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I have free fluid in the pouch of Douglas and near an ovary. Is it serious?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have been referred to go see a urologist as I have a small quantity of free fluid in the pouch of Douglas and beside the right ovary. I have this feeling for about three months. I always feel like I have a full bladder and sometimes get pain. Sometimes I have constipation and cramping-like pain after eating. The bladder is well distended and thin-walled. The postvoid residue of 0.07 pints. Is this serious? Kindly give your opinion.

Answered by Dr. Ankush Jairath

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Fluid in the pouch of Douglas can be a physiological thing and can be seen after ovulation in the mensural cycle. If you have urgency, frequency of micturation, then you might be having an overactive bladder. I suggest you take tablet Mirabegron 25 mg once in the afternoon for one month. We will wait for how you respond to this medication before considering further investigation or treatment plan.

I hope this was helpful.

Patient's Query

Hi doctor,

Thank you.

Will this help the feeling of always having the feeling of fullness? I was just when I got the scan. It was two weeks before my period. I have two different consultants, a male, and a female. Does it matter if it is a man or woman as I am female? Would a woman be better at diagnosing and understanding me, or does it matter? How to get a prescription? Kindly give your opinion.

Answered by Dr. Ankush Jairath

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

No, it does not matter (male or female). The thing which matters is their knowledge. You have to get that tablet written by a local general practitioner.

I hope this was helpful.

Medically reviewed by Dr. Sushrutha M.
Published At July 19, 2021
Reviewed At August 7, 2023

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sushrutha M. is an ambitious Dentist who completed her BDS degree from JSS Dental College and Hospital. In 2019, she pursued a Postgraduate Certification course in Esthetic Dentistry from M.S. Ramaiah Dental College. Fluent in English, she possesses six years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

DNB

Professional Bio:

Dr. Ankush Jairath is a Consultant Urologist with expertise in diagnosing and managing a wide range of urological conditions. His skills include performing minimally invasive and endoscopic procedures, managing kidney stones, prostate disorders, urinary tract infections, and male infertility. He is also trained in laparoscopic urological surgeries, uro-oncology, and reconstructive urology. Dr. Jairath provides patient-centered care with a focus on both surgical and non-surgical management of complex urological conditions.

This doctor is not available for online consultations on the platform anymore.

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