[26F] Experiencing abdominal pain, abnormal vaginal discharge, and diarrhea

Patient Description

A 26-year-old female presents with a week-long history of passing small, fleshy, stringy chunks from the vagina, associated with painful urination. The chunks are white/grey/pink in color, resembling orange pulp in size. The patient also reports a light fever and chills over the past week, and an episode of severe abdominal pain and bleeding similar to a menstrual period that lasted approximately 15 hours. Diarrhea has been present for about a month to a month and a half, characterized by loud, explosive gas and fecal matter that is fluffy and light brown, sometimes with undigested food, or liquid and sinking to the bottom of the toilet. The patient has a medical history of bronchitis, herpes diagnosed ten years ago, and two recent episodes of COVID-19 with severe fever. No current medications or known drug allergies are reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): UTIs can cause symptoms like pain during urination, frequent urination, and lower abdominal pain. UTIs can also cause fever and chills. However, the presence of fleshy chunks in your urine is not a typical symptom of a UTI.

    • Treatment of UTIs typically involves antibiotics prescribed by a doctor.
  • Vaginal Infection: Various types of vaginal infections can cause abnormal vaginal discharge, which could potentially be described as "fleshy chunks". Some infections can also cause pain during urination, especially if the infection has spread to the urinary tract.

    • Treatment of vaginal infections depends on the type of infection, but often involves antibiotics or antifungal medications.
  • Gastroenteritis: This is inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can cause diarrhea, abdominal pain, and sometimes fever and chills. However, it would not explain the urinary symptoms or vaginal discharge.

    • Treatment of gastroenteritis typically involves rest, hydration, and sometimes medications to control symptoms.
  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation. However, it would not explain the urinary symptoms or vaginal discharge.

    • Treatment of IBS typically involves long-term management of diet, lifestyle, and stress. Medications and counseling might be recommended.

Please note that these are potential diagnoses based on the symptoms you've described. It's important to consult with a healthcare provider for a formal diagnosis.

What you can do

  1. Drink plenty of fluids to stay hydrated, especially if you're experiencing diarrhea.
  2. Avoid any foods or drinks that seem to make your symptoms worse.
  3. Over-the-counter pain relievers may help with abdominal pain, but they should be used cautiously as they can sometimes worsen gastrointestinal symptoms.
  4. Over-the-counter treatments for diarrhea may be helpful, but they should not be used for more than two days without consulting a doctor.
  5. If you're sexually active, consider using barrier methods of contraception (like condoms) until you've spoken with a healthcare provider, as some vaginal infections can be sexually transmitted.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or urine
  • High fever (over 101.5°F)
  • Persistent vomiting
  • Symptoms that persist for more than a week or get worse

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What could cause fleshy, stringy chunks to be passed from the vagina?

Fleshy, stringy chunks passed from the vagina could be due to a vaginal infection, such as a yeast infection or bacterial vaginosis, which can cause abnormal discharge. It's important to consult a healthcare provider for an accurate diagnosis.


Can a urinary tract infection cause painful urination and fever?

Yes, a urinary tract infection (UTI) can cause painful urination and fever. Other symptoms may include frequent urination and lower abdominal pain. However, UTIs typically do not cause vaginal discharge.


What are common symptoms of gastroenteritis?

Common symptoms of gastroenteritis include diarrhea, abdominal pain, nausea, vomiting, and sometimes fever and chills. It is often caused by a viral or bacterial infection.


How can irritable bowel syndrome (IBS) affect bowel movements?

Irritable bowel syndrome (IBS) can cause changes in bowel movements, such as diarrhea, constipation, or a combination of both. It may also cause cramping, abdominal pain, bloating, and gas.


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Anonymous#16110

8 mo ago

Did you go to the doctors? If you did what did they say?

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