### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Upon the realization I had left a tampon in for 3 days, i quickly removed it. Being no stranger to b.v. I took a sniff of the tampon and a familiar odor was in my nose. The very next morning i woke up in excruciating pain in my left lower abdomen and a very distended belly. I m 5 9 115 lbs so when i push or feel my belly i feel a very firm ball or coil. Another factor is due to me having M.S. I also have chronic urinary tract infections and currently have one. I was given cipro for the UTI and the bacterial infection. 1. Will this rid me of both infections and 2. Is there something else that I should be concerned about?? In your expert opinion is there something that could be going on by my big belly that pains me quite frequently??? Thank you for your time,help,and consideration

### output:

Hi. Thanks for your query and an elucidated history. Read your history about tampon and MS and the problems now you are suffering from. If the tampon is sterile, it may not cause a big problem. This might have caused a minor infection. The smell in fact can be due to infection, and you already have been under tablet Cipro. This should take care of both the infections. I would advise further :Get an infection by a Gynecologist done for an internal examination, send the swab from vagina for gram staining and culture and sensitivity. Add on metronidazole and probiotic as they help to heal the vaginitis and urinary tract too. The cause of distension and pain in the left lower abdomen can be due to :PID. Salpingitis onto mass. The following investigations will help:Routine blood and urine tests with culture and sensitivity. Swab from vaginaStanding X-ray abdomenUltrasonographyI hope you would be fine soon, the moment a ET a proper diagnosis and treatment.