What causes frequent urination , abdominal pain and fatigue?
Patient: Hi I am a 39 year old female. I am 2 days into my menstrual cycle. After several hours of cramping and a hot bath I passed a lot of blood, a huge clot and a bean sized encapsulated mass. The mass is soft. The tissue is slightly transparent with what like like little blood vessels in it. It literally looks like a bean.  Any thoughts on what it might be? I had my tubes tied over 12 years ago. I have also had symptoms that I thought were gastrointestinal, but tests at the ER ruled out colon problems and gall bladder. Symptoms are: frequent urination, Abdominal pain and bloating, difficulty breathing, hot flashes, fatigue. I also fill up quickly after eating. I've recently cut out gluten thinking the bloating and pain were related to a gluten sensitivity but the pain and bloating persist. Any suggestions?Thank you Doctor: Hi. The symptoms of requent urination, Abdominal pain and bloating, difficulty breathing, hot flashes, fatigue. I also fill up quickly after eating are suggestive of a genearlized disease like enteric fever or so. You have to get all the relevant blood, urine and stool tests as per the clinical findings of a Doctor on clinical examination. You will need an antibiotic course and supportive treatment. The encapsulated mass line a bean can be in fact be a polyp of the uterus. Since your tubes are tied for such a long period , it is not likely to be  fetus. So nothing to worry about. Get an ultrasonography done as this will help for the diagnosis of the genito-urinary system, PID or any other findings.