What causes abdominal pain and spotting?
Patient: Hi I am 30 yrs old.  I felt a very small abdominal pain in the morning. Later that day I felt I had to go. Only a small amount of mucus and brownish red blood came out.  Have gone to the bathroom a couple more times and the same thing is happening.  Any ideas? I am 5' 4" 122 lbs.  In good health have had 2 C-sec. Oldest child 8 months. Doctor: Hi! Good evening. I am Dr Shareef answering your query.If I were your doctor, I would advise you for a serum HCG test rule out an unsuspected pregnancy if you are sexually active all these days, an ultrasound of abdomen to rule out any  pelvic pathology, and a gm staining and culture sensitivity of the vaginal discharge to rule out a PID(Pelvic inflammatory disease). Till then, I would advise you for an anti spasmodic along with a proton pump inhibitor drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.