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Pelvic Pain

Are you struggling with pelvic pain? At GastroDoxs in Houston, Dr. Nghia Nguyen provides expert evaluation and personalized treatment for aches, cramps, or pressure below the belly button. With advanced diagnostics and compassionate care, find relief and reclaim your life.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
Nghia Nguyen

About the Expert

Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.

Common Causes and Risk Factors

  • Pelvic pain during pregnancy from stretching ligaments and uterine growth
  • Chronic pelvic pain syndrome without a clear underlying cause
  • Digestive conditions such as IBS, endometriosis or pelvic infections
  • Relevant ICD-10 codes: K58.9 (IBS), N94.6 (painful menstruation), R10.2 (pelvic pain)
  • History of pelvic surgery or infections, high stress, and menstrual disorders

Signs and Symptoms

  • Dull ache or sharp cramp in the lower abdomen
  • Pain during sexual activity or bowel movements
  • Frequent urge to urinate or discomfort with urination
  • Bloating, gas or a sense of fullness
  • Worsening pain after exercise or prolonged standing

How Dr. Nghia Nguyen Diagnoses Pelvic?

Dr. Nguyen uses a step-by-step approach:

Medical and Symptom History

He reviews your pain history, triggers, menstrual or gastrointestinal symptoms, and any relevant ICD-10 codes (e.g. R10.2 for pelvic pain).

Physical Examination

He gently palpates both the lower abdomen and the epigastric region to pinpoint areas of tenderness or spasms.

Imaging Studies

  • Pelvic ultrasound to visualize reproductive organs, bladder, and surrounding structures.
  • Abdominal ultrasound or MRI to assess stomach, pancreas, liver and other upper-abdominal organs.

Laboratory Testing

Blood work and urinalysis to rule out infections, inflammatory markers, or metabolic causes.

Muscle and Functional Assessment

Evaluation of pelvic-floor strength and abdominal-wall muscle tone to detect muscle imbalance or trigger points.

Advanced Diagnostics (if needed)

  • Endoscopy to investigate persistent epigastric pain or suspected ulcer disease.
  • Laparoscopy to explore unexplained chronic pelvic pain and address findings such as endometriosis or adhesions.
Dr. Nghia Nguyen
Treatment

Our Team offers a full range of care for pelvic pain.

1. Lifestyle and Diet Modifications

  • Incorporate anti-inflammatory foods such as leafy greens and berries
  • Maintain adequate hydration with plenty of water
  • Engage in gentle exercise like walking or yoga
  • Practice stress-relief techniques (breathing exercises, counseling)

2. Medications

  • Over-the-counter pain relievers (e.g., ibuprofen)
  • Muscle relaxants or low-dose antidepressants for muscle tension
  • Hormonal treatments for pain related to menstrual cycles

3. Minimally Invasive or Advanced Procedures

  • Laparoscopy to diagnose or remove causes (fibroids, endometriosis)
  • Nerve blocks to interrupt pelvic pain signals
  • Pelvic physical therapy with targeted exercises to relieve muscle spasms
Dr Nghia Nguyen

About the Author

Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.

Frequently Asked Questions

What is the ICD-10 code for pelvic pain?

R10.2 is the general code for pelvic pain, but other codes like K58.9 (IBS) or N94.6 (painful periods) may apply depending on your diagnosis.

Is pelvic pain during pregnancy dangerous?

Most pelvic pain in pregnancy is normal, caused by stretching muscles and ligaments. Dr. Nguyen will evaluate you to ensure you and your baby are safe.

How long does it take to heal after laparoscopy?

Recovery usually takes 1-2 weeks. You may experience mild discomfort, but most patients return to normal activities within this timeframe.

Can chronic pelvic pain be treated without surgery?

Yes. Many cases improve with lifestyle and diet changes, medications, pelvic therapy, nerve blocks, and stress management.

When is pelvic pain an emergency?

Seek urgent care if your pain is severe, sudden, or accompanied by fever, heavy bleeding, or signs of infection.

What non-surgical options are there?

Dr. Nguyen offers nerve blocks, pelvic floor therapy, dietary adjustments, exercise plans, and medications to relieve pain without surgery.

Does Dr. Nguyen accept my insurance?

GastroDoxs works with most major insurance plans. Our team will verify your coverage and explain any out-of-pocket costs before your visit.

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