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Date: 21.01.2007
From: Jonathan

Subject: pubic symphysis separation after dramatic weight loss? And related pain & issues.

Hello.

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
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