Do I need a colonoscopy for pelvic fluid treatment and intestinal problems?

Patient's question:

Last winter, I experienced intermittent lower left abdominal pain. An X-ray revealed pelvic fluid, and after a week of intravenous fluids, the condition improved. Recently, the lower left abdominal pain has returned, similar to menstrual cramps, usually starting in the afternoon. When I had another X-ray, the doctor said it wasn't a gynecological issue but considered it to be an intestinal problem. Should I undergo a colonoscopy?

Doctor's answer:

How long have you been experiencing pain in the lower left abdomen? Do you have any other accompanying symptoms, such as fever, nausea, vomiting, or constipation? After ruling out gynecological diseases, you can go to general surgery and have a doctor perform an abdominal examination. Based on the nature and location of the pain, as well as the presence of any masses or other conditions, a comprehensive diagnosis can be made. For patients with pelvic effusion, in addition to taking medication for symptomatic treatment, dietary therapy can be used as a supplementary treatment in daily life. It is essential to avoid excessive hunger or fullness in daily eating habits and never overeat.

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