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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Urination, Blood In Urine, Diarrhea And Spotting Post Sex?

Hi. I am experiencing many different symptoms and I know I should see a dr. However, I know my PCP will not know whats wrong and I will need to see a/multiple specialists. I am just trying to figure out which specialist I should go to..My symptoms are as follows: frequent/urgent urination (with blood in urine found by urine test), uncontrollable bowel movements (usually diarrhea) with some blood visible sometimes, stomach bloating and cramping and spotting after intercourse. I know I could see a urologist and a gastroenterologist but if these symptoms suggest a likely culprit I would like to limit time off work for dr appts and go to whichever specialist is most likely needed. Thanks so much! Leah
Wed, 19 Dec 2018
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General & Family Physician 's  Response
Hello,

First, try to avoid anal sex if possible to prevent further bowel problems.

When you are sexually active, women are more prone to urinary and genital infection.

So, should get a few lab tests done to determine the right diagnosis before going to see a specialist:
- complete blood count
- urine analysis
- vaginal swab testing (should avoid sex 3 days prior to testing)
- fecal analysis and examination for ova/parasites to understand why these problems with bowel movement (bm)
- stool culture and sensitivity testing.

Until you get the results should:
- keep good genital hygiene
- increase water intake especially with oral rehydration salts to keep well hydrated
- take probiotics to stabilize intestinal flora
- take Pepto Bismol for diarrhea
- have frequent and small portions meals. For a few days follow BRAT diet (banana, rice, applesauce, toast) until diarrhea is over.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Albana Sejdini,
General & Family Physician
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What Causes Frequent Urination, Blood In Urine, Diarrhea And Spotting Post Sex?

Hello, First, try to avoid anal sex if possible to prevent further bowel problems. When you are sexually active, women are more prone to urinary and genital infection. So, should get a few lab tests done to determine the right diagnosis before going to see a specialist: - complete blood count - urine analysis - vaginal swab testing (should avoid sex 3 days prior to testing) - fecal analysis and examination for ova/parasites to understand why these problems with bowel movement (bm) - stool culture and sensitivity testing. Until you get the results should: - keep good genital hygiene - increase water intake especially with oral rehydration salts to keep well hydrated - take probiotics to stabilize intestinal flora - take Pepto Bismol for diarrhea - have frequent and small portions meals. For a few days follow BRAT diet (banana, rice, applesauce, toast) until diarrhea is over. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician