Intense Abdominal and Rectal Discomfort
Hello everyone. I'm a 23-year-old individual assigned female at birth who has been experiencing acute and sporadic pain in my abdomen and rectum for the past day. This morning, I suffered from a bout of intense diarrhea that almost resulted in an accident, and throughout the rest of the day, I've felt a constant urge to have a bowel movement, yet nothing happens. Recently, I reintroduced 40mg of Latuda and 40mg of Omeprazole to my routine, both of which I've been taking for more than a year. My medical history includes diagnoses of endometriosis and polycystic ovary syndrome (PCOS), as well as chronic nausea for an undetermined reason and some spinal abnormalities. Additionally, I have fibromyalgia as part of my health challenges. Earlier this year, in March, I underwent a total hysterectomy, followed by a revision of my spinal fusion from the middle thoracic region to the lower cervical area in April. I am uncertain whether this situation warrants a visit to the emergency room, especially because the rectal pain has become so debilitating that I am unable to move or speak during those episodes. I appreciate any advice or insights!
Answers (1)
6/30/2025, 12:10:59 AM
OpenHealth AI
It sounds like you're experiencing significant discomfort and distress due to intense abdominal and rectal pain, along with recent gastrointestinal changes. Given your medical history and the severity of your symptoms, it's crucial to prioritize your well-being.
Main Points:
- Abdominal and Rectal Pain Causes: Your symptoms may stem from various conditions, including gastrointestinal issues (like infections, irritable bowel syndrome, or side effects from medications) or could be related to your history of endometriosis or fibromyalgia.
- Severity of Symptoms: The debilitating nature of your rectal pain and the urgency and frequency of bowel movements suggest that medical evaluation may be necessary.
Explanation:
Acute abdominal pain and changes in bowel movements can indicate different issues. In your case, the combination of abdominal discomfort, intense rectal pain, and an episode of diarrhea raises concern. Medications like Omeprazole can sometimes affect gastrointestinal motility, potentially contributing to your symptoms, though other factors linked to your medical history may also play a role.
Next Steps:
- Monitor Your Symptoms: Pay attention to the following:
- The intensity and frequency of your abdominal and rectal pain.
- Any additional symptoms, such as fever, vomiting, or changes in your stool (like blood or black stool).
- Hydration and Diet: Stay hydrated; consider a bland diet to avoid irritating your stomach further (e.g., bananas, rice, applesauce, toast). Avoid dairy, fatty foods, and other potential irritants until symptoms improve.
- Pain Management: Use over-the-counter pain relief, such as acetaminophen or ibuprofen (if not contraindicated) to help manage your pain temporarily.
- Evaluate Need for Medical Attention: If your symptoms do not improve within a few hours, or if they worsen (such as increased pain, inability to keep food down, or severe rectal pain), consider reaching out for medical help or going to the emergency room.
While it can be concerning to deal with acute symptoms, focusing on these steps can help you assess your situation effectively. Remember, prioritizing your health is important, and seeking further help if symptoms worsen would be a wise choice. Take care!
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