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Gastroenterology (Expert Forum)
54, still menstruating and loaded with weird symptoms
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
54, still menstruating and loaded with weird symptoms
by McS1944, Nov 11, 2005 12:00AM
I'm 54)I have a small hiatal hernia. I had a lot of phlegm in my throat for a while and some burning in my chest and my doctor gave me 15 mgs of Prevacid. Around the same time last spring I'd been getting increasingly stronger indigestion, bloating and finally sudden diarheah and fever and chills. He did 2 blood tests one after the other to check for bacteria in the blood which there was and he'd sent me to get a ctscan with iodine contrast. Base of lungs, and liver, colon, bladder, pelvic organs all appeared normal. Stool sample was w/o blood. He gave me antibiotic that I'd never had before and within a few days I was remarkably better. They thought bacterial overgrowth.
It's now November and the burning in my chest is back. I was told by my gynocologist that my uterus is prolapsed (into top of vagina) and that there was a bulge in vaginal walls when I cough from rectum on one side and bladder on other (which explains bladder incontinence). Here's my big question now. I had an old flare up of herpes a few weeks ago around my anus. This may be unrelated. I have since had rectal burning inside, some off and on mild nausea. Doctor did rectal check and found only one small inner hemmorhoid..no blood. Bowel movements in morning, crampy when I wake up but sleep fine. No diahreah but loose. At end of day it's so uncomfortable to sit. A vague feeling inside, slight pressure and mild burn. Fatigue. Colonoscopy 5 years ago was normal w/NO polyps. CA125 test normal. Tests last spring normal. NO blood in stool. ctscan normal. pap normal. What is this? Could it all be pelvic floor related? Would it cause occassional nausea and rectal pressure. Some days of fatigue. I've lost about 8 lbs since the beginning of the year. I did quit fast food but seems like a lot to drop. Oh..I'm still menstruating. Every 3-4 weeks. Then last period was 2 weeks. One really bad day of horrible lower backache and cramping then by day 3 it's over. Lots of stuff. Sorry. Please help.
It's now November and the burning in my chest is back. I was told by my gynocologist that my uterus is prolapsed (into top of vagina) and that there was a bulge in vaginal walls when I cough from rectum on one side and bladder on other (which explains bladder incontinence). Here's my big question now. I had an old flare up of herpes a few weeks ago around my anus. This may be unrelated. I have since had rectal burning inside, some off and on mild nausea. Doctor did rectal check and found only one small inner hemmorhoid..no blood. Bowel movements in morning, crampy when I wake up but sleep fine. No diahreah but loose. At end of day it's so uncomfortable to sit. A vague feeling inside, slight pressure and mild burn. Fatigue. Colonoscopy 5 years ago was normal w/NO polyps. CA125 test normal. Tests last spring normal. NO blood in stool. ctscan normal. pap normal. What is this? Could it all be pelvic floor related? Would it cause occassional nausea and rectal pressure. Some days of fatigue. I've lost about 8 lbs since the beginning of the year. I did quit fast food but seems like a lot to drop. Oh..I'm still menstruating. Every 3-4 weeks. Then last period was 2 weeks. One really bad day of horrible lower backache and cramping then by day 3 it's over. Lots of stuff. Sorry. Please help.
Doctor's Answer
by Kevin Pho, MD, Nov 12, 2005 12:00AM
, Nov 12, 2005 12:00AM
Difficult to say without examination.
With a normal colonoscopy, that would rule out most of the serious lower GI causes. If there continues to be pressure and loose bowel movements, you can consider more specialized testing like an anorectal manometry to evaluate the anal sphincter muscle. A referral to a colorectal surgeon can also be considered.
If this avenue is non-revealing, another referral to a gynecologist can be considered to evaluate for pelvic floor dysfunction.
Regarding the burning in the chest, you can consider an upper endoscopy to evaluate for ulcers, inflammation of the upper digestive tract or GERD.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
With a normal colonoscopy, that would rule out most of the serious lower GI causes. If there continues to be pressure and loose bowel movements, you can consider more specialized testing like an anorectal manometry to evaluate the anal sphincter muscle. A referral to a colorectal surgeon can also be considered.
If this avenue is non-revealing, another referral to a gynecologist can be considered to evaluate for pelvic floor dysfunction.
Regarding the burning in the chest, you can consider an upper endoscopy to evaluate for ulcers, inflammation of the upper digestive tract or GERD.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
Goat Milk or goat milk products
Cow Milk or any dairy
Wheat or wheat products
Gluten
and Cassinete which is a found in any cheese and non dairy creamers.
If interested in having the test done here is the website address.
www.alcat.com
Thanks for listening
Lisa
It is known to come back.