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This question was answered on Fri 22, Feb 2008 09:00am by Dr Bobby V, MD

ovarian cancer - Severe gas and bloating and also abdominal swelling.


    
Asked by gmb (Male ) on Thu 21, Feb 2008 11:08pm

I have severe gas and bloating, also abdominal swelling. I have pain in my left side which radiates down my leg. I have difficulty breathing . I am worried about this being symptoms of ovarian cancer. I have had ultrasound about 2 years ago. I also had a colonscopy within the last year. I did take fertility meds about 15 years ago

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Answer by Dr Bobby V, MD  on Fri 22, Feb 2008 09:00am:

Hi, Early ymptoms of ovarian cancer include bloating, abdominal pain, pelvic pain, early satiety (feeling full quickly after beginning a meal), and frequent urination. However, just going by your symptoms, there are many other possibilities which are more likely than ovarian cancer to be the underlying cause in your case. Symptoms similar to yours may be seen in women eith gastro-intestinal infection/infestation (eg giardiasis or amebiasis) along with musculo-skeletal pain radiating down the leg. Obese woman may also present with breathlessness, abdominal swelling and low back pain radiating to the legs. Women with ovarian cysts too may present with distension and pain. You need to undergo a medical evaluation and a few tests. I suggest that you get routine blood works (hemogram, renal function tests, and liver function tests), stool examination, X-ray chest, X-ray of the lumbo-sacral spine, ECG, and an ultrasound of the abdomen. Based on these reports, we can decide on the next course of action. If ovarian involvement is indicated by ultrasound, we can proceed to confirm or refute ovarian cancer. Also, it would be helpful if you could provide additional details about yourself. What is your age? Do you have a family history of breast cancer or ovarian cancer? Do you normally suffer from gastritis, heartburn, or belching? Why did you have a colonoscopy done? Have you got symptoms of irritable bowel syndrome (frequent passage of stool, diarrhea, constipation) or inflammatory bowel disease (diarrhea, bloating, pain, blood in stool, fever)? Are you a smoker? Have you had cardiac or chest conditions causing breathlessness before? What is your build (slight, normal, or obese)? DO you have back pain? DO you have children? Have you ever injured your back?

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