Lower Abdominal Pain and Rectal Discomfort: When to Seek Help

Lower abdominal pain accompanied by rectal spasms and fluid discharge?

Hello, I usually have regular bowel movements in the morning (soft stools) and experience excessive gas.
I have hemorrhoids but rarely have blood in my stools.
Recently, after my menstrual period ends, I have been experiencing pain and cramping in my lower abdomen or left side, frequent urination, a feeling of urgency to have a bowel movement without being able to, and persistent pain in the anal area.
There is also a discharge (odorless) or blood stains on my underwear.
I consulted a gynecologist, who mentioned that I have fibroids but could not explain whether my symptoms are related to the fibroids.
What should I do? Should I see a gastroenterologist?

Chen, 30~39 year old female. Ask Date: 2020/05/13

Dr. Chen Shidian reply Gastroenterology and Hepatology

You can first check for fecal occult blood, and if the results are abnormal, then proceed with a colonoscopy.

Reply Date: 2020/05/13

More Info

Lower abdominal pain and rectal discomfort can be distressing symptoms that may arise from a variety of underlying conditions. Given your description, it is essential to consider both gynecological and gastrointestinal factors, especially since you have a history of uterine fibroids and rectal issues such as hemorrhoids.

Firstly, the presence of fibroids can indeed contribute to pelvic pain and discomfort. Fibroids can exert pressure on surrounding organs, including the bladder and rectum, leading to symptoms such as frequent urination, a feeling of urgency, and even changes in bowel habits. The pain you experience post-menstruation could be related to hormonal fluctuations that affect the fibroids, causing them to swell or become more symptomatic during certain times of your menstrual cycle.

The symptoms of rectal pain, the sensation of incomplete evacuation, and the discharge you mentioned could indicate several potential issues. Hemorrhoids, which you noted, can cause pain and discomfort, especially during bowel movements. However, the presence of liquid discharge and blood stains on your underwear raises the possibility of other conditions, such as anal fissures, infections, or even inflammatory bowel disease (IBD).
Given the complexity of your symptoms, it would be prudent to seek further evaluation. While your gynecologist has assessed the fibroids, it may be beneficial to consult a gastroenterologist. They can perform a thorough evaluation of your gastrointestinal tract, including potential imaging studies or endoscopic procedures if necessary, to rule out conditions such as IBD, diverticulitis, or other gastrointestinal disorders that could be contributing to your symptoms.

Additionally, consider discussing your symptoms with your primary care physician, who can help coordinate care between specialists and ensure that all aspects of your health are being addressed. They may also recommend dietary changes, medications, or other interventions to help manage your symptoms.

In summary, while your fibroids may be contributing to some of your symptoms, the combination of lower abdominal pain, rectal discomfort, and changes in bowel habits warrants a comprehensive evaluation by a gastroenterologist. Early intervention can help alleviate your discomfort and address any underlying issues effectively. Remember to keep a detailed record of your symptoms, including their frequency, duration, and any associated factors, as this information can be invaluable during your consultations with healthcare providers.

Similar Q&A

Understanding Lower Abdominal and Rectal Pain: When to Seek Medical Advice

Hello, doctor: I've been experiencing lower abdominal pain for over a week now. I have pain in my anus during bowel movements, and I feel abdominal pain when walking and anal pain when sitting. Should I get a colonoscopy?

Dr. Chen Shidian reply Gastroenterology and Hepatology
You can first visit the colorectal clinic for an examination to determine the possible causes.

Understanding Lower Abdominal Pain: Causes and When to Seek Help

Lower abdominal discomfort, often occurring after bowel movements, please advise on the appropriate medical specialty to consult and possible underlying causes. Thank you!

Dr. Lin Wenbin reply Obstetrics and Gynecology
Please visit a gastroenterologist for an examination to determine the cause of your condition.

Understanding Lower Abdominal Pain: Causes and When to Seek Help

Hello doctor, this afternoon around 1 or 2 PM, after eating and using the restroom, I started to feel a slight stabbing pain in the lower left area of my abdomen (about three fingers' distance from the navel) at around 3 PM. It was minor, so I didn't pay much attention ...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Please pay attention to whether your discomfort is caused by irregular bowel movements or if you have consumed any irritating foods. It is advisable to drink plenty of water and monitor for any worsening pain or fever. If it's an emergency, you can go to the emergency...

Understanding Discomfort in the Lower Left Abdomen: When to Seek Help

Hello Doctor: About a month ago, I started feeling a strange sensation in my lower left abdomen (just above the bladder). Although it hasn't reached the level of pain, it feels quite unusual. Approximately four weeks ago, I visited Chung Shan Hospital and had a urine test an...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello, you only need to continue monitoring your condition. If there is no improvement, please discuss it with your physician. Changhua Hospital cares about your health. Chen Shidian