[18F] Post-coital bleeding and abdominal pain

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Post-Coital Bleeding:

   • Cause: This can occur due to friction or minor trauma during intercourse, especially if it was rougher than usual. It can also be due to cervical irritation or infections.
   • Typical Treatments/Testing: If the bleeding was minor and has stopped, it may not require immediate medical attention. However, if it recurs or is accompanied by other symptoms, a pelvic exam and possibly a Pap smear or STI testing might be recommended.

2. Gastrointestinal Issues:

   • Cause: The crampy abdominal pain and diarrhea could be related to gastrointestinal issues such as irritable bowel syndrome (IBS) or a gastrointestinal infection.
   • Typical Treatments/Testing: Over-the-counter medications for diarrhea and pain relief can help. If symptoms persist, a doctor might recommend stool tests or other diagnostic procedures.

3. Early Pregnancy:

   • Cause: Although less likely given the timing, early pregnancy can sometimes cause spotting and cramping.
   • Typical Treatments/Testing: Taking a home pregnancy test can help determine if this is a factor. If positive, follow up with a healthcare provider for further evaluation.

What you can do

Post-Coital Bleeding:

• Immediate Steps: Since the bleeding has stopped, monitor for any recurrence. Avoid rough intercourse until you feel fully healed.
• At Home: Maintain good hygiene and consider using a lubricant during intercourse to reduce friction.
• Medical Attention: If bleeding recurs or is accompanied by severe pain, unusual discharge, or fever, see a healthcare provider.

Abdominal Pain and Bloating:

• Immediate Steps: Since the pain has subsided, continue to monitor your symptoms.
• At Home: Stay hydrated, eat a balanced diet, and avoid foods that can cause bloating. Over-the-counter antacids or anti-gas medications may help.
• Medical Attention: If the pain returns or worsens, or if you experience persistent diarrhea, consult a healthcare provider.

Diarrhea and Chills:

• Immediate Steps: Ensure you stay hydrated by drinking plenty of fluids.
• At Home: Eat bland foods like bananas, rice, applesauce, and toast (BRAT diet) to help settle your stomach.
• Medical Attention: If diarrhea persists for more than a couple of days, or if you develop a fever, seek medical advice.

Potential Pregnancy:

• Immediate Steps: Obtain a home pregnancy test and take it as soon as possible.
• At Home: If the test is positive, schedule an appointment with a healthcare provider for confirmation and prenatal care.
• Medical Attention: If you experience severe cramping, heavy bleeding, or other concerning symptoms, seek medical attention immediately.

What you should look out for

Given the symptoms you've experienced, here are some signs that you should seek medical care more urgently:

• Heavy or recurrent vaginal bleeding
• Severe or persistent abdominal pain
• Fever or chills that do not resolve
• Persistent diarrhea or signs of dehydration (e.g., dry mouth, dizziness)
• Positive pregnancy test with severe cramping or heavy bleeding

Remember, while I can provide information and suggestions, it's important to consult with a healthcare provider for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.