What does pain in the lower abdomen along with perineal pain indicate?
Patient: I have lower belly pain and very tender to touch pain is between rectum and vagina bladder doesnt feel bad.when i pass gas its very sore as it passes by the painful area.its in the area of the douglas pouch i think (i have no uterus)I had a catscan with contrast a week or so ago and then my kidneys were very flared for about 5 days (i have lupus sle) is this cause for concern? What would treatment be.Ive never had such discomfort and tender to touch like this.this is the 3rd day of this and only worsening Doctor: maybe per anal abscess fissure and fistula. sis-bath is to be done.apply appointment's per rectum.get locally examined by surgeon maintain hygiene and sanitation. per rectal examination is to be done if required cryosurgery can be recomanded ultrasound kub can be done.nephrologist can be consulted for examination and advise on treatment. may be related to lupus. second opinion can be taken for treatment.