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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Lower Pelvic Area, Feeling Nauseated. Relief With Tylenol. Diagnosed Ulcerative Colitis, UTI Before

I have a pain that is located in my lower front pelvic area just above my penis. The pain just started this afternoon then subsided. It came back after I was in bed, I took 2 extra strength tylenol and the pain is milder now. I felt the need to have a bowel movement but nothing happened. When the pain was a bit more severe I felt slightly nauseated. It feels like someone is pressing really hard in this area. I have been diagnosed previously with ulcerative colitis in 2004. I have had a UTI in July that was treated with antibiotics and no symptoms since then. I do not have pain urinating, and have urinated approximately 10 times today.
Wed, 7 Nov 2012
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General Surgeon,  's  Response
Hello!

Thank you for the query.

The most probable reason of your symptoms is bowels obstruction due to ulcerative colitis. This disease is prone to make changes in intestines walls and make them narrowed. It can also result with intraabdominal adhesions. Both can lead to intestines obstruction. This results with intestines blockage and symptoms including stomach aches, painful bowel movements, nausea and vomiting. Characteristic for this condition is also lack of stool and gas. The abdomen is getting bigger and harder. Such condition should bot be neglected and you should see your doctor right away. Abdominal X-ray should be performed to rule this out. Foll blood work and abdominal ultrasound should be performed as well. Urine analysis should be done to make sure it is not another uti.
If obstruction will be confirmed surgery might be necessary.

Hope this will help.
Regards.
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Pain In Lower Pelvic Area, Feeling Nauseated. Relief With Tylenol. Diagnosed Ulcerative Colitis, UTI Before

Hello! Thank you for the query. The most probable reason of your symptoms is bowels obstruction due to ulcerative colitis. This disease is prone to make changes in intestines walls and make them narrowed. It can also result with intraabdominal adhesions. Both can lead to intestines obstruction. This results with intestines blockage and symptoms including stomach aches, painful bowel movements, nausea and vomiting. Characteristic for this condition is also lack of stool and gas. The abdomen is getting bigger and harder. Such condition should bot be neglected and you should see your doctor right away. Abdominal X-ray should be performed to rule this out. Foll blood work and abdominal ultrasound should be performed as well. Urine analysis should be done to make sure it is not another uti. If obstruction will be confirmed surgery might be necessary. Hope this will help. Regards.