What causes cramping, urination pain with frequency and rectal bleeding?
Patient: My daughter is almost 12 years old. Has not started her menses. Has been complaining of cramping most all day. Now she s saying that it hurts just above her pubic bone when she is urinating. She has felt the need to urinate all day, even right after she has just emptied her bladder. There is a little blood on the paper when she wipes and a few drops have dropped in the toilet. Is this just the start of her menses, or should I get her to her PCP? Doctor: It could be the start of her menses, and teens usually do get more cramping pain than older women because some of the cycles may skip ovulation. But, if the symptoms persist for more than a week, it would be better if she got a physical examination done by a gynecologist.