a pelvic ultrasound, and your findings seem in acceptable range. The endometrial thickness of 8.1 mm does not suggest cancer, nor does your abdominal pain. Please discuss with your primary medical provider if you have further questions. Thank you ...Read more

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I have been trying for pregnancy for over a year now, I went for a scan & it showed fluid in pouch of douglas. What can I do to get pregnant?

I have been trying for pregnancy for over a year now, I went for a scan & it showed fluid in pouch of douglas. What can I do to get pregnant?

See a good doctor.: When a woman doesn't get pregnant after 1 year of trying, we call that infertility. There are a number of reasons why, including sperm problems, not ovulating regularly, tube problems, etc. None of them is likely to be diagnosed by a scan. Some fluid in the pouch of douglas is normal. If it's a lot, it may mean you had an ovarian cyst rupture. That usually takes care of itself. ...Read more

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Why would my small ovarian dermoid cyst (1.6 cm) be causing me pain? Ultrasound showed no torsion and only trace fluid in pouch of douglas.

Inflammation...: A dermoid can form any kind of tissue in the body: teeth, hair, skin, thyroid tissue, etc. It can be painful because it is stretching the ovarian capsule or because it is causing inflammation in the ovary or other surrounding tissue. Best wishes! ...Read more

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Sharp pain during bowel movement on 1st 2 days of menses. MRI shows some small volume fluid in pouch of douglas. Ultrasound found no abnormalities.

You need to continue: Following your GYN doctor to figure out if indeed the pain you feel during bowel movement is attributable to the MRI results - especially since the ultrasound did not find anything to cause the pains. I hope you got a transvaginal ultrasound instead of abdominal ultrasound since the former is much more sensitive to pelvic findings. ...Read more

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

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

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. ...Read more

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No free fluid is in the pouch of douglas is that good or not?

No free fluid is in the pouch of douglas is that good or not?

That would be good.: Normally, fluid does not reside in the pouch of douglas (in the pelvis) and noted on either pelvic ultrasound or ct scan. Inflammation, infection, tumors, trauma can cause such fluid. Abdominal diseases can produce abdominal fluid (ascites) that can track down into the pelvis (pouch of douglas) as well.

Common causes are a ruptured ovarian follicle during ovulation, diverticulitis, cystitis. ...Read more

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I did an ultrasound scan and the results reviewed there is a fluid in the pouch of Douglas and my ovaries are normal so what is wrong with me?

I did an ultrasound scan and the results reviewed there is a fluid in the pouch of Douglas and my ovaries are normal so what is wrong with me?

Nothing: The pouch of Douglas or the cul-de-sac is the low point in the pelvis and any fluid will tend to collect there. A small amount is common and usually is not significant. It may represent residual from ovulation. ...Read more

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I have significant collection of fluid in the pouch of douglas says my pelvic scan, what should I do to conceive?

I have significant collection of fluid in the pouch of douglas says my pelvic scan, what should I do to conceive?

Wait: Would wait and repeat the scan after your next period. It could be from ovulation or it could be a cyst that burst open. First you want to see if it is gone or still there ...Read more

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A CT report shows "Free fluid in the pouch of Douglas, may be physiological". What could this mean or indicate?

A CT report shows "Free fluid in the pouch of Douglas, may be physiological". What could this mean or indicate?

Free fluid: A small amount of fluid in that location is a relatively common finding in premenopausal women, it may relate to recent ovulation. ...Read more

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Could trace free fluid in the pouch of Douglas signify a leaking ovarian cyst? Or is trace too small of an amount since it was also around ovulation.

Could trace free fluid in the pouch of Douglas signify a leaking ovarian cyst? Or is trace too small of an amount since it was also around ovulation.

Interpretation: It is not possible to draw conclusions based on isolated aspects of a radiology study. It is very common to find a trace amount of fluid in the cut de sac when doing a pelvic ultrasound. Without knowing the clinical circumstances no conclusions can be made a this time. Physiologic fluid can be a normal finding. ...Read more

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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?

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?

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? ...Read more

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A discgarge of fluid of the vaagina?

A discgarge of fluid of the vaagina?

See doctor: Any abnormal or unexplained vaginal discharge should be professionally evaluated. Not nearly enough information to even guess at the cause. The possibilities vary with age, sexual lifestyle, contraceptive, whether or not you are pregnant, presence of other symptoms (e.g. pain, itching, sores, vaginal bleeding), and the discharge itself -- color, odor, menstrual cycle. See your doctor. Good luck! ...Read more

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Why should capsules not be crushed or dissolved in any fluids?

Time released: Some medications are time released and cannot be crushed or dissolved in water because it breaks the time release mechanism and all the medication is released at once and not over time as it was designed to release. Some capsules or tablets that are not time released can be dissolved. Follow the instructions for each medication or ask your pharmacist. ...Read more

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What are the types of IV fluids?

What are the types of IV fluids?

3 types: Blood products, crystalloids or plasma expanders and colloids, electrolyte based. ...Read more