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pubic symphysis separation after dramatic weight loss? And related pain & issues.
pubic symphysis separation after dramatic weight loss? And related pain & issues.
About a year and a half ago I lost around 130 pounds via a low calorie diet. As the weight loss was
concluding I starting having incredibly high levels of urinary track area type pain. Some scopings
and culturings claimed that there was no infection. Then one internist told me that some people who
loose a lot of weight get public symphysis separation - even some men. I also happen to have
sacroiliac & hip arthritis - probably both due to the many years I spent as an obese person.
Anyway I've been on pain pills for about a year now, but the internist who prescribed them would
like me to see a bone doctor. But I have some questions though which maybe some here can answer.
I've been searching on the web for some answers but haven't found any yet.
1. Have you heard that people who loose a lot of weight sometimes get pubic symphysis separation?
2. Is pubic symphysis separation always detectable with an MRI?
3. Could sacroiliac or hip arthritis feel like a raging UTI, just as pubic symphysis separation also
supposedly can?
Anyway I guess I don't have a raging UTI, but when I'm off my pain meds it feels like I do - bone
crushing flesh ripping type pain. Perhaps that's the price I have to pay for a.) many years of being
morbidly obese, and then b.) loosing the weight in a dramatic way. I'm considering going to a bone
doctor, but with the advent of the net I think there's no need to wait a month for a 5 minute doctor
visit just so that I can theoretically get answers to these key questions (assuming the doctor I
happen to see knows anything about dramatic weight loss as it relates to pubic symphysis
separation).
If you happen to have answers to the above questions though please let me know.
Sincerely,
Jonathan
About a year and a half ago I lost around 130 pounds via a low calorie diet. As the weight loss was
concluding I starting having incredibly high levels of urinary track area type pain. Some scopings
and culturings claimed that there was no infection. Then one internist told me that some people who
loose a lot of weight get public symphysis separation - even some men. I also happen to have
sacroiliac & hip arthritis - probably both due to the many years I spent as an obese person.
Anyway I've been on pain pills for about a year now, but the internist who prescribed them would
like me to see a bone doctor. But I have some questions though which maybe some here can answer.
I've been searching on the web for some answers but haven't found any yet.
1. Have you heard that people who loose a lot of weight sometimes get pubic symphysis separation?
2. Is pubic symphysis separation always detectable with an MRI?
3. Could sacroiliac or hip arthritis feel like a raging UTI, just as pubic symphysis separation also
supposedly can?
Anyway I guess I don't have a raging UTI, but when I'm off my pain meds it feels like I do - bone
crushing flesh ripping type pain. Perhaps that's the price I have to pay for a.) many years of being
morbidly obese, and then b.) loosing the weight in a dramatic way. I'm considering going to a bone
doctor, but with the advent of the net I think there's no need to wait a month for a 5 minute doctor
visit just so that I can theoretically get answers to these key questions (assuming the doctor I
happen to see knows anything about dramatic weight loss as it relates to pubic symphysis
separation).
If you happen to have answers to the above questions though please let me know.
Sincerely,
Jonathan
Re: pubic symphysis separation after dramatic weight loss? And related pain & issues.
"Jonathan" <birdman@cyberspace-remove-this-part.org> wrote in message
news:r1a7r2l9q516h2s6c9us90dkj9hu661msh@4ax . com ...
>
> About a year and a half ago I lost around 130 pounds via a low calorie
> diet. As the weight loss was
> concluding I starting having incredibly high levels of urinary track area
> type pain. Some scopings
> and culturings claimed that there was no infection. Then one internist
> told me that some people who
> loose a lot of weight get public symphysis separation - even some men. I
> also happen to have
> sacroiliac & hip arthritis - probably both due to the many years I spent
> as an obese person.
>
> Anyway I've been on pain pills for about a year now, but the internist who
> prescribed them would
> like me to see a bone doctor. But I have some questions though which maybe
> some here can answer.
> I've been searching on the web for some answers but haven't found any yet.
>
> 1. Have you heard that people who loose a lot of weight sometimes get
> pubic symphysis separation?
>
> 2. Is pubic symphysis separation always detectable with an MRI?
>
> 3. Could sacroiliac or hip arthritis feel like a raging UTI, just as pubic
> symphysis separation also
> supposedly can?
>
> Anyway I guess I don't have a raging UTI, but when I'm off my pain meds it
> feels like I do - bone
> crushing flesh ripping type pain. Perhaps that's the price I have to pay
> for a.) many years of being
> morbidly obese, and then b.) loosing the weight in a dramatic way. I'm
> considering going to a bone
> doctor, but with the advent of the net I think there's no need to wait a
> month for a 5 minute doctor
> visit just so that I can theoretically get answers to these key questions
> (assuming the doctor I
> happen to see knows anything about dramatic weight loss as it relates to
> pubic symphysis
> separation).
>
Pubic symphysis separation is not uncommon associated with pregancy due to
hormonal softening to allow some pelvic separation preparatory to
childbirth, but with the exception of trauma, I've not seen it or even heard
of it in males, nor in association with weight loss. This is not reported in
any bariatric literature that I've seen, nor have we seen it in our practice
in almost 1000 bariatric surgery patients over the last 7 years, and in that
setting a 100+ pound weight loss in the first year is routine.
AFAIK it should certainly be radiographically diagnosable by plain pelvic
xray, let alone CT or MRI. If such xrays don't demonstrate that, than I
would certainly doubt the diagnosis of pubic symphysis separation.
Your symptoms sound much more like osteitis pubis. This inflammation can be
seen after blunt pelvic trauma, or also as a complication of surgery in the
pelvis or groin, such as suprapubic prostatectomy or inguinal hernia repair.
This diagnosis makes more sense relative to your description above,
especially if you've anything like that kind of surgery.
* w w w .google . com /search?hl=en&lr=&safe=off&q=osteitis+pubis&btnG=Search
HMc
"Jonathan" <birdman@cyberspace-remove-this-part.org> wrote in message
news:r1a7r2l9q516h2s6c9us90dkj9hu661msh@4ax . com ...
>
> About a year and a half ago I lost around 130 pounds via a low calorie
> diet. As the weight loss was
> concluding I starting having incredibly high levels of urinary track area
> type pain. Some scopings
> and culturings claimed that there was no infection. Then one internist
> told me that some people who
> loose a lot of weight get public symphysis separation - even some men. I
> also happen to have
> sacroiliac & hip arthritis - probably both due to the many years I spent
> as an obese person.
>
> Anyway I've been on pain pills for about a year now, but the internist who
> prescribed them would
> like me to see a bone doctor. But I have some questions though which maybe
> some here can answer.
> I've been searching on the web for some answers but haven't found any yet.
>
> 1. Have you heard that people who loose a lot of weight sometimes get
> pubic symphysis separation?
>
> 2. Is pubic symphysis separation always detectable with an MRI?
>
> 3. Could sacroiliac or hip arthritis feel like a raging UTI, just as pubic
> symphysis separation also
> supposedly can?
>
> Anyway I guess I don't have a raging UTI, but when I'm off my pain meds it
> feels like I do - bone
> crushing flesh ripping type pain. Perhaps that's the price I have to pay
> for a.) many years of being
> morbidly obese, and then b.) loosing the weight in a dramatic way. I'm
> considering going to a bone
> doctor, but with the advent of the net I think there's no need to wait a
> month for a 5 minute doctor
> visit just so that I can theoretically get answers to these key questions
> (assuming the doctor I
> happen to see knows anything about dramatic weight loss as it relates to
> pubic symphysis
> separation).
>
Pubic symphysis separation is not uncommon associated with pregancy due to
hormonal softening to allow some pelvic separation preparatory to
childbirth, but with the exception of trauma, I've not seen it or even heard
of it in males, nor in association with weight loss. This is not reported in
any bariatric literature that I've seen, nor have we seen it in our practice
in almost 1000 bariatric surgery patients over the last 7 years, and in that
setting a 100+ pound weight loss in the first year is routine.
AFAIK it should certainly be radiographically diagnosable by plain pelvic
xray, let alone CT or MRI. If such xrays don't demonstrate that, than I
would certainly doubt the diagnosis of pubic symphysis separation.
Your symptoms sound much more like osteitis pubis. This inflammation can be
seen after blunt pelvic trauma, or also as a complication of surgery in the
pelvis or groin, such as suprapubic prostatectomy or inguinal hernia repair.
This diagnosis makes more sense relative to your description above,
especially if you've anything like that kind of surgery.
* w w w .google . com /search?hl=en&lr=&safe=off&q=osteitis+pubis&btnG=Search
HMc
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