What causes side abdominal pain and blood when wiping with tissue?
Patient: Gm. Dr.,I woke up this am with (r)side abdominal pain.  I noticed bright redblood on the tissue again. I realized it happened yesterday wo. Pain. I thought it was my menstrual.   I am under a heat pad and now questioning what in really going on. W a hx of bleeding cyst and a dx. of fibroids, I am a bit concerned. Doctor: Hi.Thanks for your query.Read and understood our problems. The cause of right sided pain with blood on wiping paper can be Stone in the right ureter. This causes pain in the right side as well as causes blood to appear in the urine. This is not your menstrual bleeding , nor is it relate to the  bleeding cysts or fibroids. I would advise you the following:Ultrasonography and X-ray of the abdomen will confirm the diagnosis.Intravenous pyelography to confirm the functioning of the kidney.Consult Urologist for further managment which may be removal by Ureteroscopy or lithotripsy or open surgery. This also helps to rule out other causes like colitis, Ovarian cyst or appendicitis with UTI