“Abdominal pain?”
I have experienced pain in this region for the last year. I have been to many doctors and they can't or won't help me. I am now in agonizing pain, the muscle feels stiff like it's paralyzed. I've been having orgasms randomly for no reason the last few months and it's becoming difficult to live normally with that. Last night I was in so much pain I would have thrown up if I had anything in my stomach. I spent the night unable to sleep with hot-cold flashes, and pain in my left abdominal area. This morning my feces looked like coffee grounds, but im not sure if it's diarrhea or blood. I'm scared to go to a doctor because I don't want them thinking I just want pain meds, but no one believes I am in pain and have been for about a year now. Should I go to the urgent care or just keep riding it out?
Female | 22 years old
Complaint duration: 1 year
4 Answers
I AM A LITTLE CONFUSED, BUT IT SOUNDS LIKE YOU HAVE LEFT-SIDED ABDOMINAL PAIN. FIRST, STOOLS WHICH ARE BLACK CAN BE FROM SEVERAL THINGS - EVEN TOO MUCH VITAMIN C. BUT BLACK STOOLS MAY BE A SIGN OF PEPTIC ULCER DISEASE WITH BLEEDING IN THE STOMACH. THE ACID IN THE STOMACH MIXED WITH BLOOD FORM A BLACK STOOL. I DO NO KNOW WHAT TESTS YOU HAVE HAD. I WOULD EXPECT, BASED ON YOUR SYMPTOMS HERE, A CT SCAN OF YOUR ABDOMEN AND PELVIS AT A MINIMUM. YOU MAY NEED EGD, COLONOSCOPY, A TEST FOR H. PYLORI, AND THEN DEPENDING ON WHAT IS FOUND OTHER TESTING. A DR SHOULD CHECK YOUR STOOL FOR BLOOD, WHICH IS A VERY SIMPLE TEST. BUT IF YOU HAVE SEVERE ABDOMINAL PAIN, DO NOT IGNORE IT, IT IS STILL WORTH A TRIP TO THE EMERGENCY ROOM. I COULD LIST DIAGNOSES CAUSING SEVERE ABD PAIN, BUT IT WOULD BE TOO LONG.
I think you should seek medical advice as soon as possible especially with the coffee ground/dark stools. You need some blood work and abdominal imaging ( CT scan ) and probably MRI of your brain given unexplained orgasms!
There is more going on here than a GI problem. You need to see a high quality PCP who will be thorough and will evaluate all of the symptoms to come up with a coherent plan for diagnostic testing and appropriate referral to specialists. Each specialist will work up a specific symptom related to his/her specialty, but a good PCP will look at the whole clinical picture and try to identify a unifying diagnosis. Don't give up trying to find a physician who will take your seriously.
No. You should see a gastroenterologist or an obstetrician. The urgent care won’t be able to offer you anything. Emergency room if you start pooping bright red blood or have a fever, etc.
