WOMENS-HEALTH Messages for March, 2000: Re: Keep investigating bladder/bowel troubles?

Re: Keep investigating bladder/bowel troubles?

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Fri, 31 Mar 2000 23:18:32 -0600 (CST)

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In reply to: Tammy: "Keep investigating bladder/bowel troubles?"

At Thu, 30 Mar 2000, Tammy wrote: >
>For 3 years approx. I have had bladder problems - frequent UTIs -
>urgency - constant trips to the bathroom -often every half hour. I had
>a cystoscopy with urethral dilation 2 years ago but still have problems.
>Nothing remarkable showed up on the cystoscopy that I am aware of.

These symptoms could represent interstitial cystitis. Some urologists are more in tune with this condition, and you may wish to get a second opinion from someone who is well versed in the diagnosis and treatment of it.

>last year and a half I have also had bowel issues - intermittent pain &
>bleeding on bowel movement,frequent pressure/spasms in rectal area and
>general irritability of the bowels. I had a sigmoidscopy which showed
>non-bleeding internal hemmorrhoids and received diagnosis of irritable
>bowel syndrome.

Did you see a gastroenterologist, a specialist? Or did you see an internist or family doc? If you have not seen a gastroenterologist I would suggest you do.

I am starting to feel like a hypochondriac when I go to >doctors , but I feel there is something wrong and that there could be a
>connection between my two problems.

A possible explanation for both could be endometriosis. If hte urology and gastroenterology work ups are negative, ttalk to your gyn about endometriosis. One option would be a trial of Lupron to see if your symptoms improve -- there are other options as well.

Should I continue to discuss these >things with my doctors, or providing symptoms don't worsen , just go
>with the tests I have had, look after myself and leave it at that.

As above, seek additional evaluation.

-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

Replies are for educational purposes only and do not construe a doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor.

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Next message: Kelly Shanahan, MD: "Re: Vaginal Burning/Irritation"
Previous message: mike: "small knot on inner side of liabia"
In reply to: Tammy: "Keep investigating bladder/bowel troubles?"

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