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Pelvic pain in teens is often nongynecologic. (Diet may Play Role).
SEA ISLAND, GA. -- Pelvic pain in an adolescent is a puzzle with a multitude of confusing pieces, many of which lie outside the domain of gynecology.
Think of abdominal-pelvic pain in a teen as a reminder to look farther afield than would be usual with an adult, Dr. Ann J. Davis said at an ob.gyn. meeting sponsored by the Medical College of Georgia.
The possible diagnoses include gastrointestinal, urologic, and psychological disorders, but the most common cause of abdominal-pelvic pain in the adolescent girl is irritable bowel syndrome, said Dr. Davis of Beth Israel Deaconess Medical Center and Harvard Medical School, Boston.
The unfortunate dietary habits typical of many teens may play a role. "Two liters of diet soda a day isn't uncommon, and the only vegetables she might have eaten yesterday were green peppers on pizza."
But don't forget the adage that every adolescent patient with abdominal pain is pregnant until proven otherwise. "One patient whom I suspected of having an ectopic pregnancy had been negative on the urine test, so I redid the urine test," she said. It turned out that the girl initially had simply given a sample of tap water.
"Teenagers will tell their classmates not to give a doctor a urine sample because they'll be testing it for drugs," she said.
Determining the cause of unexplained abdominal-pelvic pain in the adolescent is complicated by the fact ...
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Source: HighBeam Research, Pelvic pain in teens is often nongynecologic. (Diet may Play Role).