Ok so this started a little over a month ago. It started with a tooth ache, then my lower abdomen started bothering me, two days later, I was in and out of the bathroom about 6 times in two hours feeling like I was going to have diarrhea or throw up. I went to the dentist because I though it had something to do with my tooth, which he said I was just grinding my teeth. So I went to the doctor two days later, and he said it was just intestinal cramping. It was still bothering me two days later, but it was like a dull ache with my stools being all over the place. ie. loose, diarrhea, excess mucus in them. So I went back again and he sent me to have a CT scan and X-Ray of my abdomen, which all came back negative. So he then sent me to see a specialist on May 19th, I went to him, and he gave me some Donnaltal (sp?) and said to come back in a month if it isn’t any better. Well it hasn’t gotten any worse, but it hasn’t really gotten a lot better, I bought some Bennefiber and have been taking that, and trying to make sure I get enough fiber into my diet for about two weeks now. Well sometimes when I wipe I see like little specs of what look light orange, or maybe even light red, but pretty sure it’s light orange specs in my stool or on the toilet paper (no bigger then maybe a grain of Kosher salt) Saturday and today my stool smelled real bad. Wondering if maybe this is Colon Cancer, IBS, or maybe just IBS with anxiety. not sure I can wait another two weeks to go see the specialist again. Again I am a 23 year old male, who is overweight but working on changing that once I figure out what this is.
I’ve also had blood test for Diabetes, Kidney, and Liver Function. Urine test were negative too.
Keep leaving stuff out, sometimes it kind of looks like there is undigested food in my stool.
31 y/o female presents with chief complaint of right groin pain which extends to midline pelvis down to inner thigh. Symptoms are generally mild until patient drives, sits, or stands 30 minutes or longer. Patient states onset has been about 3 months ago and is now progressively getting worse. No trauma or injury noted by patient. Pain is better when patient lays down on other hip, but does not completely diminish.
Patient past surgical history: Complete hysterectomy, appendectomy, cholecystectomy
Patient medical history: mild Fibromyalgia, chronic sinusitis, appendicitis, Gall bladder EF=14%, "malfunctioning uterus", superficial blood clot (pregnancy)
Patient family medical history: Cancer (bone, blood, lung, kidney, breast), Heart attack, DVT’s, anemia, HTN, hernia
1st office visit: Dr. ordered venous duplex and x-ray of right hip after ruling out hernia.
After both tests came back normal, Dr. ordered CT scan with contrast of abdomen/pelvis…results were pseudo finding of transverse ascending colon inflammation consistent with colitis.
After reviewing results of CT, physician had patient trial an oral steroid (Medrol Dose Pack) Patient’s symptoms became intensley worse on this medication. Initially, the upper groin/pelvic pain got better, but entire right hip "was on fire" where the patient stated that she couldn’t even stand having anything touch it including her underwear. As the medication gradually decreased the original symptoms returned at a gradual pace and the "fire" in her hip lessened as the medication dosage lessened.
2nd office visit: Due to the worsening effect from the Medrol, physician did pelvic exam and noted severe bone pain located at the top right of patients vaginal wall. Patient stated that there has been a dull ache there at all times since Feb 2009 and was made worse with sexual intercourse but hadn’t thought of that earlier. (no history of STD’s)
Pysician ordered full pelvic x-ray, basic lab workup, and MRI’s of hip and pelvis…all were negative.
Patient was sent to have a nerve conduction test and EMG…both negative.
Patient’s pain is presently worsening and she is now unable to drive longer than 10 minutes if pain was previously aggrivated and 20 minutes if not. Dull pain is continuously present but is made excrutiating when putting pressure on the pelvic bone itself. Pain seems to be worst in groin, vaginal, and bottom of the buttocks areas.
Things ruled out already: DVT, Hernia, bone infection, visible tumor, nerve entrapment, spinal and/or disc problems, arthritis, and referred pain
Does anyone have any suggestions as to what this odd presentation of symptoms could be? How about a next step suggestion? We are running out of options and we are 100% positive this is not "in the patient’s head". Any further insight and ideas are greatly appreciated! Thanks.
Pt is 5’3" and 134 lbs and has also had complaints of fatigue for about 1 year.
Thanks Douglas, for your input. Unfortunately, this does not seem to be the issue. Was a great idea though!
Thank you Kathy. However, the oral steroid (Medrol) that was tried should have helped the pain if this was the issue. This medication is an oral substitue to a corticosteroid that is injected to relieve this type of nerve pain that isn’t fixed with manipulation. Therefore, the pt’s poor response to the Medrol trial would rule this out. Thanks again…was an interesting and great find!
Almost every day, I have a bowel movement (sometimes, with the help of a colon cleanse capsule called OxyCleanse by Earth’s Bounty). I don’t have any pain beforehand, but after, I have a dull ache all through my midsection that lasts for hours, accompanied by extreme fatigue and weakness…flu-like, hypoglycemic symptoms. Could this be a candida problem? Or something worse? (Side note: I had a baby 15 months ago, have struggled with hormone problems since the time she was 6 months old. Prior to that, I had no trouble losing the pregnancy weight. But then, I gained weight and gained even more taking hormones due to the imbalance. I can’t lose it now, despite having my thyroid adjusted properly! Help!

