Mysterious Pain and Bleeding: A Guide to Your Symptoms

I want to know what is wrong with me?

Since around middle school, I have experienced unexplained pain between my femur and hip, but it usually resolves within 1 to 2 hours.
However, over the past two years, I have started to experience unexplained vomiting of blood, which occurs at irregular intervals (the amount of blood is not significant, roughly equivalent to a mouthful of saliva, and sometimes includes blood streaks).
Previously, when I had bone pain in middle school, I consulted an orthopedic specialist, and everything was fine.
After I began vomiting blood, I also underwent screening for nasopharyngeal cancer, which came back negative.
However, I still continue to experience these symptoms and would like to know what might be wrong with me.

BI, 20~29 year old female. Ask Date: 2015/06/17

Dr. Liao Yaopan reply Family Medicine

Hello, based on your inquiry and the information provided, it is currently difficult to explain the symptoms with a single diagnosis.
If the bone pain persists, please follow up with an orthopedic specialist.
Additionally, it is important to differentiate between "vomiting" blood and "coughing" up blood, and any oral issues should also be ruled out.
Changhua Hospital cares about your well-being.

Reply Date: 2015/06/17

More Info

It sounds like you have been experiencing a range of concerning symptoms, including intermittent pain in your thigh and hip area, as well as episodes of vomiting blood. These symptoms can be distressing and understandably raise concerns about your health.
Firstly, the pain you describe in your thigh and hip area could be related to a variety of musculoskeletal issues. Conditions such as growing pains, muscle strains, or even issues related to the hip joint itself (like hip impingement or bursitis) can cause intermittent pain. However, since you mentioned that this pain has been ongoing since middle school and has not been thoroughly diagnosed, it would be prudent to seek a comprehensive evaluation from a healthcare professional, preferably an orthopedic specialist. They may recommend imaging studies, such as X-rays or MRIs, to assess the structures in your hip and thigh area more closely.

The more alarming symptom you mentioned—vomiting blood—should be taken very seriously. Hematemesis (the medical term for vomiting blood) can be caused by several conditions, some of which may require urgent medical attention. Potential causes include:
1. Gastrointestinal Issues: Conditions such as gastritis, peptic ulcers, or esophageal varices can lead to bleeding in the upper gastrointestinal tract, which may result in blood being vomited.
2. Infections: Certain infections can cause inflammation and bleeding in the gastrointestinal tract.

3. Vascular Issues: Abnormalities in blood vessels, such as arteriovenous malformations, can also lead to bleeding.

4. Systemic Conditions: Conditions affecting blood clotting, such as liver disease or certain blood disorders, can lead to bleeding.

Given that you have already undergone screening for nasopharyngeal cancer, it is reassuring that this serious condition has been ruled out. However, the presence of blood in your vomit warrants further investigation. It is essential to consult a gastroenterologist who can perform appropriate diagnostic tests, such as an endoscopy, to visualize the upper gastrointestinal tract and identify any potential sources of bleeding.

In summary, while the intermittent pain in your thigh and hip may be related to musculoskeletal issues, the episodes of vomiting blood are concerning and should be evaluated promptly by a healthcare professional. It is crucial to address these symptoms comprehensively to ensure that any underlying conditions are identified and treated appropriately. Do not hesitate to seek medical attention, as timely intervention can be critical in managing health issues effectively.

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