Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

184 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Feeling sharp pain around breast and noticed spotting. What could this be?

Answered by
Dr.
Dr. Das Arindam

General & Family Physician

Practicing since :2008

Answered : 1416 Questions

default
Posted on Wed, 26 Dec 2012 in Women's Health
Question: The last few days I have had sharp shooting pain in the right side of my body (around 2-3 inches down from the breast but over to the side) these pains come on go. The pain feels exactly like the pain I have from migraines, and often last for several days. Then yesterday I started noticing that it feels odd in my vagina area, and feels different then normal when I pee. And this evening after going pee ( didn't pee a lot) and I wiped myself there was blood all over the paper. Some of it was red, some of it was a reddish brown. At that point I looked at my panties and there was a fair bit of dried blood....I'm not sure if the pain in my side has anything to do with the bleeding..What could this be?
doctor
Answered by Dr. Das Arindam 15 minutes later
Hello,
Thank you for posting a query.

Firstly, the sharp pain you are feeling around breast and the bleeding you described are totally different.

The bleeding you described indicates per vaginal bleeding. In this age group, it is alarming. For this, you have to consult with a gynecologist. A pervaginal examination using speculum, is very much important to rule out any visible lesion. APap smear is to be taken irrespective of findings. If the smear becomes non contributory, then a cervical and endometrial biopsy should be taken.

One thing you must understand, if this time all the tests becomes normal, then you have to do Pap smear examination every year and keep following up with your treating doctor. It is necessary.

Regarding the sharp pain, you should take any nonsteroidal antiinflammatory drug like diclofenac or paracetamol.

So, consult with a gynecologist immediately. Do not neglect the situation.

Hope this information suffices. Let me know, if you have any more question.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Das Arindam 5 minutes later
I know you can't say yes this is the problem. However, could it possibly be bladder cancer? The problem I have right now and until XXXXXXX 2nd. is that I'm a Canadian, but a resident of Qatar. And until the 2nd of XXXXXXX I will be in Canada, but without health care, so I can't possibly get any kind of testing like you are suggesting without a VERY large XXXXXXX So what I'm asking is what could be the problem?
doctor
Answered by Dr. Das Arindam 1 hour later
Hello,

Thank you for writing back.

Firstly, for your information, per vaginal bleeding is just a symptom which is seen many disease conditions of female genital tract. The diseased condition may present in Vagina, cervix, uterus, any part of genital tract.

So, without examining you physically, without any investigation like pap smear examination, ultrasound scan of abdomen, it is impractical to give a diagnosis here.

In case of bladder cancer, blood is seen in urine. It does not present as spotting in undergarments as you described. So, possibility of bladder cancer is rare.

Lastly, the problem is most probably in your genital tract. But Clinical examination is necessary for any particular diagnosis.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Das Arindam 8 hours later
If there is no more blood on the paper (and so far there hasn't been) should I still pay of of pocket and seek medical help in Canada, or should I be alright to wait and see my Dr. in Qatar?
doctor
Answered by Dr. Das Arindam 19 minutes later
Hello,
Thank you for writing back.

I think you should not wait till 2nd January, if you have repeated episode of this type of spotting within this time period. Otherwise, you can wait till 2nd January.

But, one thing you must understand that, minimum a pap smear and ultrasound scan of abdomen is necessary. If you can do these within next few days that would be better. If the reports are within normal limit, then you can easily wait till 2nd January for your doctor in Qatar.

This is all I can suggest.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Lab Tests
Medical Topics

Recent questions on  Papillomavirus

doctor1 MD

i had a pap smear done and no scar tissue, i had a complete hysterectomy in 2004 i spot blood time to time, and i have lots of heart burns help need answers. im 44 years old. could i have acid reflux, i have a lump in neck, it is a lymph node, non cancerous, but gets flat, then comes back, very visual, help

doctor1 MD

Hello. I had a leep procedure done without my doctor doing a colpo. She mentioned that she will do the colpo during the leep procedure and that I need to have it done anyway because I came back at high grade HPV. She cut off a huge chunk of my cervix in which all of it was normal tissue. Now I m having all kinds of sharp pains in my pelvix, pain during intercourse and weird periods that stay on for about two weeks. I went to another obgyn who stated that this doctor should not have done the leep without doing the colpo first to see if it was even necessary. Do I have a lawsuit and what can I do about this?

doctor1 MD

Hello I have been on ortho evra patch for 2 1/2 years now. I started my third patch Sunday and have had some mild cramping since then. I normally only begin to cramp once the patch is off never on. Today I noticed a pinkish clear discharge whenever I wipe after using the restroom. I had a normal pap smear with my yearly exam 2 months ago. Could it be late breakthrough bleeding or something else?

doctor1 MD

I'm a 27 year-old healthy male who just recently acquired Health Insurance through a job I started recently, and I'm also getting married at the end of this week. I wasn't able to schedule an appointment to get a physical from my primary care physician on such short notice, and I have something that I'm a little nervous about. I had completely forgotten about it until a little over a week ago, but I have two small warts on my penis which I've had for maybe a couple years. I'm pretty certain that they are not genital warts because I haven't had any sexual relations/contact with another person since 2003, and the person I had sex with didn't have any sexual relations prior to our intercourse -- the other things that make me think that they are genital warts (in the strict sense) is because I used to have warts on my fingers in probably about 10 places, and as far as I can tell they were just Verruca Vulgaris warts, and they eventually went away after a couple years, but during the time that I had them on my hands, I used to masturbate a lot. The other indication that I get that these are just common warts that got transmitted to my penis from my hands are that the location of these two warts on my penis are from where my left hand would make contact and rub my penis -- the reason that I think that they got transmitted from that are because a couple years ago, I went through a phase where I was masturbating so much, it actually made my penis sore and started to irritate and sort of break the skin. So I'm not surprised that this has happened. They haven't gone away yet, so I'm trying to wait it out and be patient, but my real question is this: With my getting married this weekend (my fiance and I have been waiting until we're married to actually have intercourse), I don't know what my stance on this should be, and I haven't talked to her about it yet. I'm hoping that if need be, we'll just have to use condoms until these go away -- but for all I know, maybe there's no real risk of things like cancer or contamination if we choose to have intercourse without a condom...but I don't want my own impatience with having to use a condom for a time to cause my soon-to-be-wife to get a wart infection from me, and possible health complications from it. To also give you a couple other details, I have been trying to treat the warts by first taking 200 mg of CoQ10 capsules every day for almost a week now (along with my other vitamins, which are a multivitamin, ginseng, gingko biloba, 2x1000 mg fish oil capsules, and a hair, skin & nails supplemental vitamin), and I've been applying a topical acne treatment containing 2% salicylic acid and T36-C5 Melaleuca tea tree oil about 3 times a day. Anyway, to restate my question in another way, are there any short term and/or long term risks if we have sex without a condom with these two small common warts on my penis (also, to clarify where they are, the one is on the left side of the penis on the edge/rim of the bottom of the head, before where the shaft starts, and the other is on the left side of the underside of the shaft, not too far away from the other wart)? I was wondering if there would be any general risks if I were to insert a finger into my wife's vagina if I had a wart on it as well -- I can't imagine there would be any difference between if it was a finger or a penis being inserted if it has a common wart on it...but I just want to know what risks there are and what we should do. Needless to say, I'll be going to my doctor ASAP to have them take care of this.

doctor1 MD

I recently had a pap smear that came back ASC H. I had a colposcopy last week with the following results: Part A: CERVIX , 5:00, BIOPSY: LOW-GRADE SQUAMOUS INTRAEPITHELIAL LESION (CIN 1). KOILOCYTOSIS CONSISTENT WITH HUMAN PAPILLOMAVIRUS (HPV)...

doctor1 MD

Hi, I am 23yr old... I had unprotected sex with a guy when i am young before reaching my puberty(before commence of my 1st menstrual cycle) Is there chances of i getting pregnant...? I am scared of this and feel shy to consult a doctor and speak...

doctor1 MD

I have some very small pink round dots/marks around pubic area. they are hardly noticeable but they sometimes itch or are slightly painful. can you please let me know what this could be? (see attached photo). thank you