[44F] Experiencing pelvic pain, cramps, and bleeding

Patient Description

A 44-year-old female presents with a 2-day history of pelvic pain localized to the groin area, rated 6/10 in severity, and cramps, rated 5/10, which are alleviated by Midol. The patient also reports light bleeding with clots during urination, primarily at night, and has noticed a small amount of blood in her stool. She has a medical history of fibromyalgia diagnosed 5 years ago. Current medications include Symbicort, Zanaflex, Seroquel, and Midol for pain management. The patient has no known drug allergies.

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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): This is a common condition that can cause pelvic pain, urinary discomfort, and blood in the urine. It's usually caused by bacteria entering the urinary tract.

    • Treatment typically involves antibiotics prescribed by a healthcare provider.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the groin and lower abdomen, and can also cause blood in the urine.

    • Treatment can range from pain management and drinking lots of water to help pass the stone, to medical procedures to remove or break up larger stones.
  • Menstrual Cramps: Severe cramps can sometimes cause pain that extends to the groin area. The presence of blood could also be related to your menstrual cycle.

    • Over-the-counter pain relievers, such as Midol, can help manage the pain.
  • Endometriosis: This is a disorder in which tissue similar to the tissue that forms the lining of your uterus grows outside of your uterine cavity. It can cause severe menstrual cramps, chronic pain in the lower back and pelvis, pain during or after sex, and blood in the urine.

    • Treatment can involve pain medications, hormonal therapies, or surgery.

What you can do

  1. Schedule an appointment with your healthcare provider. They can conduct a physical examination and order tests, such as a urinalysis or ultrasound, to determine the cause of your symptoms.
  2. Keep track of your symptoms, including when they occur, their severity, and any potential triggers. This information can be helpful for your healthcare provider.
  3. Drink plenty of fluids and avoid caffeine, alcohol, and spicy foods, which can irritate your bladder.
  4. Over-the-counter pain relievers can help manage your pain in the meantime.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You have a fever or chills, which could indicate an infection
  • You notice a significant increase in the amount of blood in your urine or stool
  • You experience nausea, vomiting, or severe abdominal pain

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain, especially in women.


How can kidney stones be diagnosed and treated?

Kidney stones can be diagnosed through imaging tests such as an ultrasound or CT scan. Treatment options include drinking plenty of water to help pass the stone, pain management with medications, and medical procedures to break up or remove larger stones.


What are the symptoms and treatment options for endometriosis?

Endometriosis symptoms include severe menstrual cramps, chronic pain in the lower back and pelvis, pain during or after sex, and blood in the urine. Treatment options include pain medications, hormonal therapies, and surgery to remove endometrial tissue.


Can fibromyalgia affect the severity of menstrual cramps or pelvic pain?

Fibromyalgia can potentially affect the perception of pain, making menstrual cramps or pelvic pain feel more severe. Managing fibromyalgia symptoms with medications and lifestyle changes may help alleviate some of the discomfort associated with these conditions.


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