I'm 55 years old. Five years ago I had a uterine ablation, and since then I haven't had a menstrual period. But, for many years, I've been dealing with relentless bloating. Could this be pelvic congestion syndrome?
Bloating is not usually a symptom of PCS. The most common cause of bloating in your age group would be gallstones. You should see a GI doctor for an evaluation.
Published on Jul 11, 2012
Although the more common symptoms of pelvic congestion involve pelvic heaviness, aching, fullness, pain with intercourse and frequent urination, abdominal bloating can be associated with pelvic congestion syndrome. The diagnosis can be made with transvaginal ultrasound or pelvic venography.
Published on Jul 11, 2012
That's difficult to answer in this format. Bloating per se is not a typical symptom of PCS. The hallmark of PCS is that the symptoms (more pain than bloating) are minimal first thing in the morning and become worse during the day, espicially days where you are upright for many consecutive hours.
Published on Jul 11, 2012
Yes, this could be related to pelvic congestion syndrome. You should consult with a vascular surgeon/specialist. After a physical evaluation and review of your history, it may be necessary to perform an ultrasound. All of these will help your physician determine whether you have PCS, and if so, which treatment options should be used to address it.
Published on Jul 11, 2012
Unlikely. Pelvic congestion syndrome usually presents with chronic pelvic pain. Bloating is likely due to a bowel disorder. An evaluation by a gastroenterologist may help.
Published on Jul 11, 2012
No. Usually, bloating is an intestinal problem. See your primary care physician about this issue. If after testing he or she diagnoses you with PCS, you will be referred to a vascular surgeon who will also examine you and inform you of your treatment options.
Published on Jul 11, 2012
If by "bloating" you mean a full feeling throughout your abdomen and is associated with belching and passing gas, it is unlikely that your symptoms are related to pelvic congestion syndrome. However, if you have feelings of discomfort, pain, or pressure in the pelvic area, possibly extending into your groin or legs which occurs intermittently and is worsened by sexual activity, pelvic congestion syndrome is more likely. In addition to reviewing your medical history and symptoms, your physician will want to perform one or more tests in order to make a clear diagnosis. If PCS is present, he or she will discuss a treatment plan appropriate for you.
Published on Jul 11, 2012