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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause For Pain In The Pelvic Region With Blood During Bowel Movement?

I have been having pain in my lower right pelvic that goes down my tigh-also pain in lower stomach under my navel. When i have bowel movements i am bleeding from the rectum. it does not feel like hemorroids. When my cycle comes on I am bleeding from both areas. I am 42, with hypothyroid and high blood pressure
Fri, 28 Apr 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Pan in the right pelvic area that goes down right thigh along with pain in lower stomach that is below naval area, bleeding per-rectum on passing motions and from vagina and rectum when in periods; have hypothyroidism and high blood pressure.
Hypothyroidism if not well treated can cause many a problems as the overall basal metabolic rate of the body is reduced also casing high blood pressure.
The pain in the right lower pelvic area that goes to the thigh is indicative of an inflammatory process in the pelvis like endometriosis or PID that is pelvic inflammatory disease or salpingitis or ovarian problem instigating the nearby nerves.
The pain under the belly button may be referred one or be due to local intestinal or lymph node problems.
I would advise you the following in such a situation:
CT scan of the whole abdomen including the whole pelvis.
Gynecologist's opinion, per-vaginal examination.
General Surgeon to do per-rectal examination, ano-proctoscopy to see for hemorrhoids or fissure in ano.
Once the diagnosis is made the treatment becomes guided and proper.
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What Is The Cause For Pain In The Pelvic Region With Blood During Bowel Movement?

Hi. Thanks for your query. Noted the history and understood the concerns. Pan in the right pelvic area that goes down right thigh along with pain in lower stomach that is below naval area, bleeding per-rectum on passing motions and from vagina and rectum when in periods; have hypothyroidism and high blood pressure. Hypothyroidism if not well treated can cause many a problems as the overall basal metabolic rate of the body is reduced also casing high blood pressure. The pain in the right lower pelvic area that goes to the thigh is indicative of an inflammatory process in the pelvis like endometriosis or PID that is pelvic inflammatory disease or salpingitis or ovarian problem instigating the nearby nerves. The pain under the belly button may be referred one or be due to local intestinal or lymph node problems. I would advise you the following in such a situation: CT scan of the whole abdomen including the whole pelvis. Gynecologist s opinion, per-vaginal examination. General Surgeon to do per-rectal examination, ano-proctoscopy to see for hemorrhoids or fissure in ano. Once the diagnosis is made the treatment becomes guided and proper.