Abdominal pain with urination and bleeding?
Hello Doctor, I have a few questions I would like to ask:
First, while I was working on a report last night, I felt some bloating and discomfort in my abdomen after sitting for about two hours.
When I stood up, the discomfort did not improve, and I noticed a bulging area between my chest and navel that was painful to press and difficult to compress.
Could this discomfort be due to sitting for too long, or could it be related to gas from eating, or possibly a parasitic infection?
Second, after I finished urinating, I noticed something in the toilet that gradually expanded with the water, resembling a folded line.
It stopped moving when the water surface was still, and it had a somewhat dark skin color.
Could this be a parasite, and might it be related to the upper abdominal bloating and pain?
Lastly, I have experienced bleeding from my genital area for about three days, which is similar in volume to the end of a menstrual period.
This seems to be abnormal bleeding.
Could this be triggered by the factors mentioned earlier? However, it has stopped now.
Is it possible that this is just irregular menstruation, or could it be indicative of another issue?
Thank you, Doctor, for your response.
Although I have many questions, I hope each one can be addressed.
I appreciate you taking the time to clarify these concerns.
yu, 10~19 year old female. Ask Date: 2018/11/11
Dr. Sun Hongshun reply Urology
Hello,
1.
If you are experiencing a feeling of bloating or discomfort in the abdomen, particularly between the chest and the navel, this may be related to abdominal cavity symptoms.
If this persists, it is advisable to seek assistance from a gastroenterologist.
2.
It is unclear whether the object in question has been expelled from the body or if it is a floating object in the toilet.
If this continues and you experience any discomfort, it is recommended that you consult a urologist.
3.
Is the bleeding occurring before or after menstruation, or is it part of your menstrual cycle? If this is a recurring issue and is related to your menstrual timing, it is advisable to seek assistance from a gynecologist.
Reply Date: 2018/11/11
More Info
Understanding abdominal discomfort, urination issues, and unusual bleeding can be quite complex, as these symptoms may stem from various underlying conditions. Let's break down your concerns one by one.
Abdominal Discomfort
You mentioned experiencing abdominal discomfort after sitting for an extended period while working on a report. This discomfort, particularly if it feels like bloating or pressure in the area between your chest and belly button, could be attributed to several factors:
1. Posture and Sitting Duration: Sitting for long periods can lead to muscle tension and discomfort in the abdominal area. Poor posture may also contribute to this sensation. When you sit, especially if you are hunched over, it can compress your abdominal organs, leading to discomfort.
2. Bloating: If you recently ate, you might be experiencing bloating, which is common after meals, especially if they are rich in carbohydrates or fats. Bloating can cause a feeling of fullness and pressure in the abdomen.
3. Gastrointestinal Issues: Conditions such as gastritis or irritable bowel syndrome (IBS) can cause discomfort after eating or prolonged sitting. If you have a history of gastrointestinal issues, this could be a contributing factor.
4. Parasites: While it's less common, gastrointestinal parasites can cause abdominal discomfort. If you have traveled recently or have other symptoms like diarrhea or weight loss, this might be worth investigating.
Unusual Object in Urine
You described finding something in the toilet after urination that resembled a dark, folded line. This could be concerning, and while it’s difficult to diagnose without seeing the object, here are some possibilities:
1. Mucus or Tissue: Sometimes, what appears in urine can be mucus or tissue from the urinary tract. This is often not harmful but can be alarming.
2. Parasites: If you suspect it might be a parasite, consider any recent symptoms you may have experienced, such as abdominal pain, diarrhea, or changes in appetite. If you have concerns about parasites, a stool sample or urinalysis can help identify them.
3. Other Causes: If this occurrence continues, it would be wise to consult a healthcare professional for a urinalysis to rule out any infections or other issues.
Unusual Bleeding
The bleeding you experienced for three days, resembling the end of a menstrual period, is indeed concerning, especially if it is outside your normal menstrual cycle. Here are some considerations:
1. Ovulation Bleeding: Some women experience light bleeding or spotting during ovulation, which can occur around the middle of the menstrual cycle. This is usually not a cause for concern.
2. Hormonal Imbalance: Irregular bleeding can also be a sign of hormonal imbalance, which can be influenced by stress, diet, or changes in physical activity.
3. Uterine Issues: Conditions such as fibroids, polyps, or endometriosis can lead to abnormal bleeding. If you have a history of heavy or irregular periods, this might be worth discussing with a gynecologist.
4. Infection: Infections of the reproductive organs can also cause unusual bleeding. If you have any accompanying symptoms like fever, unusual discharge, or pain, seek medical attention.
Conclusion
Given the complexity of your symptoms, it is essential to consult with a healthcare provider who can perform a thorough evaluation, including a physical examination and possibly imaging studies or lab tests. Keeping a detailed record of your symptoms, including their duration, frequency, and any associated factors (like diet or stress), can be very helpful for your healthcare provider in diagnosing the issue.
In summary, while some of your symptoms may be benign, it is crucial to address them with a medical professional to rule out any serious conditions and to receive appropriate treatment.
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