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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Discomforts And Lumps In Rectum?

white female, 25yrs old, lower abdominal pain/discomfort (for several weeks), vaginal bleeding (not sure if menstrual blood...., for approx. 5 days), pain and inflammation in vaginal area, cervix and uterus, etc (off and on for couple of weeks, got much worse and became consistent over past week), pain when inserting or removing tampon (about 5 days- ever since the bleeding began), pain during sexual intercourse (for several weeks now, especially certain positions), my last period was irregular (possible miscarriage but not sure), the weird/worse/gross thing of all which started about same time as the bleeding (apprx. 5 or 6 days ago) is that when i remove the tampons its covered in dark spots that appear to be tiny particles of something which is eating away at and through the tampon (so i decided to rip the tampon apart and looked down into it where these spots were and i find little pieces of something, cant tell what, looks like could possibly be tiny pieces of skin or flesh,maybe its parts of the tissue from my vaginal walls, not sure, but some of them are covered in blood, some are black, some brown, and some are like a white/tan skin color...), and last symptom related to this part of my body is there are increasingly more and larger dark blood clots coming out on tampon every day. Also not sure if this next group of symptoms is related to previous but i believe it to be in some way:: started to get large dark purplish/gray/black colored lump coming out of my rectum- hemmoroid possibly cuz its somewhat painful, occasionally itchy, and uncomfortable (appeared several days ago), been switching between constipation and diarrhea, theres burning sensation in rectum when having BM, and noticed today when wiping after a BM, the toilet paper and the feces had some dark spots thru out that were similar to what appeared on the tampons. It seems to me like some type of bacteria/fugus/infection (some kind of organism...) is inside my colon/digestive tract and in my reproductive system some where as well and its eating away at my body....and btw I have no pain or problems urinating. SO ayway i went to the ER several nights ago bc i had several of the above named symptoms but more importantly at the time i was having excrucuating pains in my lower, right abdominal area (btw ive already had appendicitis and had my appendix removed about 8-9yrs ago so nothing to do with my appendix) but its a small town so no OB/GYN was on duty, so did not have an exam done to look inside my uterus.. they just took urine sample and did blood work. The results they said were that i was not pregnant and according to my blood work i had no infections, in fact the PA said my blood work came back perfect . so they suggest going to see a gyno to get checked out. but when i called around town and surrounding towns the next day, every OB/GYN i called was completely booked for weeks! so... if i have some kind of infection, wouldnt that have shown up in my blood work??? also think ill mention that i started doing meth, IV/injecting it, several weeks ago (approx 6-8 weeks ago). ive lost a lot of weight and my already small breasts have shrunk down to barely anything now. could all this be the cause of a hormonal imbalance due to using meth?? could a hormonal imbalance cause fibroids, cysts, or anything of the sort? and bc been doing meth i hardly ever sleep and barely eat anything either. so i was shooting up the other day and couldnt keep the needle inside my vein bc i was so shaky (from doing all the meth id done and lack of food or sleep over several days in a row) but some blood that had entered the syringe began to coagulate and block up the tip of the needle so i took it out, put it all back on spoon (including the coagulated blood) added some burning hot water to it, attempted to break apart and dissolve the coagulated blood, mixed it all up again and proceeded to shoot the crap into my vein anyway. which it took literally a couple of hours for this entire process and by time i actually found good vein and injected it so due to the coagulated blood and the fact that it was all sitting in the open air on the spoon and/or in a syringe for over 2 hrs before i put it in my blood stream, wondering if this could have caused some bacteria or infection to enter my body...? but once again wouldnt this have shown up when my blood work was done?? and even if did cause infection or whatever then why would it go straight to my vaginal/uterus area and my colon area? plus with the pains/inflammation in my vaginal area, that began weeks ago before this coagulated blood incident, and has just recently gotten much worse, with the blood clots and such... one more thing along line of drug use is that prior to the recent meth use, i was clean and sober for about 2 months but before that id been addicted to and was an IV heroin user for about 6yrs... Anyway last thing ill mention, just in case this has anything to do with any of whats going on with my body, is that i started dating my current bf about 2 months ago and been having unprotected sex with him since then (btw no he most certainly does not use meth or any drugs), but i know for fact he cheated on me once but i do not believe they had intercourse, she gave him oral... but if he did that once, he could have cheated another time and actually had sexual intercourse with someone else, gotten STD or STI and then given it to me... but i do not know. also if i have an STI or STD then once again wouldnt an infection have shown up in my blood work or urine sample...? or do they only test for specific kinds of infections...? and if sti or std then why the problems with my colon area...? idk what could be wrong?? or if possibly multiple problems?? PLEASE HELP!!!
Tue, 31 Mar 2015
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General & Family Physician 's  Response
Hello young lady
I had gone through your question and I will try to help you out in best possible way

Looking at your history this could be hemorrhoids or fissure in anus
please follow these guidelines for relief
avoid constipation by taking dietary fibre laxative or stool softening agent like liquid paraffin
have plenty of fluids
hot water bath twice daily
you can apply anaesthetic ointment like lignocaine to be applied locally
maintain good hygiene

hope this helps you
wishing you good health
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What Causes Abdominal Discomforts And Lumps In Rectum?

Hello young lady I had gone through your question and I will try to help you out in best possible way Looking at your history this could be hemorrhoids or fissure in anus please follow these guidelines for relief avoid constipation by taking dietary fibre laxative or stool softening agent like liquid paraffin have plenty of fluids hot water bath twice daily you can apply anaesthetic ointment like lignocaine to be applied locally maintain good hygiene hope this helps you wishing you good health