Lower Abdominal Pain and Bleeding: What You Need to Know

Lower abdominal bloating and pain?

I have been experiencing lower abdominal bloating and pain for two days, along with uterine bleeding.
I have taken painkillers, but there has been no improvement.
The bloating and pain come in waves, and I also have diarrhea and poor appetite.
What should I do?

Hong, 10~19 year old female. Ask Date: 2022/04/23

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
"Abnormal vaginal bleeding" has numerous causes, including lifestyle habits and stress, age, vaginal infections, benign gynecological conditions, and malignant tumors, among others.
Therefore, it is recommended that you visit a professional obstetrician-gynecologist for examination and evaluation.
2.
"Vaginal infections" can cause abnormal discharge, perineal itching, odor, burning sensation during urination, frequent urination, and bleeding.
In more severe cases, it may lead to abdominal pain or fever.
The "treatment methods" vary depending on the symptoms and require appropriate health education.
It is advisable to consult with a specialist in obstetrics and gynecology for examination and evaluation.

Reply Date: 2022/04/23

More Info

Experiencing lower abdominal pain accompanied by bleeding and gastrointestinal symptoms such as diarrhea and poor appetite can be concerning and warrants immediate medical attention. The symptoms you describe could be indicative of several underlying conditions, and it is crucial to approach this situation with a comprehensive understanding of potential causes and appropriate actions to take.

Potential Causes of Your Symptoms
1. Gynecological Issues: Given that you mentioned uterine bleeding, conditions such as uterine fibroids, endometriosis, or even ectopic pregnancy could be contributing factors. These conditions can cause significant abdominal pain and irregular bleeding. Endometriosis, in particular, is known for causing cyclical pain that can be severe and may be associated with gastrointestinal symptoms.

2. Gastrointestinal Disorders: The presence of diarrhea and abdominal bloating could suggest gastrointestinal issues such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD) like Crohn's disease or ulcerative colitis, or even infections. These conditions can lead to abdominal pain and changes in bowel habits.

3. Infections: Pelvic inflammatory disease (PID) is another possibility, especially if there is a history of sexually transmitted infections. PID can cause lower abdominal pain, fever, and abnormal bleeding.

4. Urinary Tract Issues: Conditions such as a urinary tract infection (UTI) can also present with lower abdominal pain and may sometimes cause referred pain or discomfort in the pelvic region.

5. Other Considerations: Given your symptoms, it is also essential to consider other systemic issues such as appendicitis, diverticulitis, or even complications related to existing conditions like B-type hepatitis, which you mentioned in previous discussions.

Recommended Actions
1. Seek Medical Attention: It is crucial to consult a healthcare professional as soon as possible. Given the combination of symptoms, a thorough evaluation is necessary. This may include a physical examination, blood tests, urine tests, and imaging studies such as an ultrasound or CT scan to identify any underlying issues.

2. Document Your Symptoms: Keep a detailed record of your symptoms, including the onset, duration, and any factors that seem to exacerbate or relieve the pain. Note any changes in your menstrual cycle, bowel habits, or urinary symptoms, as this information can be invaluable to your healthcare provider.

3. Avoid Self-Medication: While over-the-counter pain relievers can provide temporary relief, they may mask symptoms that are critical for diagnosis. It is best to avoid taking additional medications without consulting a healthcare provider.

4. Hydration and Diet: Since you are experiencing gastrointestinal symptoms, staying hydrated is essential. If you are having diarrhea, consider a bland diet that is easy on the stomach, such as bananas, rice, applesauce, and toast (the BRAT diet). Avoiding spicy, fatty, or heavy foods may also help alleviate some discomfort.

5. Follow-Up Care: If you have already seen a healthcare provider and your symptoms persist or worsen, do not hesitate to seek a second opinion or return for further evaluation. Persistent symptoms warrant further investigation to rule out serious conditions.

Conclusion
In summary, your symptoms of lower abdominal pain, bleeding, and gastrointestinal distress require prompt medical evaluation to determine the underlying cause. Conditions ranging from gynecological issues to gastrointestinal disorders could be at play, and only a healthcare professional can provide a definitive diagnosis and appropriate treatment plan. Do not delay in seeking care, as early intervention can significantly impact outcomes and alleviate discomfort.

Similar Q&A

Understanding Abdominal Pain and Bowel Issues: A Gastroenterology Guide

I have recently been experiencing pressure pain in my lower abdomen, which also hurts when I lie on my side. Sometimes the pain is dull, other times it is cramp-like. I also have the sensation of needing to use the bathroom, but I am unable to do so. Additionally, I feel nauseous...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a 16-year-old female is experiencing lower abdominal pain and abnormal bowel movements with blood in the stool. It is recommended to seek medical attention. The lower abdominal pain may be related to gastrointestinal, gynecological, or urinary tract issues. Common causes o...

Understanding Rectal Bleeding and Abdominal Pain: What You Need to Know

Hello: About two to three weeks ago, I started noticing blood in my stool. At first, it was just a small amount that looked like undigested bits of carrot. I thought I would observe it for a few more days, but yesterday there was suddenly a large amount of bleeding (dark red mixe...

Dr. Hou Yongji reply Surgery
Hello: In addition to hemorrhoids, other conditions such as polyps, inflammation, and tumors can also cause bleeding. These issues can occur in young individuals as well, so performing a lower gastrointestinal barium study is considered a very appropriate examination.

Understanding Rectal Bleeding: Causes, Symptoms, and Next Steps

Hello Doctor: I have been experiencing pain in my left lower abdomen every day for over three years. The location of the pain changes slightly over time, and the sensation is similar to that of a skin abrasion (the pain is located about one to two centimeters from the abdominal s...

Dr. Ke Fangxu reply Surgery
1. It is normal to experience mucus and bleeding after using various enema medications following constipation. Pressure on the rectal mucosa can lead to inflammation and bleeding, and the stimulation from the enema solution can also cause rectal inflammation. 2. The National He...

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 3 PM. It was minor, so I didn't pay much attention to it. ...

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...