Suggest Treatment For Constipation, Severe Pelvic And Rectum Pain

Posted on Fri, 14 Aug 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 14 Aug 2015 Answered on

Sat, 5 Sep 2015 Last reviewed on

Question : Hi I'm looking for some advice. Ten days ago I ended up in a&we for severe pelvic and rectum pain , they put it down too constipation and sent me home. I later went to go who found blood and pus cells in urine and later confirmed I had uni and I completed a weeks course of antibiotics , I haven't had the pressure feeling in my pelvis but still have lower back aching sharp pain in both sides of abdomen and it feels like light period pains. I Lso for few month been having thigh cramps inner and on top and also my stools have been very strange , they float and seem like a mouse consistency sorry. I did have bloody mucus but only once or twice. I have history of ovarian cysts and last year they found a small lump on right ovary but said it was too small too class as a cyst , whatever that means, my mum has secondary breast cancer and this really concerns me . Last year I had a c125 ovarian cancers test which was fine. If had eighteen months of irregular periods also .

Answered by Dr. Dr. Muhammad Ali Rauf (4 hours later)

Brief Answer:
Need some details to guide you better

Detailed Answer:
Hello

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. There could be a number of causes for your complaint. I can guide you better if you answer following questions please:

1. since when are you having this problem?
2. Is there history of alternate constipation and diarrhea? I mean for some days you have constipation and then diarrhea starts.
3. Does stool appear as loose stringy ribbon like and occurs in the morning or any time of the day?
4. Does urge to defecate increases after taking meal?
5. Are you on any medication?
6. Is there history of incomplete emptying after you defecate?
7. Do you or anyone in the family has history of diabetes, hypertension or other illness?

I will be looking forward for the answer to conclude the discussion in the best interest of yours.
Thank You

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

Follow up: Dr. Dr. Muhammad Ali Rauf (1 hour later)

Two weeks had this problem, no history of alternative loose Stools and constipation. Every time I have had a bowel movement it's like it and no stringy XXXXXXX just looks normal but floats and is soft. Not on any medication , I have high by and all my family have diabetes but I'm checked for that and always in normal range. I'm concerned about ovarian cancer even though the rest fir it last year was fine , I asked my go before coming on holidays would it be anything serious he said he couldn't rule anything serious out but he would check my urine and do a vaginal examination when I returned and for me not to worry.....

Answered by Dr. Dr. Muhammad Ali Rauf (44 minutes later)

Brief Answer:
Please see description

Detailed Answer:
Hello

Thank you for getting back. I would suggest you not to worry regarding cancer. Its NOT compulsory that if there is positive family history then you WILL suffer from cancer as well. Stress/anxiety almost always aggravates a problem. There is a possibility that small lump is actually a cyst and in that case its totally a benign condition. Your CA-125 was normal as well and is a good sign. So you absolutely need NOT to worry. For irregular periods, i would suggest you to once visit hospital and get an appointment for a "Consultant Gynecologist". She will examine you in detail and will advise medicines to make periods regular. Following measures will help to correct the pain and bowel movements:

> Take lots of fluids( water, juices)
> Take Metronidazole thrice a day for 2 days
> Drotaverine thrice a day for 3 days

> Foods that should help include:
- Boiled potatoes
- Toast
- Plain crackers such as saltines
- Baked chicken without any skin or fat

AVOID:
- Milk, butter, ice cream, and cheese
- fatty food
- Alcohol and caffeine drinks
- Foods that cause excess gas like cabbage, beans, broccoli, and cauliflower

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!

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

Follow up: Dr. Dr. Muhammad Ali Rauf (41 hours later)

Thank you I apologise for my quick reply only as I stated I am on holidays and signal is obis mol , yes yesterday and today I feel pressure in pelvis and bottom when sitting almost as if there is gas stuck in my belly rather uncomfortable but the very lower top of my spine not the cocksix is painful and having. Bowel movement seems to exasperate it , when I clench as if doing a elvish floor exercise again it feels pressure with sporadic pain in both side where ovaries are located , again this is worsened when wanting or having bowel movement it's also giving me sciatica pain thanks you for your medical expertise , my mum has certainly engrained fear into me of course I worried more when my own gp said he couldn't rule out anything serious but I should not worry and enjoy my hoday an on return have another urine sample and vaginal examination

Answered by Dr. Dr. Muhammad Ali Rauf (1 hour later)

Brief Answer:
Do not worry

Detailed Answer:
Hello

You do not need to apologize. We here at HCM are always available to guide you best. You are absolutely fine. Bowel Symptoms that are currently present are most probably due to stress. Follow above mentioned diet and hopefully they will resolve soon. If your symptoms of for heaviness persists once back from holidays then we can discuss further workup so that you can get permanent relaxation.

Thank You & have a nice holidays period

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