Need my lady crohn's experts...I am stumped.

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kam#7
Regular Member


Date Joined Jun 2008
Total Posts : 125
   Posted 9/21/2008 4:56 PM (GMT -7)   
Some of you know, my gastro sent me to the gynecologist for pressure in my lady parts and in my rectum. I was treated for a UTI a few weeks ago and had a clean urine culture, BUT I am still feeling horrible - so my doc sent me to the gynecologist for a full exam.

Symptoms - low grade fever comes and goes, fatigue, either d or tiny poops. Bowel incontinence, feeling of having a full rectum and bladder even after I go to the bathroom, nausea, did I mention tired?

The gynecologist did a rectovaginal exam (I HATE those) and felt something in my rectovaginal septum (wall in between my vag and rectum). He described it as feeling like a pencil, but did not know what it was. When he pressed on it, it hurt like hell and I thought I would poop and pee all at one (sorry for the lovely visual). It was clear that whatever he found is causing a narrowing of sorts in my rectum. And it feels very inflamed.

I asked if it was an abscess and he did not think so. I also asked about internal hemorrhoids - again, he did not think so. At any rate, he is sending me for a vaginal ultrasound tomorrow. That is one test that I have NOT had.

Other things to note - my vaginal and pelvic exams were all normal...Also, I have bloody d, but not all of the time. Finally, I am pooping tons of mucus.

Any ideas would be appreciated - I am convincing myself that I have rectal cancer.
35 year old female - Diagnosed w/Crohn's 2002 - Surgery 2004

Currently taking: Pentasa, Entocort, Imuran, Immodium, Zoloft, Wellbutrin, Seroquel


broomhilda
Veteran Member


Date Joined May 2007
Total Posts : 1488
   Posted 9/21/2008 5:10 PM (GMT -7)   
Whoa Kam, don't go the cancer route yet! All the symptoms you describe sound pretty normal symptoms during a flare. The pressure "may" be caused by what I fondly refer to as "dry heaves of the butt". This happens to me whether or not I'm on the toilet or not. I have found an antispasmotic such as Nulev helps control mine pretty good. Now, the pencil thing is kinda weird. Possibly a fistula forming? I'm a little suprised that the Gastro didn't rule that out for you before sending you to the GYN. The transvaginal ultrasound is NO big deal. They will scoot your rear end down to the end of the table and fill you with a saline solution as they take the "probe", for lack of a proper definition, and scope things out. It's not painful but you may experience some mild contractions as they enter the cervix. The GYN will have immediate results for you too. After this is done and "if" you don't have satisfaction in the diagnosis, I would stand on my left ear and get "someone" to do a pelvic scan with contrast to see if that shows anything. Again, please don't panic as this will make you're symptoms worse! Remember each test is designed to "see" in a different way and have faith they will find it eventually. Hang in there and let us know how things turn out.
Dx'd Jan'06, 1st Resection 7/06, Humira, Imuran, B12 injections, Nexium, Lexapro, Glucosamine, Multi-Vitamin, Ultracet Secondary conditions: Psorasis, Osteoarthritis, Fibromyalgia, Lactose Intolerant, gallstones, peri-menopausal.


Curly9878
Regular Member


Date Joined Apr 2007
Total Posts : 165
   Posted 9/21/2008 5:13 PM (GMT -7)   
I get that same pressure down there..... I am curious to see what they say... Keep us posted!
28 Yrs
Michigan
Newly diagnosed with Crohns


kam#7
Regular Member


Date Joined Jun 2008
Total Posts : 125
   Posted 9/21/2008 6:22 PM (GMT -7)   
broomhilda -

I love your description of "dry heaves of the butt" - that is totally what is happening. It is awful. I will talk with my gastro about the Nulev.

I am not sure why my gastro sent me to the gynecologist so quickly. He is usually extremely thorough. Looking back though, I think I described the pressure more as pelvic vs rectal. At any rate, I am sure that whatever this is has to be related to crohn's.

Thank you again for your quick response.
35 year old female - Diagnosed w/Crohn's 2002 - Surgery 2004

Currently taking: Pentasa, Entocort, Imuran, Immodium, Zoloft, Wellbutrin, Seroquel


broomhilda
Veteran Member


Date Joined May 2007
Total Posts : 1488
   Posted 9/21/2008 6:26 PM (GMT -7)   
Glad I could help. Yes, that's the only definitive description I can come up with. Not exactly in the best of taste...but hey, were're all family here right!
Dx'd Jan'06, 1st Resection 7/06, Humira, Imuran, B12 injections, Nexium, Lexapro, Glucosamine, Multi-Vitamin, Ultracet Secondary conditions: Psorasis, Osteoarthritis, Fibromyalgia, Lactose Intolerant, gallstones, peri-menopausal.

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